All Content by finallyRN
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University of Cincinati Online CNM program
Is anyone in this program or heard anything good or bad about it? I am looking into several schools but this one seems the most promising.
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Evidence-Based practice re: Pitocin Inductions
This was actually part of our Pitocin protocol at the last hospital that I worked with but no one ever did it. I wonder if it actually works.
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Rady's Children's Hospital San Diego orientation... INFO please?!?
I have worked there for a little while. I did not start there as a new grad but have heard good things about the program. One of the biggest problems is that they make you rotate for at least a year. It is like 6 weeks days 6 weeks nights. The pay is comparable to other hospitals in San Diego. The management is alright but nothing great.
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Online Science Courses
Thank you for the info on rio salado college. Unfortunatly I am looking for an upper division stats class.
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Online Science Courses
I know this thread is about science classes but I need statistics class for my MSN class and was wondering if anyone had taken anything online?
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Do you get a lot of false alarms coming in?
I delivered my son in the L/D unit that I worked in. I had been having BH contractions for a few nights previously but the night I went into labor they got strong really quick. I think I had about 4 really hard contractions about 6-10 min apart before we left for the hospital. By the time we pulled up to the hospital 10 mins away they were stronger and closer. I could barely walk. My husband wanted to get me a wheelchair, I refused!!! I did not want to be the first time mom coming in a wheelchair to only be sent home at 1cm and have to WALK out of there. I walked all the way in having to stop along the way. Luckily I was 4cm and got to stay but I did not want to be embarresed in front of my co-workers with a false alarm.
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Sjsu
I graduated from there in 1999. I feel it was a great school. I know that we only lost 5 students in the 3 years to failing classes and I believe that only 8 people did not pass the NCLEX on the first try. We had about 90 in our class. It is a very well respected school here in California. As far as teachers while I was going there one of the professors was the Pres of the BON. I was impressed.
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Onlind distance midwifery programs
What is ECU?
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Online Advanced Fetal monitoring
Has anyone ever heard of or taken an advanced fetal monitoring class online. I am a labor and delivery nurse that left the specialty for a little while and am looking to go back to labor and delivery and am looking for quick and easy way to renew my fetal monitoring. TIA Meghan
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20 week twins PTL
At the hospital I use to work L&D at we would probably tried to stip the PTL and give steriods. Unless there were other issues there should be no reason not to at least try to stop the labor.
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Onlind distance midwifery programs
I have heard of Frontier school but recently heard some negative things about the program. What other online programs are there?
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"upping the pit" with regular ctx's
We have low dose and high dose pit inductions. With the low dose we up 1 every 15 mins. With the high dose we up 4-6 every 30 minutes. I find that the low dose actually works better than the high dose.
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How many 37, 38-weekers wind up in NICU?
Our hospital does not allow for inductions before 38.5 weeks for this very reason. We had one doctor in particular who would induce 37 weekers and they usually were earlier than that.
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"upping the pit" with regular ctx's
like the other posters said Ultimatley if you don't feel comfortable don't do it. If the doc continues to pressure you go to your charge nurse or manager, if they don't support you, find another job!
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How do you get/give report?
We had voice care but just recently got rid of it. It didn't work in our unit. I think we just had too many people with negative attitudes who didn't want it to work. I thought that is was fine but I do prefer face to face report because that way you can ask questions.
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Poll: Midwife hours/lifestyle
The midwives I work with now are employed by the hospital. They usually do 1 or 2 8-hour clinic days a week anad 1 or 2 12 hour shifts in the hospital where they do deliver any of the patients from their various clinics that they work for.
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Thank you L&D nurses
When I was in nursing school I didn't really think that I would end up in L/D. It was a rotation that I liked but not where I thought I wanted to work. Now that I work L/D I realize how much I love it now. It is a wonderful place to work. It is such a wonderful gift to be able to be a part of the miracle of birth on a daily basis. I guess I am a little bit of an adreniline junkie but could never work ER so L/D curbs my needs. L/D is not for everyone but it is an amazing place to work.
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Do your OBs do circs everyday?
Our OBs do our circs and they do them every morning usually before office hours. We have kindly asked them not to do them between 7 and 7:30 but there are a few who still do. As I work Night shift I don't usually have to assist with them but the few I did where fine. Most of our doctors use Lidocaine to numb so it is only the numbing shot that usally hurts.
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Writing on Fetal Heart Monitor Strips
We also have electronic charting (Quantitive Sentinal) I still make little notes on the strip when I am buzy then go back to chart in the computer. The strip is still part of the permanant record.
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transferring unstable pts to postpartum
We have LDRP's but have many nurses that only do PP. We will give them patients on Mag or even PPH patients they have been trained to deal with these types of patients plus Labor nurses are on the same unit if they get into trouble. I agree though that some of the problems can develop hours after delivery and we can't always predict. I think that is part of any kind of nursing though
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Balboa Medical Center OB
I Have never heard negative comments about Balboa Hospital. I have never heard rave reviews either though. As far as the midwives are concered I work with several midwives that have or still work at that clinic. They are all very experienced and very knowledgeable. They are also always backed up by a doctor.
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getting consents for epidurals
We get consent for lady partsl deliveries. Anesthesia is supposed to get consent for epidurals. We are not allowed to get consent for a c-section untill the decision is made by the MD. Our MD's don't even want the consent for c-section, signed or not, in the chart until a decision is made. Their reasoning is- If the patient ends up delivering lady partslly and something is wrong with the baby and someone looks in the chart and finds the c-section consent they can ask "Why wasn't the section done?" I agree with them on that.
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Placenta previa - on bedrest & depressed
The only advice I can offer is what everyone else has said. STAY IN BED. If you have no more significant bleeding incidents, there should be no reason you can't carry this child to term and have a healthy baby. Best of luck. Meg
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new grads that don'y ask questions
I think it can go both ways. If a nurse acts like they know it all and don't ask any questions they are scary. But the nurse who asks question after question about stuff that was already explained to them or that should be basic knowledge, they are scary to. When I was a new grad I was scared to ask questions. That is just my personality. I didn't try to act like I knew it all though. I asked when I need to.
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pit after delivery
we routinely give 20 units of pit in at least 500cc of whatever is hanging (ususally lr). we can add more depending on the bleeding per our protocol. we give 10 IM if no iv acess.