melmarie23 MSN, RN

L&D/Maternity nursing

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All Content by melmarie23

  1. melmarie23

    L&D Nursing with HSV1

    melmarie23 replied to DreamToBeAnL&DNurse's topic in Ob/Gyn

    I wear a face mask if I have an
  2. melmarie23

    How does your unit train Level II Nursery Nurses?

    melmarie23 replied to classicalcat's topic in NICU, Neonatal

    We have a SCN/Level II with the same population as yours and I got 4 months of orientation (at two,12h shifts/week as I am PT). I'm also to always be scheduled with a mentor immediately available,...
  3. melmarie23

    One quarter of our census are withdrawal kids

    melmarie23 replied to BittyBabyGrower's topic in NICU, Neonatal

    We've also have had a huge influx over the past couple months as well. It is indeed tiring...and it's even harder watching them going home to who only knows
  4. melmarie23

    Bedadine for vaginal birth

    melmarie23 replied to twahls65's topic in Ob/Gyn

    We don't use a prep either. We just wipe away stool as
  5. melmarie23

    Sterile water injections - back labor

    melmarie23 replied to queenanneslace's topic in Ob/Gyn

    As for "selling it," show them the evidence. It's a low cost procedure and doesn't really require any specialized skill set to do. It doesn't interfere with monitoring mom or fetus. My advice is to...
  6. melmarie23

    Sterile water injections - back labor

    melmarie23 replied to queenanneslace's topic in Ob/Gyn

    We still do this on my unit. It's part of our standing orders for labor. It's not often we do do it...but we can and do. It hurts the patient like no other and it's why we have two RNs to do it so...
  7. melmarie23

    C/s incision dressing removal

    melmarie23 replied to GabesMommy2014's topic in Ob/Gyn

    We have orders to remove post op day
  8. melmarie23

    Need to pick up your brains LD nurses!

    melmarie23 replied to Lurdes777's topic in Ob/Gyn

    LNA/CNA. Usually after a couple nursing courses under your belt and you can get
  9. melmarie23

    Banker to nurse - Would you make the switch

    melmarie23 replied to xinah's topic in Ob/Gyn

    I am PT and work two, 12hr shifts a week. Most L&D/mom-baby jobs in my area are 12hr shifts. I work on a LDRP unit that also has a SCN (Level II nursery) that I am cross trained to as well. I was...
  10. melmarie23

    Circ boards

    melmarie23 replied to mamagui's topic in Ob/Gyn

    We swaddle the arms. They're not strapped down...only the legs
  11. melmarie23

    Is it hard ?...

    melmarie23 replied to MyPrnPleaseBSN's topic in General Nursing

    I was hired as a PRN on my current unit. I had no experience in the speciality (OB). Had 6 months orientation, 3 to mom-baby, and 3 to labor, as we are a LDRP unit. Then I filled holes as a PRN....
  12. melmarie23

    Are there NPs who work as RNs in Massachusetts or NH

    melmarie23 replied to chincka's topic in General Nursing

    Chincka, one is an acute care NP working in Worcester (worked in an outpatient surgical center prior to this) and the other works per diem as hospitalist covering the med/surge units and then in the...
  13. melmarie23

    Are there NPs who work as RNs in Massachusetts or NH

    melmarie23 replied to chincka's topic in General Nursing

    So in short, if you are close to finishing your program...then keep going! I don't think you'll regret
  14. melmarie23

    Are there NPs who work as RNs in Massachusetts or NH

    melmarie23 replied to chincka's topic in General Nursing

    I am not sure where you are looking for employment, but I have many NP friends in both states (I am in NH) and they all make significantly more in that role than when they were bedside RNs. All work...
  15. melmarie23

    What would you have done? Episiotomy

    melmarie23 replied to AspiringNurseMW's topic in Ob/Gyn

    I am happy that someone finally decided to represent her! It's taken over a year and a half, even despite the video evidence which clearly shows her not consenting to the procedure. Most lawyers...
  16. melmarie23

    Vital signs on labor checks

    melmarie23 replied to MCmgr's topic in Ob/Gyn

    Q4 if stable, not ruptured and GBS-. If GBS positive and/or SROM'd/AROM'd then a temp q2 in
  17. melmarie23

    Curious about formula marketing practices in your hospital

    melmarie23 replied to LibraSunCNM's topic in Ob/Gyn

    We're a BFHI facility, no no formula goodie bags/swag
  18. melmarie23

    Neonatal assessment team

    melmarie23 replied to rdejong's topic in Ob/Gyn

    We are a LDRP and special care nursery (level II) unit. Most RNs are labor & mom-baby trained. All NRP certified and can serve as second RN at deliveries. About a 3rd of the nurses are "core" and...
  19. melmarie23

    Urgent Csection

    melmarie23 replied to Tink1987's topic in Ob/Gyn

    As the circulator you did your job in pointing out an incorrect count and calling for an X-ray to ensure no instruments were left in the patient. Do not let anyone make you feel inadequate for doing...
  20. melmarie23

    Scrubs

    melmarie23 replied to babiesRmylife's topic in NICU, Neonatal

    Grey's anatomy. Cherokee
  21. melmarie23

    Does your inpatient OB unit have a nurse educator?

    melmarie23 replied to klone's topic in Ob/Gyn

    Updates policy and procedure and educates staff when updated (makes sure they reflect ebp/best practice). Runs skills days. Ensures that all staff are up to date on unit based competencies and...
  22. melmarie23

    RNs!!!! Did you fail Any classes???

    melmarie23 replied to dinah77's topic in General Nursing

    Nope. Never failed any courses. Passed the NCLX in 75 questions, first
  23. melmarie23

    I need your help!

    melmarie23 replied to OGibbs04's topic in NICU, Neonatal

    I only get the first question too. Nothing else
  24. melmarie23

    Vent: L and D nurses please check your post partum orders

    melmarie23 replied to BSNbeauty's topic in Ob/Gyn

    Woah lots of typos in that previous post! Yeesh! Anyway, what I was tying to say is that it sounds like the two of your units need to work on communication. That and more education on safe and...
  25. melmarie23

    Vent: L and D nurses please check your post partum orders

    melmarie23 replied to BSNbeauty's topic in Ob/Gyn

    While I understand your frustration, have you brought this up to the nurse reporting off? If a gap in communicate chronic issue in handoffs exists then it needs to be brought up to management and...