L&Doldtimer

Been working nocs for almost 30yrs. now-less chiefs running around, after 9 or so usually less visitors, more independence. Best nurses work nocs! :) But gotta be able to sleep during the day-will NEVER work if ya can't. Positive attitude-sometimes a...

Hello all-I would like to know what other L&D units out there do as far as the number of procedures (inductions and c/sections) they allow the docs to schedule per day... I have worked in one hospital where there was a schedule book that was kept...

Do a rewrite on that paper stating what it REALLY says-"Dr. E doesn't give a _ _ _ _ about his pts or their babies, so if there are problems, remember-Dr. E's ego ALWAYS comes FIRST!

Never seen a cervix go from 5-6 back to 1.... Did you or the "seasoned RN" recheck the pt after the resident? I would trust a seasoned OB nurse before I would a resident! Don't know why it should make it any more difficult to deliver her vaginally ju...

Thanks...once had a doc tell me he almost always told his pts. they were farther along than they were the previous visit! Then they get to the hospital and we have to explain how one "goes backwards" in dilatation!!

Practice, practice, practice! And then you'll find a doctor's 4 is your 2!

I, too had a cerclage placed about the 15th wk of my pregnancy, but it was for cervical dilatation, not shortening. Does anyone else out there use the fetal fibronectin test for possible PTL threats? We have started using it-too early for me to evalu...

Shortened cervix as a diagnosis?? Are these pts. ones who previously had a preterm delivery? Noncompliant pts. that the docs want watched? I personally haven't heard that one yet, but it sounds a bit fishy to me...

Shannon, Sounds to me like you are in a much better situation at your present hospital-even sounds like if L&D didn't work out, you'd probably not have a problem going back to what yur presently doing (good NM support can make a WORLD of differen...

Thanks for all the responses-wow, quite a diversity! Our hospital only does 50-70 dels. per month, so we are not staffed quite as well as most of you are-only have 21 nurses that work our unit, so 4 procedures before noon puts quite a strain on us. W...

Hello-any nurses originally from Iowa who are now traveling? Would just like to chat about differences, etc. Want to travel but just can't seem to make the final committment. Labor and delivery is my specialty BTW. Connie

Elizabeth-Have you been to the forum at Delphi-"Traveling Nurses and Therapists"? It is all about traveling and most questions get answered by other travelers speaking from experience. Where are you working now? Where is it you wish to travel? They h...

Wow! You measure their penis? I can just see the arguments that would ensue at our hospital over that one! I think having them do the circs in the office would be great-that way the whole procedure, along with the tylenol we give before and 4 hrs aft...

Crystal013, I agree with you for the most part, except for the epidural part-I take it you are not all for them...? Frankly, I think epidurals are comparable to sliced bread in OB. A comfortable, enjoyable birth experience-why not? What I DON'T agree...

Hello everyone-I am new to your forum and have found some very interesting reading here. I have been a nurse for 30 yrs. next yr. (OMG!) and with the exception of 2 1/2 yrs. spent in a NICU, my work has been with L & D, postpartum and nursery. A...

I see this is old, but maybe we can start it up again... I am originally from Fort Madison, now across the river from Burlington in Illinois (FINALLY the road is open both ways across the river-that flood was something I'll not soon forget). Work at ...

Same here-except we are supposed to sing during the procedure! Geesh-think we've gone a bit overboard there, eh? heh heh

RNHeart, Sadly I would guestimate around 80% or the patients I encounter could care less what is happening to their bodies during the pregnancy, much less take the time to participate in any kind of classes to prepare them for delivery! So the sooner...

Hospital I worked in 9 yrs ago we were given the responsibility to do those procedures, now the docs in my present hospital barely want us doing vag exams... They tell us from their beds if the pt. needs pain med or not! It stinks coming from a l&a...

Not only do we use a consent but now we are doing the "time out" thing they do in surgery (to make sure they aren't working on the wrong arm or leg) also. Hmmm....let's see....why ARE we all gathered here in this labor pt's room and WHY DON'T YOU J...

Frankly, I think the architecture is a bit messed up-something that size coming from an opening that size is a bit unnatural to me. Personally, I think epidurals are the best thing to happen to labor and delivery-as long as they aren't done way too ...

Nora-I didn't mean to sound as if all the changes in OB have been for the better-we have come a long way in quite a few areas. I too remember the soap suds enemas and shave and strapping women down to the delivery table. I remember when we cleaned o...

I am so glad to read where there are others of you out there considering traveling who sound like you're about my age, with the kids outta the house and yet aren't the most confident about the change either! I've been wanting to try this for a coup...

I, too, wish I could retire-or at least do something else-archaeology in Egypt or something! This is one of the things that gets me also... Medicine has become so specialized, but now it seems, at least in the clinical setting, they are lumping us a...

I'm bthinkin 20 minutes is a long long time when you've got a prolapsed cord, unsuccessful vacuum attempt-just a FHR in the basement. Where I worked before the CRNAs were required to stay in-house if they had an epidural going-where I am now, they ar...