LDR-RN

Anyone? I also am seeking info on this company

when you are hanging a bag of mag sulfate, when giving the bolus, do you have pre mixed bags of 4 grams, 6 granms, etc.? or do you have a larger bag that contains 20g or 30g and then set the pump to deliver the correct bolus amount? or do you mix your own bags? i think the safest way would be to have smaller dosage bags premixed in pharmacy. how do your l&d units do this? thanks!

Thanks everybody! We have got a new director that is great. We have pointed this out to her on our paychecks. She is speaking with our finance dept. right now. Even if they make it right from here on out, we are wanting our back pay. After researching it you can only get back pay for two years, but something is better than nothing. We are wondering how they could possibly be getting away with this for all these years. Has anyone ever seen this happen?

Bluegrass, I think the labor laws state that anything over 40 hrs, is considered OT. It's not a different job, so I think coming in on call should count toward those 40 hours. You are getting paid how I am getting paid. I don't think it's right. Apparently lots of hospitals in the US are in trouble and having to pay their employers back pay checks for up to 2 years for this sort of thing.

Okay, let me see if I am understanding you correctly. If you have the premium shift at beginning of week you get 2x for 12 hours then regular pay for 28 hours and then 1.5 x for 8 hours. However, if you're premium shift falls on the 4th day of the week, then you just get the 2x? Is that correct? So you don't get an additional 1.5 for being in OT?

What state do you work in and hospital? We're all highfiving and can't wait to get out back checks! We do NOT get paid OT on that 4th day when we are over 40 hrs. Our HR dept. tries to act like this is seperate from coming in "on call". Thanks for the feedback, anyone else out there let us know how it works for you.

We give it PR or PV usually for PP hemorrhage.

So, even if you come in on call on Monday, and then you work three in a row, on the 4th day after 40 hrs, you get time and a half? We are sitting here getting ready to pursue this further. A hospital across town has gotten back pay checks on this. We are getting excited!

Let me know how it works at your hospital. I am scheduled 36 hours weekly. If I have a call day and come in, I get paid time and a half. My question is, lets say I come in on Monday "on call" and then I work three days in a row. On that 4th day, should I get paid time and a half once I am past my 40 hours? I think I should. I think that the call day shouldn't be counted as "seperate". I think legally it should be included in my 40 hours. How does it work at your hospital? Please help, me and my coworkers really think that we are being cheated!

Our hospital USUALLY begins pit inductions with us starting at 2mu/min and increasing by 2mu every 30 min. One of our docs has started a new routine for her pt's starting at 6mu and increasing by 6mu every 30 min. Just wondering how everyone else out there does their inductions and their thoughts on it. Thanks

I work in LDR, there is no way I could see our unit hiring a PRN LDR nurse with no experience. What I did after I got out of school, was to get a job on OB/Gyn which is postpartum and gyn. This way I got experience and met people in the department. Then, when a LDR position became available, I applied. This seemed to work for me. It gives you a chance to show that you really work hard and want to work in LDR. I don't know how it is in other hospitals, but if you have already got your foot in the door, it's easier to get a job in LDR.

What about pt's that have had a cone biopsy? Does this leave the same scar tissue as a cryo? I am new to L&D, and the other day at work we had a patient (antepartum) that had a previous cone biopsy. We were discussing the risks of preterm labor, carrying the baby, scar tissue, etc. What has been your experiences with this?

UPDATE: I took the job. I can't wait to get started. Now I need to start looking for threads on here for tips as a new nurse in LDR. Be a sponge (that's what I always think) ha ha! Thanks everyone for replying

Hello to all, Just asking everyone's opinion that works OB out there. Right now I work postpartum and GYN. I am a newer nurse, and somehow I landed a days position. I love my co-workers and my job. I have always wanted to work in labor and delivery though. I have worked a few shifts in LDR and love it. Now, at my hospital there is a night position in LDR. I feel like I want to go for it; this is always the area that I have wanted to work in. My friends think I'm crazy to give up a day position in a job that I really like. I'm married with no children yet. Would you guys give up a day position in a job you really like for a night position in a job that you have always wanted? The more I think about it the more I am telling myself to go for it. I'm thinking higher stress, but more satisfaction. Let me know what you guys think and where you work and why you love it. Thanks for your replies

Thanks alot for the reply. What other factors are considered on the points system for applicants?

Hello to all! I am a new RN, one year now. I am considering going back to school to become a FNP. I have been looking at the online programs for Frontier and the University of Southern Indiana. Has anyone out there gone to either of these schools? If so, what has your experience been? I had a 3.3 GPA for my BSN. I know most only require a 3.0, but is a 3.3 GPA even competitive? Overall, what was your admission process like and your thoughts concerning these two online programs in general. Any thoughts would be appreciated!

We have preprinted forms that we use at our hospital. Some of the nurses have created their own. Try how each nurse does theirs, and this will help you pick what way is best for you.

I started right off in OB/GYN. It's great! No way would I have worked Med/Surge first. Number one, it's not what I enjoy. As far as experience goes, you learn what you need to in orientation and the learning continues. Now, after orientation, if I have questions everyone is quick to help. Why would you want to work a year on med-surge? chest tubes, NG tubes, central lines, etc. Yes, great to know about, but if you do have these things on the OB floor, believe me you won't be the only one that needs a refresher. Why spend a year learning about this when they are a very rare occurence on the OB floor. I say start off where you love, you are a better nurse when you are doing what you love. You will jump right in and everyone will help.

Oh, one thing I forgot, teaching, teaching, teaching. Alot of new moms today are very young, and they don't have a clue. Sometimes it's quite sad. Oh yes, and discharges which involves more teaching.

Let's put it like this, I am never bored. I work on the OB-Gyn unit. We have postpartum, GYN surgeries, and antepartum. My day typically starts in report we can have anywhere between 3-6 patients (6 on a busy day) I start out with assessments. Postpartum- fundal checks, breasts, bladder, lochia, hemorrhoids, incisions (c-sections), episiotomy, bowel sounds, etc. I then check orders for everybody, d/c iv's, catheters, pca's, dressings, etc. Give meds, usually not to bad, because most patients are healthy. Occassionally some of the GYN surgeries will have more meds. We give antibiotics, stool softeners, prenatal vitamins, etc. Then I usually start on charting, updating careplans, etc. During all of this we have admissions. With new admissions we are doing assessments (all of listed above) once at the thirty min mark, then a hour mark, then at the two hour mark, and then again at the four hour mark. If we have antepartum admissions from the ER or Dr.'s office, we are starting IV's, weights, calling office for orders, etc. We put in catheters alot, sometimes do bladder training on GYN surgeries. I love where I work, and I really love the people that I work with. I am never bored, and most days are not slow. VERY RARE, we will have a slow day, and it's just nice to relax, makes up for the days when you are running ALL day. I encourage you to try PP, it's great! :heartbeat:heartbeat:heartbeat

Thanks alot for the great advice! I've heard of that winking tip, but for me, I've just never seen it.

Does anyone have any catheter placement tips? I know sometimes the meatus is easy to see, and it just slips right in, and then other times it's like "are we sure there is one"? I didn't know if anyone had any tips that really seem to work for them.

Vag: 30 min assessment, then a one hour assessment, then a two hour assessment, and then a four hour assessment, then just once per shift C/S and other GYN surgeries: same as above, but then instead of just once per shift they stay on the four hour assessments

I passed!!!!

I passed!!!:yeah: Mine shut off at 75 q too!!! My :heartbeat while I was typing in my credit card number for the quick results