ashleyisawesome BSN, RN

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All Content by ashleyisawesome

  1. ashleyisawesome

    St. Luke's School of Nursing

    ashleyisawesome posted a topic in Pennsylvania Nursing

    Hello! I just got into St. Luke's in Bethlehem and I was wondering if anyone has been in, or knows anything about the program. I'm pretty excited, just looking for some info if anyone has any.. I just...
  2. ashleyisawesome

    St. Luke's School of Nursing

    ashleyisawesome replied to ashleyisawesome's topic in Pennsylvania Nursing

    Haha WOW!, I graduated 8 years ago, but I do vaguely remember the critical thinking test. It wasn't knowledge based or really something you could study for. It was literally just critical thinking...
  3. ashleyisawesome

    39 IOL

    ashleyisawesome replied to Surfandnurse's topic in Ob/Gyn

    Have you read the ARRIVE study? 39 week eIOLs are becoming more common due to the study saying it actually reduces the risk of c-section and still birth in primips, regardless of bishop score. I am...
  4. ashleyisawesome

    Insulin drips patients on L&D

    ashleyisawesome replied to Upgrading_Status's topic in Ob/Gyn

    My unit's protocol is that anyone (with diabetes) in active labor who has 2 blood sugars in a row that are over 100 gets put on an insulin gtt, and yes we titrate them on our unit. The patient is...
  5. ashleyisawesome

    Baby Nurse Responsibilities

    ashleyisawesome replied to Grayson18's topic in Ob/Gyn

    Our charge nurse is usually the designated baby nurse (though if multiple deliveries are going on at once or charge is busy, she can call another nurse to go be baby nurse). In a lady partsl delivery...
  6. ashleyisawesome

    On-call requirements

    ashleyisawesome replied to kaprielipp's topic in Ob/Gyn

    We used to take 16 hours of call per 6 week schedule in 4 hour increments, they have recently changed it to 8 hours. Only part time nurses have to do it (.9 or less), and if you do charge you don't...
  7. ashleyisawesome

    Labor nurses - what's your policy/procedure on post-epidural vitals?

    ashleyisawesome replied to klone's topic in Ob/Gyn

    We throw a pulse ox on them and assess the pulse continuously through the test dose and until they lay down. I cycle B/Ps q3m starting when the test dose is given and switch it to q15 when I think...
  8. ashleyisawesome

    What to expect during L&D???

    ashleyisawesome replied to Destin293's topic in Ob/Gyn

    A lot of it will vary based on provider/facility. You will likely be admitted through OB triage either because your water broke or you have been having contractions and your cervix has dilated enough...
  9. ashleyisawesome

    Any nurses that have started and transferred out of L&D?

    ashleyisawesome replied to allysg08's topic in Ob/Gyn

    I have coworkers that have gone on to work in the OR, PACU, NICU, ED, Dr Offices, ICU, med/surg, peds, psych, home health, and probably some other areas I'm not thinking of. L&D is a varied...
  10. ashleyisawesome

    Labor and Delivery Staffing Question

    ashleyisawesome replied to alaboroflove's topic in Ob/Gyn

    Where I work, we are 1:1 in labor most of the time, 1:2 is an exception only when we are slammed and there is no other option. We are usually 1:3-4 in antepartum and we do continuous monitoring in...
  11. ashleyisawesome

    Current Labor and Delivery Nurses: How did you get your job?

    ashleyisawesome replied to jalilly's topic in Ob/Gyn

    I applied for L&D right out of nursing school and didn't get any call backs. I ended up working in med/surg for 3 years and applying for OB/NICU/Peds jobs sporadically during that time with no...
  12. ashleyisawesome

    PPROM In preterm patient

    ashleyisawesome replied to Altalorraine's topic in Ob/Gyn

    If I worked at a place where there wasn't a physician on the floor at all times (ie, had to call them from home or another floor in the hospital), I might consider a sterile lady partsl exam to make...
  13. ashleyisawesome

    What does your assessment look like?

