AmberL&D/RN

AmberL&D/RN

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All Content by AmberL&D/RN

  1. Confront a fellow nurse or not?

    Just want to throw an incident out there to get some feedback on whether or not I am over reacting... This hospital I am working at staffs 1 L&D nurse, 1 nursery nurse and 1 PP nurse on nights. Days has 3 L&D nurses and the rest of the staff ...
  2. Is this common practice?

    I have worked in numerous facilities and have found that it is up to the anesthesiologist. I have worked at one hospital that the anesthesiologists would refue to put it in unless ALL family members stepped outside. They wanted minimal distractions. ...
  3. Confront a fellow nurse or not?

    LD_RN_OH... That was a typo between "IV" and "catheter", shouldn't have been a coma. I meant IV catheter. Thanks for the feedback, I thought maybe I was just being sensitive and feeling defensive. I have spoken with some of the other nurses on night...
  4. OP babies=more pain?

    I am sorry about you r experience. When I had my son I pushed with for 3 hours being OP. He was definately not coming. After a manual rotation he was born 30 minutes later. In the process I broke my tailbone. (all without an epidural). I remember tel...
  5. Breech scare

    I just statrted a new contract with a very small hospital. They have 2 OB docs and 30-40 deliveries a month. "they don't do deliveries at night" is what I was told by the other nurse working there with me on nights. Well, since I started there they h...
  6. Manual extraction

    Actually had this happen last night after yet another precip, doc came to deliver placenta (that wasn't in nearly a rush as the baby) After trying with just stadol and phenergan anesthesia was called for conscious sedation. Prior to anesthesia arrivi...
  7. Breech scare

    When this doc got there he said he wasn't going to check her. He said if it wasn't breech he would just flip the baby over like it was. I was like "whatever makes you happy...crack is crack!" Well he did check her and I read in the progress notes lat...
  8. Breech scare

    What they meant by not delivering on nights was that they hydrate and sedate and keep that up (or try to) until AM. This doc even had me Terb a 36+weeker. And yes, THat is me, one in the same that worked the hellacious antepartum at a different hospi...
  9. Ativan and a pregnant woman?

    I have given Ativan to some pregnant patients I have taken care of. I don't remember what trimester, though. If she is concerned have her contact her OB/Gyn and see what he has to say. Good luck and I hope she starts feeling better soon.
  10. staffing

    I agree 100% with the other posts. Maximum 2 pit inductions at one time, NRP required prior to coming off orientation (which by the way should be a minimum of 12 weeks) including intense training on EFM tracings. Amber
  11. acog/aap staffing guidelines

    Last night I had to stand my ground regarding staffing issues. I was on APU with an orientee, (no tech or secretary either). Got a call from triage wanting a bed for a g3p2 drop in (no doc or prenatal care). Thing was is she said it was her due date ...
  12. community vs teaching hospital

    The other night the residents did a forcep delivery because "somebody" needed practice. YIIIIIIKES!!!
  13. Would I be considered a "difficult patient?"

    I am not trying to persuade you one way or another, however, in response to the fetal monitoring. You would actually be able to more mobile with external fetal monitoring than with hand-held dopplers (at least the ones I am familiar with). If EFM is ...
  14. community vs teaching hospital

    I have worked in both types of environments. In a teaching hospital I have found that you have to call the residents for EVERYTHING!! I prefer a non-teaching hospital over a teaching hospital for this reason. Maybe it is just the residents at this pa...
  15. 18wk prom

    We had an 18-19 weeker come in ppromed, MD's sent her home b/c wasn't viable. She came back at 24 weeks, still pregnant, still with FHT's. Gave steriods, antibiotics...all the goodies. She was even allowed bathroom priveledges (until baby turned bree...
  16. Would I be considered a "difficult patient?"

    I am not sure if I would "label" you as a difficult patient or not. I would however be a bit concerned with my name being in that chart in the event of a negative outcome. I do agree with quite a bit if your plan... no IV just hep lock, eating drinki...
  17. Antepartum dillema

    I had a situation last night at work that I am hoping for some feedback on... I am an agency nurse on contract with antepartum unit at a non-profit teaching hospital. Basic rundown of situation... Only nurse on the unit, had a tech and secretary, wit...
  18. acog/aap staffing guidelines

    As a nurse that currently is working on an antepartum floor and in a BAD situation... I don't see any of the patients as "stable". They are all ticking time bombs if you ask me or they wouldn't be in the hospital. Any antepartum patient has the poten...
  19. Antepartum dillema

    Thanks to everyone who replied to my posting. After being on contract at this hopsital for almost one year I have decided to not renew. I know to most of you that sounds like a no brainer but it is a big desicion for me due to financial reasons. In ...