ashleyisawesome BSN, RN

LDRP

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All Content by ashleyisawesome

  1. ashleyisawesome

    Radical Vulvectomy

    ashleyisawesome replied to CrunchRN's topic in Ob/Gyn

    Maybe try the Oncology threads. Most of us here deal more with Obstetrics than
  2. ashleyisawesome

    L&d, post-partum, Nursery rotation

    ashleyisawesome replied to Krichar4's topic in Ob/Gyn

    It's whatever the charge nurse decides. I have a preference for labor and luckily get placed there more often than PP. I am not trained in nursery and don't really want to be. There are some nurses...
  3. ashleyisawesome

    Where should I work to prepare for L&D?

    ashleyisawesome replied to emmjayy's topic in Ob/Gyn

    I think your instructor is wrong. I work with a lot of L&D nurses who started in L&D as new grads and they did fine. I did three years of med/surg before doing L&D, and while it certainly...
  4. ashleyisawesome

    ACLS & circulating

    ashleyisawesome replied to Surfandnurse's topic in Ob/Gyn

    We are required to have it. Like others said, it is for PACU. We have some newer nurses that haven't gotten it yet and they aren't allowed to do PACU until they have ACLS. We have a few nurses that...
  5. ashleyisawesome

    Postpartum Magnesium Sulfate

    ashleyisawesome replied to Lindeern's topic in Ob/Gyn

    Q2 vitals, reflexes, and assessment of symptoms (headache, blurry vision, clonus, LOC). Q4 I&O and usually a 1500ml fluid restriction. If you have a mom on Mag they try to give you a lighter...
  6. ashleyisawesome

    LDRP RN Scrub nurses get differential?

    ashleyisawesome replied to wilsod's topic in Ob/Gyn

    At my hospital all labor nurses are trained to circulate for c-sections and we have our own OB ORs. The main OR nurses are not involved in our c-sections unless it's also a trauma patient (ie, serious...
  7. ashleyisawesome

    Low L&D Census, losing hours. Does this happen often?

    ashleyisawesome replied to clarkb33's topic in Ob/Gyn

    I work in a mid sized teaching hospital. We do around 250-300 births a month, but we do have some slow periods where people get put on call or sent home early. We go by request. So they will first...
  8. ashleyisawesome

    Labor and Delivery Orientation

    ashleyisawesome replied to kanordahl's topic in Ob/Gyn

    1)I'd rather not name my specific hospital on a public forum. I can say I am at a teaching hospital and we do approximately 250-300 births a month. We also train to all areas (L&D, Postpartum,...
  9. ashleyisawesome

    Can't land a job on labor and delivery

    ashleyisawesome replied to Brittlove.xo's topic in Ob/Gyn

    I applied to OB floors for 3 years until I finally got an L&D job. The job I got is an hour away, but it is worth it to me. You have to expand your search. Even if you land a job an hour away, you...
  10. ashleyisawesome

    Clinical ladder topics - cervical vaginal exams, communication?

    ashleyisawesome replied to L&DMomof3's topic in Ob/Gyn

    What kind of policy are you looking for? I work in a teaching hospital, so our residents do a lot of the cervical exams themselves. The RNs do them as well when needed, but usually when the residents...
  11. ashleyisawesome

    RN Typical Schedule

    ashleyisawesome replied to Amberjones's topic in Pennsylvania Nursing

    I work a baylor program, so I work 12 hour night shifts every Saturday and Sunday and get paid like I work 40 hours a week, with full time benefits. I also take 16 hours of call time a month, usually...
  12. ashleyisawesome

    Brand new PA RN, License Renewal Questions

    ashleyisawesome replied to pmabraham's topic in Pennsylvania Nursing

    You do not need the 30 CEs for the first renewal. You might need the mandatory 2 CE child abuse one though. When I renewed my first time (in 2013), I was told your nursing degree falls within the two...
  13. ashleyisawesome

    Well.. sigh.. someone stole my stethoscope..

