USA987

USA987 MSN, RN, NP

Behavioral Health

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  1. What type of pain med in labor used?

    Nubain 5-10mg/Phenergan 12.5-25mg IV or epidural. I'm personally not a big fan of Phenergan....it's such a vesicant and I've seen a pt have the most god-awful reaction to
  2. transition from a LPN to RN

    Yes. I was a LPN and graduated from a transition program in 2003. The transition went well for me. I moved right after I graduated in 2003 so I didn't work at the same place as when I was a LPN,...
  3. Offered position, but unsure, Advice?

    I was in a similar position when I graduated. I wanted to go into L&D, but I ended up going into the ICU because I really thought that I liked the hospital. I figured I could transfer to their...
  4. Neonate heel pricks for screening

    Yes, they have done it. Fortunately only once in the last 5 yrs. The Neonatal Newborn screening is state mandated. I don't know if our facility had problems sending them home in the past without it...
  5. Thoughts on Maric College?

    Hi there, I received my ADN from Grossmont College in SD. Several of my classmates received their LVN from Merric. They were all very good nurses, but none of them even considered getting their RN's...
  6. Neonate heel pricks for screening

    We also do our own after 24 hrs. of age. BUT it is the discharging RN's responsibility to look it up in the computer and ensure that the lab has received if. If you send a baby home without the PKU...
  7. I applied for an OB/Delivery position!

    Keeping my fingers crossed for you!!! I left the ICU for L&D a little over a year ago...and it was the best decision I've ever made! Good luck!
  8. What can I
  9. How long do you push?

    The length usually depends on the doc...and as others have said, mom's energy and baby's tolerance. The longest I've seen someone push is 3 1/2 hrs. I am also a firm believer in laboring down. Seems...
  10. Where do your Miscarrages admit into

    I work in L&D. We usually take miscarriages/fetal demises 16 wks. and up. After they deliver we try to accomodate their wishes as to where they want to stay...postpartum or med/surg. Some...
  11. Grossmont or San Diego State?

    I am a Grossmont LVn-to-RN nursing school graduate. They told me the wait was 1-2 yrs. when I applied and I was actually was accepted in 6 months. I thought the Grossmont program was great and the...
  12. Best LPN to RN Fast Track Progams?

    Grossmont College, El Cajon, CA (near San Diego)....as the previous poster mentioned, we don't know what area you are looking
  13. Friedman's Curve...do you use it?

    We don't use it...and it's no where to be found in our
  14. C/S as a birth option vs need

    I've only seen a handful of elective sections at my facility, by one OB group only. The way this group practices scares me to death (and I am still fairly new to L&D!). One elective section...
  15. Nurse-Patient Ratios

    Staffing is so difficult when in a triage area (ie. ER, L&D, etc.). If someone presents we must assess them to determine their medical status...to turn them away would be a violation of EMTALA....
  16. Please share your thoughts about Scripps

    I have several friends who work in the Scripps system and are very happy there. Good
  17. Two wonderful deliveries, no Pitocin

    Don't you just LOVE when they come in REALLY in labor with no augmentation required!!!!! It's the amazing human body at its finest!!!!! I'm so glad that you are enjoying L&D!!
  18. How do I get my foot in the OB door?

    Our OB Techs have their CNA license but they are trained specifically to OB. Up in L&D they really don't get to do a lot of hands on care...they stock the rooms, pick up pts. from the er, etc....
  19. what areas of nursing do you recommend??

    I agree with the above posters. As an LPN I worked in LTC and Psych...I enjoyed Psych to an extent, but strongly disliked LTC. As a RN I have worked in the ICU and L&D...I didn't dislike ICU,...
  20. I went to school in California with a handful of LPN's who were Navy Corpman. They were able to challenge the NCLEX-PN and become LPN's, but then they had to go through regular nursing school...a...
  21. Where are the docs??

    I work in a community hospital doing 2400 deliveries per year. Docs don't have to be on premises except for epidural initiation. We do have a voluntary doc in the box program from 7p-7a and it has...
  22. Work repayment programs

    I accepted $15000 "tuition forgiveness" in exchange for a 3 yr. contract. It was a miserable place filled with unhappy staff. After 8 months, I resigned, asking where I needed to mail repayment to...
  23. Work repayment programs

    I accepted $15000 "tuition forgiveness" in exchange for a 3 yr. contract. It was a miserable place filled with unhappy staff. After 8 months, I resigned, asking where I needed to mail repayment to...
  24. A lot of times, if I refer to a website, I will print out some of the info and ask the pts pcp if the info looks good enough to
  25. Can anyone help me with memory skills?

    Flashcards and catch pneumonics helped me!!!! Good