melmarie23 MSN, RN

L&D/Maternity nursing

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All Content by melmarie23

  1. melmarie23

    Newly graduated RN... and pregnant

    glad to hear that everything is going well with the pregnancy! I feel you on the 6 weeks leave. I just found out I am pregnant with my second and am due to deliver a month short of my 1 year...
  2. melmarie23

    Are 12 hour shifts going extinct?

    not for my unit. We do 12s. I prefer it for L&D. Its good for continuity of
  3. melmarie23

    Questionable staffing in L&D vs Nursery

    yeah I wouldnt be comfortable with that at all. On any given shift (day or nights), we have at least 2-3 RNs who are "core" meaning that they are trained in the special care nursery and could take a...
  4. melmarie23

    Delivery Pitocin

    ditto. We just run in the remaining bag (30u in 500ml) after
  5. melmarie23

    Potassium question...

    if you work in a facility which the providers carry pagers, I would have shot them a quick page, but a phone call? Yeah, I think I'd too have waited until I sent my other pt to the cath lab. 3.4 is...
  6. melmarie23

    Is med/surg really that bad?

    its not my cup of tea. I used it as a stepping stone into my specialty of choice. And I am not afraid to admit that. I think I'd have enjoyed it more if where I do it was better
  7. melmarie23

    UNH Direct Entry Master's Program

    I graduated last December from the DEMN program. I believe that when I was accepted, I found out on Halloween of 2008. Why that day stands out to me...I really dont know. Perhaps it was because...
  8. melmarie23

    any RNs have their Perkins Loan cancelled?

    I got my form from http://www.acs-education.com Its who manages my loan. They've also mailed it to many times during my deferment period (when I went back to school for
  9. melmarie23

    any RNs have their Perkins Loan cancelled?

    Pockunit, I have looked far and wide into this. I've also called and was told that I qualify. Here is the info I was basing my inquiry off of...
  10. melmarie23

    Who does your pt assignments?

    the charge nurse from the previous shift makes the assignment for my med/surg job. For my L&D job, we meet at the beginning of shift and pow wow and decide who we want/request patients....
  11. melmarie23

    Giving a flu shot to patients without a signed consent?

    on my unit (L&D) we have a global consent form for the infant when they are first admitted. It has consent for Hep B, e-mycin, Vit K, circumcision etc. If the parents are not wanting any of...
  12. melmarie23

    Giving a flu shot to patients without a signed consent?

    I definitely signed a consent for my son's flu vaccination at the pedi. I was just there
  13. melmarie23

    Giving a flu shot to patients without a signed consent?

    yeah, I would not be comfortable in administering the vaccine without written consent. If this is a state-wide initiative and one in which your hospital is trying to be compliant with, is it really...
  14. melmarie23

    Ob specific interview questions

    to the poster above me: I use my med/surg skills all the time in L&D/Post patrum. When our census is low, we get gyn surgical patients. Also, we recover c-section patients. We manage patients...
  15. melmarie23

    new grad... base pay/jobs?

    the market here is really tough. 10 hospitals are suing the state and are out millions of dollars in Medicare reimbursements and have been laying off. There are jobs out there, but it can be tough...
  16. melmarie23

    intrauterine pressure catheter(IUPC)

    our hospital policy is that only the MDs/CNMs can place the
  17. melmarie23

    Maternity teaching project (3rd year nursing student)

    I agree. Not only that, but the choice to have a lady partsl birth after cesarean is not always up to the woman....its often dictated by her MD and hospital policy. Some are just not willing to take...
  18. melmarie23

    how many shifts in a row?

    you all are nuts!
  19. melmarie23

    Tell interviewer about nursing school??

    well you havent officially been accepted to nursing school yet, so I wouldnt be asking for time off for it during the interview process. Your family is right. Interview and stay mum about school....
  20. melmarie23

    2 PRN jobs?

    I currently have two prn jobs. I schedule more with one than the other and am considering just going down to
  21. melmarie23

    New grad nights in birthing center

    I find Med/Surg way more stressful and overwhelming than OB. And I can only speak of personal experience, but as a new grad I was totally taken advantage of by given way to complex patient loads for...
  22. melmarie23

    Uncomfortable feeling during dilitation check?

    Exactly. There is something psychological about being in a hospital bed that renders many disempowered, especially when providers (docs and RNs alike) stand over them, looking down at them, talking...
  23. melmarie23

    Doulas: love them or hate them.

    oh absolutely. Defensive medicine at its finest. Totally sad though IMO. perhaps. Though even the woman with analgesia during labor who has had an instrumental delivery suffers damage to her...
  24. melmarie23

    Doulas: love them or hate them.

    only if we are comparing birth and outcomes in developed countries. Then its more apples to apples, or as close as we can get. and while I'd love to pull up even more articles, football starts here...
  25. melmarie23

    Doulas: love them or hate them.

    actually, if we want to speak globally, most women birth without analgesia. Analgesia in labor is a modern technology and is seen mostly in developed countries. Even then, the US uses this at a rate...