mommybess

mommybess BSN, RN

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All Content by mommybess

  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 been in this position for just over a year. 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 continue working full time while completing my ed...
  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 made the change from hospital to clinic nursing and 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 the exam. I am looking at taking the computer ex...
  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 RNs to the unit. Recently our patient satisfaction...
  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 skin Others that you could use: Risk of imbalanced nutr...
  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 newborn Fatigue r/t care of newborn Risk of consti...
  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 world" you would give tylenol and hang IV abx at the sa...
  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 (still no tele).
  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 fluids increase vascular volume... which increases t...
  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 needs to be treated asap. An increased temp and dra...
  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 if all goes well, offer apple juice and encourage ...
  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. Vaginal pts get ice packs, Tucks, Dermaplast for ...
  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 beds, and about 30 ldr beds. we do couplet care ...
  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 2010.
  16. Future RN

    Work in Austin. Starting base pay $22, shift differentials add another $2-4 per hour.
  17. What I Wish I Knew Before Nursing School!

    All great advice. Be prepared for your life to change completely in 4 weeks! Nursing school is DIFFICULT, INTENSE, and at times LONELY. But in the end it is all worth the sacrifices you will make. If you can afford it, hire a housekeeper to come...
  18. TX State Board of Nursing - Endorsement Legal Question

    How awful!!! I hope thisgets cleared up and you are cleared of this insanity. You need to divulge this. The Board would be more upset with you for trying to hide it. I havefriends who have past issues with thelaw and they divulged it but were allo...
  19. Blowing IV's - what am I doing wrong?

    I've been and RN now for about 10 months and I've been working mother/baby now for about 8 months. We don't get many chances to start IV's as they are usually already done in L&D and the only reason we would need one is if one accidentally came...
  20. Floor nursing without techs/aides

    1. What kind of floor? Postpartum 2. Ratio patient:nurse? 8:1 3. Is it functional? Yes 4. Have you worked in an environment that had aides/techs before? How did it compare? Yes, much nicer to have techs 5. What other support staff do you have, that...
  21. We sold our home and downsided our vehicle when I made the decision to go to school. I was not working at the time but we knew it would require my husband to be at home more. I was able to get a Pell Grant to help with the cost of school and income...
  22. "Rooming in" on Mother/Baby - not one size fits all

    As so many others have said in their replies, you were jipped! Reading this makes me really angry and sad for you and all the others that are patient's of this nurse. Bottom line = lazy nurse! it is our jobs to take babies back and forth to the nu...
  23. How many couplets are you responsible for?

    4 couplets is our max. On a rare ocassion we may have 6 couplets. More than a total of 8 patients is NOT safe and almost impossible to manage.
  24. HESI A2 Help needed

    You do not need to memorize the periodic table for the Hesi. It's all critical thinking no rote memorization. In fact nursing exams are never rote memorization. Good luck!
  25. Nurese are in demand. Wether you have an ADN or BSN finding a job should not be a problem. Pay depends on where in the country you will work. In Texas starting pay is on average $22/hr for an RN. Clinical times depends on your school. They can s...