PegRNBSN

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 happen on a moment's notice. I have a couple of sugge...

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 distress, you don't know what would have happended...

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 month

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 with her senior resident and her when she was not ...

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 unit (50 nurses) so it is pretty complex. Mixtur...

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 from the beginning. I always gave reasons for interv...

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 I got to say hello to my nephew first. They gave h...

Okchug Maybe you are a good doula :wink2:

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 board as being that of Nurse Kratchet. Perhaps th...

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 intervene as charge nurse where the patient wante...

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 explain this when mom isn't contracting. The other thing...

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 because of the acuity and volumes. We do 300 deliv...

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 afraid the doctor will try to section, I would NEVE...

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, gave me experience I know I would not have gotten ...

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 with Disney and adapted lessons learned for the hos...

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 includes everyone on your team from secretary to nurse to...

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 diagnosed with breast cancer and have realized that...

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 doing Pitocin and an epidural first. Delivered an ...

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 both babies are doing well. I had a new nurse with...

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 it. They did an X-ray and then an MRI to see if i...

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 are so busy that they never go the 30 days.

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 users, child abusers and I give them all the same care ...

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 resusitation will not be neededand/or baby is stabalized...

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 patient during my career have a seizure with the ...

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 (anything less than 39 weeks is a red flag), EFW, presen...