mommybess

mommybess BSN, RN

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About mommybess

Latest Activity

  1. Is management for me?

    I am a site manager for a family medicine clinic which is part of a larger FQHC group of clinics providing pediatric, family, senior, adolescent, psychiatry, OB/GYN, dental, and vision care. I have...
  2. Msn education classes and working?

    I'm currently working full time as the site manager/RN for a family medicine clinic and taking classes. I've applied to the Fall 2012 RN-MSN nurse educator program at Angelo State. I am hoping I can...
  3. Average pay for office RN

    It really depends on what state you are in and what your experience is. Nurses working in the hospital setting for a long time may be making a lot more than a new grad in the hospital setting. I...
  4. Anyone here an RNC?

    Has anyone taken the Maternal Newborn RNC exam? I just ordered the study guide and the 2 recommended books to prepare for the exam. I am trying to figure out how much time I will need to prepare for...
  5. May be silly questions...

    I work in a very busy 61 bed postpartum unit that does about 500 births a month. We expanded last year from approx. 200 - 250 a month. We doubled our postpartum rooms and we have slowly added the...
  6. Care Plan Help

    You're on the right track. I have one comment regarding your first dx's goal of GOAL: client’s skin will remain intact. It is more realistic for the goal to be: no further breakdown of client's...
  7. Nursing DX for postpartum couplet

    For mom: Since she is a first time mom you could go a psychosocial route such as: Caregiver Role Strain r/t care of newborn Social Isolation r/t care of newborn or Sleep Deprivation r/t breastfeeding...
  8. Recent Nursing Test Question

    As for ther abx... The reason that I would not answer this as the 1st thing you will do as abx generally do not stop an infection with a dose, it takes several doses generally. But in the "real...
  9. IV push hydralazine or labetalol - tele?

    referring to our postpartum pts with BP issues. We can do one dose of IVP Labetalol and Hydrazaline, if this does not reduce BP, they go back to L&D where they can be more closely monitored...
  10. edema in the postpartum period

    There are a few reasons for it. Increased maternal blood volume during pgy = body shifts extra volume to tissues where they are safe, pt diuresis and or sweats extra volume out over a few days. IV...
  11. Recent Nursing Test Question

    If answering this for a nursing exam here is how I'd place these in order. Remember with nursing exams you always have an order for the options given and remember Maslow's Heirarchy. Tylenol - fever...
  12. Post c/section diet

    Orders for us are NPO until tolerating clears, and then advanced to full liquids, and then advanced to regular once passing gas, and no N/V. I usually do chips and sips for several hours first, then...
  13. Pain medication in Postpartum

    Most of our c/s get Duramorph. Depending on doc c/s pts either get Toradol 30mg q 6 X4 doses or 800mg Motrin q 8 for 1st 24 hrs. Then they switch to 400mg Motrin q 4 PRN and/or Norco 5, or 10 q 4 PRN....
  14. Couplet Care/Postpartum

    i am a staff rn/charge nurse unit the postpartum unit in a hospital that recently went from delivering approximately 3000 babies a year to 6000 babies a year! we have 61 postpartum beds, 8 antepartum...
  15. IBCLCers? Started down the road, anyone else?

    me me me... I am working on getting mine and will hopefully sit for the exam in