Baby1nurse

I am a clinical supervisor at a Level II LDRP. My position is basically a permanent charge nurse with mandatory meetings I have to attend. We have recently changed to "Family Centered Care" where the M/B nurses assume entire care of the baby. We a...

Has anyone ever had a patient develop Oglevie syndrome after a C/S? We had one the other day and it was the scariest thing I ever saw. Within hours the patient died of ruptured bowel and massive sepsis. According to everything I have read on it (a...

When we DO use a foley it has to be a written order from the physician and we have to put it in our order entry computer as foley placed and what time, when it is removed it has to be put in with the date and time removed. If you go to the research ...

Where I work it is strictly the physician's preference as to whether we put in a foley or not. Most order foleys although research has shown that even multiple straight caths have a lower rate of infection than one foley. We also put the patients o...

We do our hiring in June when the nursing students graduate. We do hire GN's - usually three or four per area, L&D/M/B, or Nursery. I live on the East Coast and nurses are scarce. We will pay your nursing school debts and then you owe the hospi...

You didn't mention how long the Cytotec was in before the hyperstim began. Sometimes when first inserting Cytotec or Cervidil I have noticed and increase in contraction frequency which levels out after about an hour. If it has been longer than an h...

We do not get specialty pay where I work. I work in a union hospital and your pay is bases on your number of years as an RN. We also have clinical ladders where you can increase your pay according to your certifications and education. This can add...

The hospital where I work, we do about 125 deliveries a month, considers a couplet to be one patient but our ratio is usually 3:1 on day shift and 4:1 on night shift - we work twelve hour shifts. We also have techs who do vitals, stock rooms, help w...

Check with Michelle Murray. She is the monitoring guru. She can give you the best advise. Her fetal monitoring courses are awesome.

Take a Michelle Murray course. If you are doing your documentation electronically, she tells you to NEVER write on a strip because then it becomes a legal document. Once you document on it, you cannot throw it away, it should become part of the patie...

Shorty, Don't give up, okay? There is always a place for a new grad who is motivated. Try to sign up for a basic fetal monitoring course or some kind of seminar relating to OB (nothing advanced, just basic) - that will give you a leg up on the compet...

We consider our ancillary staff part of our "family" and treasure them. The only time one of them is fired is for serious infractions of the rules. I have only seen one tech fired in all the time we have had them. Also, we do not consider a couple...

The 4:1 M/B couplet is not a union mandated ration it is an AWHONN guideline. A union has nothing to do with it. AWHONN recommends safe guidelines and it is up to the hospital to enforce them. 5:1 is not acceptable except in situations where you a...

Where do you live? I'll hire you! We are always looking for motivated GN's, especially ones who will have some loyalty to the hospital. A lot of cause for hospitals not hiring GN's is that, because they are young, they "job hop". We don't like to...

Oh, Boy! What a great thread! I have seen some real doozies in my 20 years. When I first started in OB we used to just write the sex of the baby and last name of the mother (male smith, etc.) On one ID card we wrote the name Female Jones. The mo...

I work in South Jersey and our pay rate is determined by the number of years you have been an RN. We also have "ladders" where your pay can increase depending on your certifications, CEU's, ability to be a preceptor or charge nurse, etc. Level I is...

We have a small Level II hospital. We have 22 beds, 11 of which are labor. We have 6 or 7 nurses scheduled per shift, which includes M/B & L&D. Our doctors are allowed to schedule 6 procedures per day. 3 C/S and 3 Pitocins or Cervidils. ...

Doing vag. exams for a first time L&D nurse is probably one of the most difficult thing to learn. My advise to new nurses is to first insert your fingers into the vagina at the right angle. Most "newbies" insert their fingers on an upward angle...

It's good (not really "good") to hear that other units have the same problems all over the country. What I don't understand, however, is why you have to take the post D/C patients on your floor. At our hospital they are considered med/surg patients...