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 ...

I am currently designing a study about the first year of experience as a labor nurse. If any of you out there have been practicing for about a year, I am interested in your opinions about what has happened to you that surprised you or any other comme...

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 ...

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...

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 ...

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 ...

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...

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

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

After much study (and a dissertation on this as well) I think postpartum is the place to start. 1. More predicable, you can plan your shift, in L&D it is IMPOSSIBLE to predict what will happen next. 2. You get to know normal postpartum, newborns ...

After much study (and a dissertation on this as well) I think postpartum is the place to start. 1. More predicable, you can plan your shift, in L&D it is IMPOSSIBLE to predict what will happen next. 2. You get to know normal postpartum, newborns ...

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

Can anyone give me any insight as to how long it takes to become competant, and do hospitals usually provide enough orientation so that one feels reasonably comfortable before being on their own? Thanks so much. Catherine Wow! This is my dissertation...

You are welcome....I adore watching the students cry at deliveries, pick up a baby for the first time and call me after many years and thank me, it's very rewarding to help shape the future nurses. ...Jan

I can offer a couple of words of advice, get to know the staff and the routine of the unit you wil be teaching in. It helps the students get an "in" if the staff knows and respects the instructor. Knowing the routine, paperwork etc....helps the stude...

Boy, these nurses must have been born with a cap on and an RN after their name. Stressful as it is, they don;t recognize that being "nasty butt nurses" has another effect on the student nurses-they never want to work on your nasty butt unit or in you...

YEAH!!!!!! RAH!!! I still remember that feeling and it was 20 years ago for me!!!!! Happy new nurse-love it!!!

What about the BSN as an entry to practice? I don't wish to get into this debate, although I am very pro-BSN.

I have been talking to other nurses about this subject, since no one discusses how to approach someone with digity and respect on an invasive exam such as a vaginal exam. I know how I do it... I try to allow as much of the control to the patient. Lot...