    ashleyisawesome replied to ALIkat99's topic in Ob/Gyn

    I have had 2 stethoscopes stolen! With my current one, I put a fall risk bracelet on it and wrote my name on it. It seems to help a bit. I am notorious for leaving my stethoscope lay around random...
  14. ashleyisawesome

    New Process Admitting Couplets... HELP!!!

    ashleyisawesome replied to puddles11's topic in Ob/Gyn

    This is what we do. I will preface this with the fact that *most* of the nurses on my unit are trained in Labor, PP, and nursery. There are a few that only do labor or only do PP/nursery, but mostly...
  15. ashleyisawesome

    Daily huddles

    ashleyisawesome replied to Jhalliburton90's topic in Ob/Gyn

    We are supposed to do them, but we mostly skip it because it's usually unrealistic to have everyone leave their patients all at once to have a little meeting. The doctors are supposed to be involved...
  16. ashleyisawesome

    CNA in Postpartum or NICU

    ashleyisawesome replied to Nursing24/7's topic in Ob/Gyn

    I am pretty sure those certs are only available to RNs (maybe LPNs too), but not CNAs. Are you currently working in a hospital with an OB floor? Try talking to the manager and tell her you have an...
  17. ashleyisawesome

    Ending your shift in the middle of a delivery

    ashleyisawesome replied to Maiya22's topic in Ob/Gyn

    It depends. If the baby is right there and she is about to give birth I will stay and help out the oncoming nurse. I have stayed an extra 20-30 mins past my "clock out" time and never gotten any flack...
  18. ashleyisawesome

    Implementing New Hire/New RN Orientation for L&D Unit

    ashleyisawesome replied to OBRN91's topic in Ob/Gyn

    I work in a LDRP. New nurses usually orient to postpartum first, for anywhere from 2-6 weeks depending on their experience and how fast they learn. They work in PP for a while to get comfortable, then...
  19. ashleyisawesome

    LATCH Breastfeeding assessment tool

    ashleyisawesome replied to jbrester's topic in Ob/Gyn

    Yes, it has to do with how well the baby is latching onto the breast, which is necessary for proper breastfeeding. Here is resource explaining how the LATCH score works:...
  20. ashleyisawesome

    Understanding TOCO Monitor (Tocodynamometer): How to Monitor and Read Contractions

    ashleyisawesome replied to Wendy Sutas's topic in Ob/Gyn

    I've heard of the alcohol pad but never tried it. On overweight women I try using straps instead of a belly band so I can make them really tight, or using a belly band and sticking a few washcloths,...
  21. ashleyisawesome

    Lactation consultant

    ashleyisawesome replied to mira_koreau's topic in Ob/Gyn

    Pretty much every hospital with a maternity ward will have at least one lactation consultant. We have 1 for L&D/PP and 1 in the NICU. There are also outpatient jobs out there for lactation...
  22. ashleyisawesome

    Charting in Obstetrics

    ashleyisawesome replied to Jesslan84's topic in Ob/Gyn

    I can't think of a situation where I would only be charting on my strip every 1.5 hours. Even an induction I chart q1h at minimum. When I am charting q1h I am charting for the entire past hour. So if...
  23. ashleyisawesome

    Switching from LDRP to Labor and Delivery

    ashleyisawesome replied to Kdavisobrn's topic in Ob/Gyn

    What makes you think the staffing will be different on a Labor only floor? If you have labor experience, it should be the same with the added benefit of not having to be pulled to PP in the middle of...
  24. ashleyisawesome

    Pregnant L&D RN

    ashleyisawesome replied to starry01's topic in Ob/Gyn

    I don't think they are trying to intentionally make you anxious or really pry into your personal life, they are just making conversation. We constantly have pregnant nurses on our unit and most of...
  25. ashleyisawesome

    What's a good job for L&D nurses who want to leave the bedside?

    ashleyisawesome replied to quazar's topic in Ob/Gyn

    I know you said no office, but lots of nurses I worked with have gone to work at the perinatal testing center. Not sure if you have something similar. It is where the MFM and Perinatologists see high...