melmarie23 MSN, RN

L&D/Maternity nursing

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All Content by melmarie23

  1. melmarie23

    Is this a Med Error? I have been kicked from clinical. Help

    melmarie23 replied to nursing?s's topic in General Students

    when I was in school, I couldnt remove meds without my CI or the RN I was working with that day. So signing it out of the MAR/doing the NARC book by my lonesome would have been the
  2. melmarie23

    ATI Comprehensive Predictor as a benchmark for the NCLEX...?

    melmarie23 replied to freki's topic in NCLEX Exam, Programs

    I felt it helped me. And I too passed NCLEX on the first attempt with 75
  3. melmarie23

    So...uh...when will I feel like I know what the heck I'm doing?

    melmarie23 replied to Skips's topic in General Students

    I have been a nurse for over 2 years now (practicing for just under). And I still have my days where I am like "what the heck is going on/what the heck am I doing?!" Helpful?
  4. melmarie23

    NRP Lesson Questions

    melmarie23 replied to NancyP123's topic in Ob/Gyn

    You already know that the infant is apneic, therefore PPV is now indicated. What I'd do (ideally) is initiate PPV with room air and transfer. The new NRP guidelines stress proper ventilation and...
  5. melmarie23

    IV fluids during labor

    melmarie23 replied to L&DMomof3's topic in Ob/Gyn

    we dont routinely give women fluid in labor unless they are a pit induction or plan on getting an epidural at some point. We dont even require IV access (saline lock) unless they are GBS pos. If we...
  6. melmarie23

    Curious about what your job offers

    melmarie23 replied to missladyrn's topic in General Nursing

    1. What do you get for maternity leave, and is any of it paid? 6 weeks maternity disibility leave (unpaid) for vag birth, 8 weeks if c/s. You can extend it to 12 weeks (unpaid) if you meet all the...
  7. melmarie23

    how long did it take for you to get into L&D nursing?

    melmarie23 replied to NurseJessie2's topic in Ob/Gyn

    I became licensed in July 2010 and had a few interviews (L&D and LTC) and got neither. But I was also visibly pregnant, and also a new grad......so yeah. Not surprised I didnt get those jobs. My...
  8. melmarie23

    Prep for vaginal Delivery

    melmarie23 replied to Goodlaura6's topic in Ob/Gyn

    yeah I have been on 3 different LDRP units and none have "prepped" for lady partsl
  9. melmarie23

    Which states are CNMs permitted to do homebirths?

    melmarie23 replied to moonredlife's topic in Ob/Gyn

    most do have collaboration and have a hospital lined up for transports if need be, yes (I chose these women for the births of my two children). My hospital has a great collaboration with one of the...
  10. melmarie23

    Which states are CNMs permitted to do homebirths?

    melmarie23 replied to moonredlife's topic in Ob/Gyn

    Legal in NH. And contrary to what an above poster said, they do not need physician oversight to attend home births in that
  11. melmarie23

    Can I be a full time MOM and full time RN???

    melmarie23 replied to shalomlove's topic in General Nursing

    I now work two 12h shifts a week (part time) after working two, per diem jobs where I was pulling full time (or more) hours. I first started working when my first was 14w old, became pregnant with...
  12. melmarie23

    Large percentage failing nursing school exams, why?

    melmarie23 replied to tganios's topic in General Students

    anything from pervious semesters would, to me, seem as fair game. One would assume that students wouldnt just forget things that they previous were taught. Nursing isnt just GI, or respiratory, or...
  13. melmarie23

    Evidence based practice for newborn care

    melmarie23 replied to babynurse428's topic in Ob/Gyn

    we delay the bath at least the first hour post delivery. I actually will try and delay it until I almost have the infant off recovery (the stable infant that is)...so more at the 2-2.5h mark. We...
  14. melmarie23

    The most ridiculous birth plans you've had the pleasure of reading

    melmarie23 replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Like klone, I appreciate them. For me, as their RN, it helps me help them. Opens the dialogue. Exlpores their fears and gives me idea on how to comfort and encourage them. And I am that patient...
  15. melmarie23

    Should a nurse ask to be assigned to specific patients?

    melmarie23 replied to DoraSanchez's topic in Patient, Colleague Relations

    we choose our own assignments on my unit (LDRP) with guideance from our charge. Acuity and room proximity (especially on a post partum assignment) is considered. For laboring patients is
  16. melmarie23

    Post Partum nurse Pt ratio

    melmarie23 replied to nursecaresalot's topic in Ob/Gyn

    where I work is 1:3 couplets. We are LDRP too (in labor or for inductions is
  17. melmarie23

    Timing of newborn bath

    melmarie23 replied to mugwump's topic in Ob/Gyn

    we wait at least an hour after birth per our policy (so that mom can have a chance to breastfeed the infant first). However, I wait til the end of recovery for mom and baby, so somewhere aroudn the...
  18. melmarie23

    Epidurals and caths

    melmarie23 replied to 84RN's topic in Ob/Gyn

    straight cath's are associated with lower CAUTIs I believe. The only patients that routinely get a foley are are section patients. and I think its awesome that you have such a low epidural rate!...
  19. melmarie23

    L&D is def. what i have to do...

    melmarie23 replied to samantha0890's topic in Ob/Gyn

    and not for nothing, med/surge skills are great for L&D as well. We get gyn surgicals often. Also, a handful of our lady partsl deliveries go down for PPTLs the day after their births (c/s...
  20. melmarie23

    L&D is def. what i have to do...

    melmarie23 replied to samantha0890's topic in Ob/Gyn

    the only new grad that we hired onto our unit was a LNA for us prior. So she already had an "in" on our unit. Also, we are only training her to mom baby for now and she will have to wait a year or...
  21. melmarie23

    Epidurals and caths

    melmarie23 replied to 84RN's topic in Ob/Gyn

    we usually just straight cath our epidural
  22. melmarie23

    UNH DEMN requirements

    melmarie23 replied to JodiLynn87's topic in General Nursing

    program was fine. Passed the CNL exam, but not practicing in the role. If I ever want to in the future, I'll have to re-test (their requirments for maintaining the CNL without re-testing are kinda...
  23. melmarie23

    baby friendly questions

    melmarie23 replied to Rhee's topic in Ob/Gyn

    info on milk banks across the U.S.
  24. melmarie23

    baby friendly questions

    melmarie23 replied to Rhee's topic in Ob/Gyn

    We dont staff LCs at nights either. Its the nursing staff that supports breastfeeding couplets then. But per BFHI, we all have had to be formally educated on breastfeeding and are certified...
  25. melmarie23

    baby friendly questions

    melmarie23 replied to Rhee's topic in Ob/Gyn

    I totally understand the issue you face, which is why I said that in order to truly go baby-friendly, properly staffing the unit also needs to be addressed. My response was not to minimize yours (or...