BETSRN

BETSRN

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All Content by BETSRN

  1. Future CNMs

    BETSRN replied to ayndim's topic in Certified Nurse-Midwives, CNM

    I have to agree with the get experience thing. I work in a very CNM friendly hospital and so I have seen lots of CNM students over the years. We have 10 OB's (5 in one practice) and the 5 Ob practice...

  2. anxiety, medical knowledge, things going grrossly wrong and the trauma....

    BETSRN replied to UnchainedFever's topic in Ob/Gyn

    At my place ephedrine would (and could) ONLY be administered by the anesthesiologist Sounds like a lot went on here and was a nightmare. That's an UNUSUAL scenario in OB. In all my years, I have only...

  3. Interested in OB

    BETSRN replied to akemi's topic in Ob/Gyn

    Any specialty takes a long time to learn and to truly feel comfortable and that includes med-surg. I am an old school one who believes that basic expereince makes your transition to any specialty...

  4. LDRP ~ outgoing or continuing trend?

    BETSRN replied to dwetherelt's topic in Ob/Gyn

    rndani: If your nurses are trained in only two of three areas, then you don't truly have an LDRP. The patients may stay in one room but all staff are not able to do all aspects of nursing in that...

  5. LDRP ~ outgoing or continuing trend?

    BETSRN replied to dwetherelt's topic in Ob/Gyn

    LDRP requires a lot more cross training of the nurses and some units are not able to accomplish that because of staff resistance. So unless ALL your RN staff are completely crosstrained, you don't...

  6. LDRP ~ outgoing or continuing trend?

    BETSRN replied to dwetherelt's topic in Ob/Gyn

    I like the concept of LDRP from the standpoint that I get to do all those types of nursing. Sometimes we end up moving patients anyway because we need the LDRP bed (only in a bed crunch). We have a...

  7. Question about checking for rupture of membranes (and LONG, about my birth, sorry)

    BETSRN replied to tuppence's topic in Ob/Gyn

    Sounds like the nurse was wrong and wasn't going to admit

  8. Home birth vs. hospital

    BETSRN replied to rnmi2004's topic in Ob/Gyn

    I would wager that looking at just the low risk population, that there are more potentially unnecessary interventions done to babies in hospitals that have NICU's than in community hospitlas that do...

  9. Home birth vs. hospital

    BETSRN replied to rnmi2004's topic in Ob/Gyn

    You know I can see both sides of this discussion. The statement about women being "helpless vitims of the medical profession." Of course, woman can (and often do) advocate for themselves, but the...

  10. Home birth vs. hospital

    BETSRN replied to rnmi2004's topic in Ob/Gyn

    I am a childbirth educator as well as a staff RN in my L&D in my facility. I teach about all the interventions (thank God we don't use them all just because we have them)and encourage people to...

  11. M. Murray has scared the pants off me

    BETSRN replied to Bessie's topic in Ob/Gyn

    Don't forget to involve your facility's Risk Manager in this process. Do not leave yourself open to risk. if the place is bad, get out. There are lots of other facilities that would be glad to have...

  12. any midwife know why.............

    BETSRN replied to uk_nurse's topic in Certified Nurse-Midwives, CNM

    At that gestational age, it is common not to always hear the heartbeat. As someone said, the uterus may still be somewhat retroverted and that's why under 20 weeks, usually you have to have a FULL...

  13. seasoned l&d nurses-please advise

    BETSRN replied to is this heaven's topic in Ob/Gyn

    Upi're not a know-it-all if you have concerns about your safety as a newish nurse. Genuine concern that you have patient safety as your number 1 goal (not to mention your own safety) should be enough....

  14. seasoned l&d nurses-please advise

    BETSRN replied to is this heaven's topic in Ob/Gyn

    All you can do is stand up for yourself. A good response to a doc doing that is just to say, please don't shoot the messenger. Also, remember, that rudeness is unacceptable no matter what your...

  15. Personal L&D w/son...want your opinions?? LONG

    BETSRN replied to CRNA010's topic in Ob/Gyn

    There is no standard procedure to take a piece of your cervix at all. Maybe they used those words. They would routinely take cervical cultures to rule out infection but that is only a swab (like a...

  16. Personal L&D w/son...want your opinions?? LONG

    BETSRN replied to CRNA010's topic in Ob/Gyn

    Another thought. I am curious as to why (at 32 weeks and 4 cm) your OB was not more

  17. Personal L&D w/son...want your opinions?? LONG

    BETSRN replied to CRNA010's topic in Ob/Gyn

    Attemping to (or even contemplating) breaking your water at -3 station is very foolish. You're asking for a cord prolapse. Your experience was inexcusable. That's exactly why I love working in a small...

  18. Is being an OB/GYN nurse rewarding?

    BETSRN replied to MAMIDE02's topic in Ob/Gyn

    I love OB but I am on an LDRP unit which means we do everything. Personally just doing Mother/baby (without the labor component) would bore me to death. I like the variety of doing something different...

  19. Interested in L&D but scared of it

    BETSRN replied to see2mee's topic in Ob/Gyn

    Around here it's usually about 16 weeks of heavy duty orientation in a speciality. I agree that it takes at least a year to begin to feel comfortable in

  20. which acute care unit provides best experience for future L&D nurse?

    BETSRN replied to mischievium's topic in Ob/Gyn

    I'd go for Med-Surg, unless you can find a hospital with a Mother/baby unit. After you haev some experience, if you want good diversity, go for an LDRP unit. That way, you'll already have a basic...

  21. Questions about L&D orientation...

    BETSRN replied to RNRose's topic in Ob/Gyn

    How sad for that" overly confidant" new grad, cabbage patch. Is there any way that you can take her aside and help

  22. Wishes Regarding Students in Birth Plans

    BETSRN replied to BabyRN2Be's topic in Ob/Gyn

    Excuse me, but Medicaid patients should have the same rights as everyone else. Why should they be treated any differently or practiced on more than others. In my hospital, we treat everyone the same,...

  23. Mad at my manager!

    BETSRN replied to pebbles1977's topic in Ob/Gyn

    There are those type of managers everywhere. Work with the L&D nurse manager and forget going through the one who was supposed to help you. You won;t change a manager like that. We have all had...

  24. CNA performing a newborn screen?

    BETSRN replied to rnmi2004's topic in Ob/Gyn

    Sorry. I meant hearing screening. This is state mandated (don't know if it is in all staes as yet, but it will be. There is nothing technical about doing this, nor does the screener have to do any...

  25. Gyne-HELP!VERY Concerned.. NEED ADVICE!

    BETSRN replied to Jellibum's topic in Ob/Gyn

    It would be best if your mother could go to a gynecologist (as opposed to her family doctor. her bleeding is abnormal but would be beter diagnosed and managed by a specialist. Good