rpbear

rpbear

OB

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All Content by rpbear

  1. I will be a new grad moving to Albuquerque this December. Is there anyone out there that can give me any advise on what to expect? I am originally from ABQ and have family there so I really just need...
  2. Jobs in the Tacoma area

    My husband is being relocated to McChord AFB in June. I am an L&D nurse with over 5 years of L&D experience. I have looked at several hospital websites, but since I am not moving until June, I...
  3. It was not hard to start in L&D, it was what I wanted from the moment I started nursing school. I had 12 weeks of orientation on a very busy unit, it was more than enough orientation, but if you...
  4. I think you will find that a lot of us did not start out on med/surg. I started on L&D, I love it! You have to find the right hospital that will hire new grads into something other than Med/surg....
  5. Complementary Alternative Methods

    We have jetted tubs in each room, if the pt is able to ambulate then they are able to tub. There is a written policy about using the tub, we also have tub thermometers so the water doesn't get too...
  6. restructuring the hospital into the Hilton

    I work in a hospital that has most of those services and although we don't have "visiting hours" we do have quiet hours, and we do ask our pt's and families to be respectful of others. We have couches...
  7. What is considered a "busy" L&D unit?

    We get asked to float also, and everytime we ask them "Would you want to be floated to L&D?" The answer is always NO! wo we ask "then why do you think we would be comfortable floating to your...
  8. What is considered a "busy" L&D unit?

    I have worked on 2 L&D units, one did 600+ deliveries a month, the other does 100-150 deliveries a month. I feel 10X busier on the unit with less deliveries. We have less staff, we do overflow, we...
  9. I never imagined...

    I think every new person in L&D goes through the phase of having a "cloud" follow them. Your storm cloud will pass. In the meantime take each experience as a learning experience. I have been in...
  10. Going up against a doc...

    I liked the policy at one hospital I worked at, I order to call it failure to progress, they had to have an IUPC, the MVU's must be 180-200 for 2 hours with no change. I think this is a great way to...
  11. Hypnobirthing?

    I have no problems taking care of well educated natural birthers or hypnobirthers. I say well educated because even though you don't want any interventions it is important to know what interventions...
  12. PBDS competency test for OB

    I took this test about 7 months ago. It was a little stressful. I think the best way to prepare is to start reviewing some basics and try to think like you did in nursing school. Basically you will be...
  13. Longest you've had an AP pt on your unit?

    I remember a vasoprevia staying for 4 months I think. From the moment it was found until 37 weeks when she delivered via c-section. she had an INT at all times, and q 3 day blood draws for type and...
  14. Oldest pregnant patient you have seen?

    My daughter is almost 11 and I cannot imagine her being pregnant. She has not even started puberty yet. I know some of the girls in her class are very developed, but that is still not right. Just...
  15. How do you build up stamina for 12 hr shifts?

    Keep yourself well hydrated durring the day. Also, lots of high protien snacks instead of one large lunch works great for me. I do eat lunch but I also eat lots of small snacks like cheese, cereal...
  16. Change in the way we practice

    These are just a few things that I have heard of from other women, I have not been an OB nurse long enough to see many changes... We no longer take mom to the "delivery room" to deliver Dads are not...
  17. Young Nurse Looking Toward Management

    If nobody that works there currently wants the position, then they have no right to complain about giving to a younger nurse. I think you should go for it, even if you don't get it, you have gained...
  18. Evans Army Hospital or Air Force Academy Hosp?

    Good luck getting a GS (civil service) job, veterans and other GS workers have priority and there are a lot of veterans and GS workers in the area that will have preference over you. I applied for a...
  19. C'mere and share your on-the-job laughs!

    One early morning at about 0630 as day shift was arriving, us nightshifters were talking around the desk. As any nightshifter knows you get a little punch drunk at this hour. Well, the story that was...
  20. Preparing meds in advance

    I would check your facilities policy and also state laws about controlled substaces. If there is ever an issue with a kid or a med the only thing you have to go by is policy and law, not what is most...
  21. Customer Service... rant

    At my last hospital we had a bonus attached to our pt. sat. score, if we could keep it above a certain percent for the quarter, we got a $100 bonus. I don't think the money changed anything that any...
  22. Thoughts on Maternity nursing.

    Wait until these people see a OB case turn from low risk to PIH, to fetal distress to and emergency c-section, to a PPH, to DIC. Or see a shoulder distocia with a full resucitation of the newborn. To...
  23. nursing student question

    Knowledge deficit r/t pregnancy, r/t upcoming labor, r/t infant care, r/t fetal kick counts, etc. body image concern, can't remember the exact nanda diagnosis, r/t growing belly and normal changes of...
  24. You can palpate this easily because the cord is usually still pulsing, I have never tried to auscultate the rate at this site. The only reason I could think that this would be a good site to...
  25. At 5 months, the baby is almost viable, depends on how many weeks. I think this plays a huge role it the decision. As far as what would I do if this was my pt....I would listen to her concerns make...