PegRNBSN

PegRNBSN

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All Content by PegRNBSN

  1. L&D nurse at my wit's end....

    PegRNBSN replied to clb6885's topic in Ob/Gyn

    What you are feeling is very typical of a new nurse. Labor and delivery is a very challenging place to work. Constant changes in patient status, healthy women usually but critical situations can...

  2. help me figure out what went wrong with this pt's labor!

    PegRNBSN replied to adpiRN's topic in Ob/Gyn

    I don't think you can say with certainty that mother and baby were fine. I would like to know if preeclamptic labs were done. While the epidural may have been the factor that precipitated the fetal...

  3. Relationship between H1N1 vac and resp distress?

    PegRNBSN replied to TooterIA's topic in Ob/Gyn

    about 80% of our population has now recieved H1N1, ran stats from our log, no increase in respiratory distress in the last three months. We do 320 deliveries a

  4. She really said that? Yep, it's gonna be a LOOOONG residency

    PegRNBSN replied to nursejohio's topic in Ob/Gyn

    We had a very similar resident on our unit about 5 years ago. She pulled the same stuff but no one ever talked to her outside the heat of the moment. I along with another charge nurse had a meeting...

  5. how does your l&d unit run?

    PegRNBSN replied to Fairy5's topic in Ob/Gyn

    How do you self schedule. We tried a couple of years back but no one wanted to work the undesirable shifts and there were the same nurses changing their schedules to cover the holes. We have a large...

  6. Doula Etiquette

    PegRNBSN replied to suewolfie08's topic in Ob/Gyn

    Just had a very good experience with a new doula. She asked me after the delivery to evaluate her and we had a good discussion about why we worked well together. I treated her as part of the team...

  7. Ugh! Delivered Baby On My Own The Other Day...

    PegRNBSN replied to jenrninmi's topic in Ob/Gyn

    I got to deliver my own nephew! It was my sister's fourth baby and she waited a little too long to come in. She was 6 cms on admit. Her doc was coming from across the street when her water broke and...

  8. L&D nurses? Are you all for natural births?

    PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

    Okchug Maybe you are a good doula

  9. L&D nurses? Are you all for natural births?

    PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

    I guess it is very easy to post things about labor nurses and make them sound horrible. The thing is they aren't here to defend themselves and I just know somewhere my actions are posted on a message...

  10. L&D nurses? Are you all for natural births?

    PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

    My point was that sometimes the mom doesn't see the urgency of the situation and could relay to friends and families that the nurse wasn't caring or didn't listen to her needs/requests. I also had to...

  11. L&D nurses? Are you all for natural births?

    PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

    It is important to listen shortly after a contraction if not thru one to evaluate baby. If you wait until the mom is "ready" many times you are listening well after the contraction. I try to...

  12. Please help with MAJOR decision

    PegRNBSN replied to cinthern's topic in Ob/Gyn

    Can you shadow for a day or two at the new hospital. We are currently experiencing a HUGE shortage of RNs as our volumes are increasing at a rapid pace. We have lost three nurses during orientation...

  13. Going up against a doc...

    PegRNBSN replied to MalgaBSN's topic in Ob/Gyn

    I believe that stooping to subterfuge is just as bad for nursing as doctors. I always try to communicate as the professional I am and want to be treated like. If the patient hasn't changed and I am...

  14. md-surge to L&D nursing, what was it like??

    PegRNBSN replied to Amorypaz22's topic in Ob/Gyn

    I worked for three years on a med surg floor. I was only going to work for one and then transfer, but got complacent and just stayed where I was. It was the hardest work I have ever done, but also,...

  15. LOW patient satisfaction scores...

    PegRNBSN replied to MalgaBSN's topic in Ob/Gyn

    My son had to read the Disney book for an internship and I started to read it with much skepticism. It is written by a hospital exec (and he might have been a nurse to start his career) who trained...

  16. LOW patient satisfaction scores...

    PegRNBSN replied to MalgaBSN's topic in Ob/Gyn

    As someone who is now very involved in health care as a patient, I can offer some words of advice that will impact your scores. 1. Always always greet your patients with a welcome smile. This...

  17. My newfound respect for Nurses

    PegRNBSN posted a topic in Ob/Gyn

    I read the thread I want to become a Wal-Mart greeter and had to smile. My friends and I always say we want to work at a clothing store and get the discount and not have the stress. Well, I was just...

  18. Your personal delivery experience- what happened

    PegRNBSN replied to DEB52's topic in Ob/Gyn

    My four deliveries were all very different and very much like the personalities of my sons. My first...22 hours of labor, stuck at 5 cm for 4 hours. The MD wanted to do a c-section. I said you are...

  19. Shoulder dystocia!!

    PegRNBSN posted a topic in Ob/Gyn

    We had two bad shoulder dystocias this weekend. Definitely my least favorite obstetrical emergency. What struck me was how they went smoothly because the doctors stayed calm. Both were excellent and...

  20. Pulling epidurals

    PegRNBSN replied to Elvish's topic in Ob/Gyn

    While it has never happened to me (if I meet any significant resistance I call anesthesia who is in house. That's why they get paid the big bucks) it happened to a patient of mine when the MD pulled...

  21. Evidence-Based practice re: Pitocin Inductions

    PegRNBSN replied to HazeKomp's topic in Ob/Gyn

    To the poster who asked about refrigerated Pitocin: Yes it does need to be refrigerated. We keep two vials in every room and these are dated so we know when they were taken out of the fridge. We...

  22. Will I HAVE TO particpate in abortions if I become a L&D nurse????

    PegRNBSN replied to chnc1024's topic in Ob/Gyn

    I am VERY strongly anti-abortion. I too view it as murder and as the OP would no sooner participate in killing an adult as a baby. I, however, work with many women who have had abortions, drug...

  23. How many RNs in a delivery?

    PegRNBSN replied to Montessori Mommy's topic in Ob/Gyn

    As posted above NRP standards are one RN for mom and one for baby until baby is stabalized. We call for second RN right before vag delivery. The RN is responsible for baby until it is obvious...

  24. Dads holding Moms during epidural placement?!?!

    PegRNBSN replied to miloisstinky's topic in Ob/Gyn

    I think for safety reasons RN should be supporting patient. At the minimum as soon as test dose is administered you should be in front of patient, supporting family member to the side. I have had one...

  25. Warning! Vent ahead!

    PegRNBSN replied to Elvish's topic in Ob/Gyn

    In our hospital we have started something called and augmentation/induction bundle. It has info that must be filled out by the resident, attending OB/FP/CNM or RN. You must indicate gestation...