melmarie23 MSN, RN

L&D/Maternity nursing

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All Content by melmarie23

  1. melmarie23

    Pregnancy: Before or After Nursing School

    since you are planning on an accelerated Bachelors, I suggest timing children for during your pre-reqs (where its more manageable with a newborn) or timing it for the end of your accelerated...
  2. melmarie23

    baby friendly questions

    I just realized that I had a reading comprehension fail. Sorry Elvish. (I'll blame my current state and say it was placenta brain, hehe). You were saying that you did not have a milk bank close by....
  3. melmarie23

    baby friendly questions

    We do have a milk bank. Its regional of course (greater new england milk bank) and our docs write scripts for the pts so they can access it.Of course, cost is an issue for some, so they have to...
  4. melmarie23

    baby friendly questions

    Also, I disagee that the babe in your example was "clearly starving." Its more work on the stomach and gut to digest formula (as opposed to breastmilk) and the reason they slept for hrs after the...
  5. melmarie23

    baby friendly questions

    are you sure the baby was actually hungry, or perhaps they just wanted to pacify? also why does supplementation necessarily mean formula? Why can't it first be mom's own (expressed milk), or donor...
  6. melmarie23

    baby friendly questions

    then I think that should your hospital wish to go Baby Friendly, they first need to address the staffing issues. We are 3 (couplets):1 on nights at my facility. We have a unit secretary on, 2 LNAs...
  7. scheduled a meeting with my director and handed her my letter of resignation and explained my reasons further face to face. It came with a 2 week notice. Then I informed my managers, so they could...
  8. melmarie23

    comfort measures for med-free labor

    if your hospital policy is for EFM, then you can present a case to getting some tele units so that women are not restricted adn bound by cords and can move more freely. There are a plethora of...
  9. melmarie23

    comfort measures for med-free labor

    Hydrotherapy, WATER BIRTH!, walking, birth ball/peanuts, birthing stool, sacral pressure, music, dim lights and candles (you can have battery operated ones), telemetry if they have to be continuously...
  10. melmarie23

    Pts paying for night nursery care??

    Well said! seriously, I cannot gold clap loud enough over
  11. melmarie23

    What do u do when there are no mothers/babies in unit?

    we are not a large hospital, but we do on average 100 births a month. So, as long as I've been there, we've had yet to have a night with no mom-baby couplets. We've definitely have had slow nights...
  12. melmarie23

    Taping EFM strips together?????????

    we number them. But our offical record of the strip is in the
  13. melmarie23

    interesting article

    Dr Amy is such a quack. (sorry, just reading the comments section,
  14. melmarie23

    interesting article

    thats what I am getting
  15. melmarie23

    How many Hours per Week do you work

    24 hrs (2
  16. melmarie23

    How do you encourage rooming in.

    just be honest with them. Say that your unit is in a state of transition and that you're encouraging mom's and babes to room in. Then give them the rationale (benefits of room sharing because this...
  17. melmarie23

    becoming a baby friendly hospital

    of course they can have their babies at our hospital. We provide them with formula to get them through their
  18. melmarie23

    baby friendly questions

    I only speak of my own experience working at a Baby Friendly hospital. The horror stories that have been presented in this thread (not just your post either) are not how we operate at all. We...
  19. melmarie23

    baby friendly questions

    I think that some are not reading the responses fully and getting a bit defensive. We will honor their request in this instance, provided we have enough coverage in the nursery at that time. There...
  20. melmarie23

    baby friendly questions

    There are lots of ways to encourage rest that do not necessiarly result in removing baby from the room. Limit visitorsand instill a unit "quiet time." Encourage mom to sleep when baby sleeps (because...
  21. melmarie23

    Tips for PP Moms and Urination

    peppermint oil? sometimes the smell of that
  22. melmarie23

    baby friendly questions

    BUFA's and DCYF holds become "nursery" babies and thus into our special care nursery (as its our only nursery). Yes, all our rooms are private and yes, parents are told this in advance and that we...
  23. melmarie23

    Men in OB/Peds Nursing....Any thoughts?....

    agreed. some of our best OB nurses are those who have yet to have their
  24. melmarie23

    Pitocin = oxytocin = our bodies naturally produce it

    Yeah. I am currently pregnant, and I was still nursing my first into my second trimester. This lil guy is still alive and kicking inside
  25. melmarie23

    How would you change Healthcare Delivery?

    stole the words right out of my