elanddeenrs

we have one. it's called adult icu, even though we're a women's hospital. our pp mag pts go there, anyone who's received blood, like after a pp hemorrhage or HELLP, one pt i know of had to be there to receive IgG. pts also go there sometimes if they're induced at less than 18 weeks, i think they take GYN stuff, too. it's a very small unit, 4 beds.

a big majority of pts i deal with have misconceptions about epidurals

the only time we do procardia + mag is when we are weaning the pt off mag for the same reason as above poster mentioned.

Just took AWHONN Advanced FM class. Instructor says it's OK to chart minimal and moderate if you have both.

maybe just a coincidence, employee health is doing some investigating, but myself and another person at work have come up with shingles a couple of weeks after receiving h1n1 vaccine (IM). anyone else heard of this? like i said, maybe just purely coincidence. i tried a google search, but came up with nothing.

this is so interesting to me... at my facility we're not allowed to push Fentanyl IV because it is considered conscious sedation, and they have to be monitored via EKG, which we don't have the capability of in our L&D. We usually use Stadol of Nubain. We have one MD who uses a "cocktail" of Nubain IV, Vistaril IM, and Vistaril PO. It's very effective and long lasting.

you can check clonus in the fingers/ hands. have the pt face their hand toward you like they're going to give you a high five, but have them relax their fingers. then, thump the end of the ring finger. if clonus is positive, their fingers will "beat" forward, just like in the foot.

We also have body bags. I think it is the most neutral, inoffensive way to transport

this will be a great opportunity for you. the techs on our unit set up delivery tables, so they are very familiar with the instruments used. definitely a leg up.

I was watching "The Doctors" a few days ago, and they sent out one of their producers to prove how easy it was to get a medical marijuana license... ridiculous... all she had to do was tell the doc she had problems sleeping at night!!

So glad to hear you found your fit and you're now happy!

Wow, what's with the pepppermint oil?

that's awesome for a preceptee!!

Has anyone ever been at a birth where the parents thought their baby was gonna be one sex, but ended up being the other? I'm not talkin' about those parents who chose to be surprised, but those who saw the girl or boy parts on the u/s... And, what were there reactions?

I'm just starting out and went straight to L&D. It annoys me beyond belief when I hear people say you need to start out in Med Surg first to "get experience":yawn:. You'll be getting basic nursing experience no matter where you start out. Don't torture yourself in Med Surg if you know OB is what you want. And, even if you're not sure what you want to do, after reading some of the other recent threads about Med Surg nurses having problems getting into OB nursing, I honestly don't know if I would recommend starting out there anyway. GL!

it depends on where you work... some places do all three, others do each separately

Well of course I will pump and store!:) I just wondered if anyone who had done it had any advice specific to nights. Thanks, though!

we also use ephedrine for these cases. but, i do have to say-- sometimes you could bolus your little heart out and some BPs are just going to end up in the toilet.

Wow, NurseNora, those were really great, I really enjoyed reading them.

I am green at this and have mostly pts with epidurals, so this is really not an issue with them, but what about the ladies going all natural? can you labor them down?

My nurse manager has said something similar to the previous poster: she likes hiring new grads so she can "mold" them, as opposed to nurses with experience in other areas who've already found their own ways of doing things-- it's harder to change old habits than it is to create new ones.

OK, so riddle me this-- how do you nurse a baby while working nights?

Well, the fact that you have previous experience as a nurse at all gives you a leg up. I interviewed for a postpartum position (the NM was also over hires for the nursery), and was welcomed with open arms as a new grad. Is there any type of orientation for experienced nurses? I think the best way for you to get the information you seek is to apply and interview. What's the worst that could happen, they don't offer you the position? And, if you get offered the position, you can always turn it down if it still doesn't seem like the right thing for you after you interview.

Our CNM pts who want to go all natural can refuse if they want, but most our pts get epidurals, so it's kind of a given.

a really cool (and probably pretty spendy) show of appreciation we received was when a pt hired a masseuse to come and do 5 min chair massages for a 2 hour block. i was pregnant at the time, so she gave me an extra 5 min!