    ashleyisawesome replied to AZBlueBell's topic in Ob/Gyn

    When I admit a new patient or get them for the first time, I usually listen to heart/lungs/bowel sounds. Check for edema, feel pedal pulses, check for clonus, do a homans test, ask about pain, ask if...
  14. ashleyisawesome

    Postpartum Nurses being the Baby Nurse?

    ashleyisawesome replied to holmesln's topic in Ob/Gyn

    Yeah, this is one of the changes I don't really mind at all. We get a lot less babies with low temps/sugars now that we do this, and breastfeeding retention is better (I am sure this also has to do...
  15. ashleyisawesome

    Postpartum Nurses being the Baby Nurse?

    ashleyisawesome replied to holmesln's topic in Ob/Gyn

    When I first started, we did it like you currently do it. Labor nurse (usually the charge nurse, the moms primary nurse concentrated on mom) did resus/apgars (always straight to the warmer after cord...
  16. ashleyisawesome

    What's more desirable: Fresh New Grad vs. Experienced LD nurse from another hospital

    ashleyisawesome replied to honestogoodness_RN's topic in Ob/Gyn

    As someone who precepts, I prefer a nurse with experience, even in a different specialty. They already know how to start and IV, put in a foley, prioritize care, talk to doctors, etc. I can start just...
  17. ashleyisawesome

    From L&D to Post Partum

    ashleyisawesome replied to Skips's topic in Ob/Gyn

    I typically make a brain sheet with 6 boxes on it. One box for mom and one for baby. I put pertinent info on it as well as a check list of things that need to be done this shift. My checklist for baby...
  18. ashleyisawesome

    Where in the country are new grads getting hired?

    ashleyisawesome replied to Helices's topic in Ob/Gyn

    We hire new grads in Eastern PA. We have one male L&D RN and at least one other male RN on our OB unit at our other campus. We also have a male
  19. ashleyisawesome

    Applying without experience

    ashleyisawesome replied to shephfra000's topic in Ob/Gyn

    So weird. Of those specialties, I feel postpartum is the easiest to pick up for a new grad. We are an LDRP, but we always start our new grads in postpartum for about a year before training them to...
  20. ashleyisawesome

    Are you doing these things on your L&D floor?

    ashleyisawesome replied to ksusn's topic in Ob/Gyn

    1. Urine screen on all new admits - We get a urine sample on all admits, but set it aside and only send it for a UDS if pt is a known drug user, had no prenatal care, had spotty prenatal care, or we...
  21. ashleyisawesome

    Can a healthy newborn go 24 hours without a feeding?

    ashleyisawesome replied to BSNbeauty's topic in Ob/Gyn

    We let our kids go about 24 hours without a feed (but they have to be attempting during that time of course). We will only check a blood sugar if they are LGA/SGA, GDM, they have a low temp, or they...
  22. ashleyisawesome

    Tips and advice please! Transition from med-surg to L&D nurse

    ashleyisawesome replied to jagsnurse's topic in Ob/Gyn

    Pros: Less adult poop (there is still some!), 1:1 ratio, mostly young healthy patients (some not so healthy though, but at least their veins are usually young and plump), virtually no patients over...
  23. ashleyisawesome

    Orientation Timeline

    ashleyisawesome replied to mitchsmom's topic in Ob/Gyn

    Ours varies based on the nurses experience, how fast they learn and the unit needs. Generally we train to PP first, since it can be done quicker, then they work in a PP for a few months to get used to...
  24. ashleyisawesome

    Any guys in L&D

    ashleyisawesome replied to al3x117's topic in Ob/Gyn

    We have a male nurse on our unit, and despite the other comments here, he is well liked by our patients. Of course there are always some patients who will request female staff only (especially for...
  25. ashleyisawesome

    Magnesium Sulfate Question

    ashleyisawesome replied to SarahHarmony's topic in Ob/Gyn

    This may be hospital dependent because our PP moms on mag are allowed to eat a regular diet as tolerated. They are on a fluid restriction though due to the risk of fluid overload. My best guess as to...