profjanmc

I have been in L&D for 21+ years, did not do very many when we had an MD in house, but since we no longer have a doctor in house, I have done 3 in the past month. Mostly rapid progress that came faster than anticipated. Tonight I had a physician verbally abuse me in front of the patient for pushing with a primip before she got there! It really depends on your facility what is the average. You could probably find the statistics from your manager.

As far as the HIPPA goes, out hospital is investigating having them sign a release stating anyone in the room is authorized to hear medical conversations, including OB/GYN history such as herpes etc.... because you could get into trouble discussing the patient's medical history in front of everybody who's there in the room. Personally, I ask everyone to leave while we discuss medical history and domestic violence history.

Yep, they left to go to another hospital-we were glad!!!!!

I TOTALLY agree, we used to have a doc who used high dose pit until the kid proves himself, in other words pit them until they crash....never mind the postpartum hemorrhage that comes with the ton of pit! You did well, you did the right thing for the kid. Kepp your chin up! Jan

We have CRNA in most of the hospitals here in Sacramento, they are specialists in OB, but many of them came from high-volume places and did lots of other things first, good luck!

I had an OB patient tell me that her beaver hurt.... it's another furry animal I guess....

Most physicians don;t have patients sign an informed consent for amniotomies, they discuss it and then perform it. How about everybody else? Do your docs/CNM's have them sign an informed consent?

I teach in that program, it is GPA based admission, the ADN programs in the area are lottery admission based. Of course I believe it is better to get a BSN rather than an ADN, it takes about the same amount of time and it gives you more options in the long run. Good luck!

Maybe on the next contract, you could consider it, the manager there now is really wonderful!!! Good luck in your travels! Jan

There is a LIMITED application for amniotomies. Let's say, severe fetal distess, emergency situation, unable to trace fetus, an amniotomy could be performed using a fetal scalp electrode, really small hole, unlikely to produce a cord prolapse. Or at delivery, so the infant can take a breath....THIS POLICY SHOULD BE THOUGHT OUT VERY CAREFULLY or you will get those nurses who will choose to rupture when it isn't the best choice....IMHO

I actually was the manager in postpartum and special care nursery for about 4 years, and I worked in labor and delivery too. Thye hospital is pretty large and does about 250 deliveries/month, as I remember, mostly known for its cardiac program, it is in the midtown high-end residential area of Sacramento, a pretty nice location. We in Sacramento are about 1.5 hours from the beach (SF) and 1.5 hours from the beach at Tahoe, we are actually in a great little spot here in the valley!

I used to work there! Did you take the job????

I used to work there! Did you take the job????

Right on! That's what I have found in my study, two years is about right to become competent... Yes, I think it is the best job ever! ANd I am in my 20th year! Jan