melmarie23 MSN, RN

L&D/Maternity nursing

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All Content by melmarie23

  1. melmarie23

    Why I think L&D nursing really is best and hardest

    melmarie23 replied to lovemyjoblandd's topic in Ob/Gyn

    I dread floating. And I used to be a med-surg nurse prior to L&D/maternity. I am certainly anything but proficient or confident when on other
  2. melmarie23

    Baby Friendly Question

    melmarie23 replied to AngelicaHibbs's topic in Ob/Gyn

    We too have the Hugs system and it can get wet, so we don't have this
  3. melmarie23

    Baby Friendly- getting a tad over the top

    melmarie23 replied to PeepnBiscuitsRN's topic in Ob/Gyn

  4. melmarie23

    Supplementing ?

    melmarie23 replied to RN520's topic in Ob/Gyn

    How well was the infant feeding? Was mom's milk coming in? How was the infant's TCB/serum billi? I wouldn't have necessarily have had them supplement at 7% if the feeding a otherwise looked well and...
  5. melmarie23

    Supplementing ?

    melmarie23 replied to RN520's topic in Ob/Gyn

    We supplement at 10% or more. Our pts have two options: donor human milk or formula. If the wt dropped to that on the anticipated d/c date we will either re weigh in 12hrs or send them home with a...
  6. melmarie23

    L&D nurses - different viewpoints on birth

    melmarie23 replied to KMLSanDiego's topic in Ob/Gyn

  7. melmarie23

    L&D nurses - different viewpoints on birth

    melmarie23 replied to KMLSanDiego's topic in Ob/Gyn

    Absolutely! I am an L&D RN and have my babies out of hospital (2 free standing birth center water births) and will likely have my next at home. I use CPMs. I recommend them to any and everyone I...
  8. melmarie23

    Delayed cord clamping

    melmarie23 replied to RNlove17's topic in Ob/Gyn

    It's standard practice where I work. We mostly gave OBs and family practice
  9. melmarie23

    How long is a nurse new to labor and delivery usually given for orientation?

    melmarie23 replied to sarahaldean's topic in Ob/Gyn

    I had 6 months...3 on mom-baby/post partum, and 3 on L&D. We are an LDRP
  10. melmarie23

    Best medications to give postpartum woman after vaginal delivery?

    melmarie23 replied to kriistaa16's topic in Ob/Gyn

    Tylenol, oxycodone, Motrin, toradol (24hrs post
  11. melmarie23

    Does Anyone Else NEVER get downstaffed?

    melmarie23 replied to blondy2061h's topic in General Nursing

    I work LDRP and we get called off every so often. It's by dates with us, and it averages every 2-3months for a call off. Some weeks/months are slow for birthing
  12. melmarie23

    Do you have 30 minutes for lunch?

    melmarie23 replied to Kurious RN's topic in General Nursing

    Almost
  13. melmarie23

    What's the nurse-patient ratio in your unit?

    melmarie23 replied to Niki_RN's topic in General Nursing

    1:1 for labors, 3-4 couplets:1 RN for post partum/mom-baby. I work LDRP on
  14. melmarie23

    Cytotec

    melmarie23 replied to JenDenRN's topic in Ob/Gyn

    We will give cytotec (600mg) rectal or sl if pit doesn't work. We usually go pit, cytotec, methergine and then hemabate (in that
  15. melmarie23

    CHG prep for all vaginal deliveries?

    melmarie23 replied to ocmama's topic in Ob/Gyn

    We do no prep on lady partsl
  16. melmarie23

    Do your Charge RNs take patients?

    melmarie23 replied to RNMomma22's topic in General Nursing

    I also work OB and our charge nurse triages for us as
  17. melmarie23

    On Call

    melmarie23 replied to Mikeinhouston's topic in General Nursing

    I work on a LDRP unit and we gave on call obligations. You never know when the labor bus will pull
  18. melmarie23

    Managing breaks in Labor & Delivery

    melmarie23 replied to polevaultererin's topic in Ob/Gyn

    I guess I lucked out on my unit (LDRP). I always got a break or two to pump, in addition to my lunch. Another co- worker would watch my strip or answer my bells. Obviously I wouldn't break when meds...
  19. melmarie23

    AWHONN Guidelines for staffing

    melmarie23 replied to SharkPuppy's topic in Ob/Gyn

    We do on my unit. Unless we have sick calls and then sometimes we will take 4 mom-baby it two inductions until the pt is
  20. melmarie23

    any RNs have their Perkins Loan cancelled?

    melmarie23 posted a topic in General Nursing

    I have an undergraduate Federal Perkins Loan (for a non-nursing bachelors degree), which has the benefit of being cancelled for RNs working full time. I work per diem...and work full time hours being...
  21. melmarie23

    Low census

    melmarie23 replied to mstoltenberg's topic in General Nursing

    Yup!!!
  22. melmarie23

    Books on Natural Childbirth

    melmarie23 replied to squidbilly's topic in Ob/Gyn

    In addition to these, The Thinking Women's Guide to a Better Birth, by Henci
  23. melmarie23

    OB Nursing or Obstetrician?

    melmarie23 replied to lovege's topic in Ob/Gyn

    What about nurse
  24. melmarie23

    nursing policy on handling infant that is not bathed

    melmarie23 replied to kms6417's topic in Ob/Gyn

    We use universal precautions. I believe I said such in my original post, which you truncated. I know for whom the bath is for. We too do tubbie baths (baby is submerged) and its never been an issue....
  25. melmarie23

    Childbirth Center

    melmarie23 replied to eylee08's topic in Ob/Gyn