melmarie23 MSN, RN

L&D/Maternity nursing

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All Content by melmarie23

  1. melmarie23

    Can you briefly tell me your Group B protocol?

    melmarie23 replied to MomBabyUnitRN's topic in Ob/Gyn

    this exactly, except the ROM part. we treat q4 once in active labor for pos GBS or unknown
  2. melmarie23

    NCLEX and last semester question.

    melmarie23 replied to EMEddie's topic in General Students

    along with what the above poster suggested, it also depends on how soon your school/program is able to get transcripts out for you to send to the board so that they have proof you finished and passed...
  3. melmarie23

    OB Nurse's View on Natural Childbirth

    melmarie23 replied to LexiRN2's topic in Ob/Gyn

    with regard to the original ?, I am all for it. I am a natural birth momma myself. I went med free and had relitively intervention free birth with my son (intermittent monitoring, no IV, only one...
  4. melmarie23

    OB Nurse's View on Natural Childbirth

    melmarie23 replied to LexiRN2's topic in Ob/Gyn

    there is actually a lot of research that supports this. Not that continuous EFM is harmful per se, but that it can lead to increased, and sometimes unnecessary
  5. melmarie23

    Nurses eat their young - now I understand why.

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

    you are looking for inexperienced RNs....and only going to offer them 36 hours of "training." You're seriously limiting your pool of applicants there I think. Kinda hard to take a job seriously if...
  6. melmarie23

    No IV Practice / Little hands-on practice in clinicals

    melmarie23 replied to SlyFoxRN's topic in General Students

    a lot of nursing schools in my state do not practice IV starts either. Its considered "on the job training." I had an IV skills class in two hospitals I was hired at after graduating. For one...
  7. melmarie23

    Midwife then Masters in Nursing

    melmarie23 replied to has31's topic in Ob/Gyn

    ditto klone. though if you are going to go get your Masters in nursing, why the CPM and not the CNM? CNMs dont have to work in the hospital...you can work in the community too. Also, there are...
  8. melmarie23

    Who Here "Floats" to Other Units

    melmarie23 replied to Ted's topic in General Nursing

    we have to if needed, yes. I recently floated to Pedi, but they had overflow gyn surgicals, so I took those. but typically if units need floats, they take them from places other than...
  9. melmarie23

    Postpartum Depression

    melmarie23 replied to dee78's topic in Ob/Gyn

    usually in their prenatal history that we get, they are flagged there and we alert our post partum support coordinator. And we tell the pt that we have done so and that she will come in to meet with...
  10. melmarie23

    Finally off orientation

    melmarie23 replied to belle005's topic in Ob/Gyn

    I was a nervous nelly coming off orientation (just last month-early Feb!), so I totally know where you are coming from. But when I primaried my first birth off of orientation, it was such a high and...
  11. melmarie23

    Are enemas making a comeback?

    melmarie23 replied to caregiver1977's topic in Ob/Gyn

    not where I work, thank
  12. melmarie23

    nursing policy on handling infant that is not bathed

    melmarie23 replied to kms6417's topic in Ob/Gyn

    If a parent/parents wish not to have their baby bathed, we absolutely accomodate that. We use universal precautions and a sign/repeat this in report. There are many reasons why a parent may choose...
  13. melmarie23

    How to get hired in OB/Newborn Nursery as a new grad?

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

    I did med/surg for 4 months before getting hired into OB/L&D/Maternity. I stayed with that med/surg for an additional 4 months before I quit. It was good experience, sure, but I dont think it was...
  14. melmarie23

    Current Practices/Hospitals using AmniSure

    melmarie23 replied to bevseven's topic in Ob/Gyn

    we use it. Not for all cases ? SROM, but for some, yes. Its an expensive test, that sometimes warrants multiple eyes if the line is that light/barely there. We'll also use nitrazine paper, put a...
  15. melmarie23

    Just wondering -

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

    we have 20 LDRPs, 1 OR, 3 triage beds. We typically staff 8-9 RNs on days, 7-8 RNs on nights and have (one being a resource person-our charge, and one being a core RN-meaning they are also the...
  16. melmarie23

    Australian Home Birth Advocate Dies After Childbirth

    melmarie23 replied to Not_A_Hat_Person's topic in Ob/Gyn

    She died the day after delivery and of cardiac arrest, and in the hospital (where she was transferred after giving birth. IMO, its unfair to link her home birth to her death. This same situation...
  17. melmarie23

    Straight cath or foley cath for labor patients??

    melmarie23 replied to shortstuff31117's topic in Ob/Gyn

    and prior to the epidural placement, I always try and get my pt's to the bathroom to void. That really helps. And then I'll straight cath before pushing (sooner if its been a few hours since her...
  18. melmarie23

    Straight cath or foley cath for labor patients??

    melmarie23 replied to shortstuff31117's topic in Ob/Gyn

    our epidurals are continuous as well...but is d/c'd at time of delivery (or after the repair if needed) and I get my pt's up and OOB within 2-3 hours of delivery. Typically, its only due to the time...
  19. melmarie23

    Pain medications post partum

    melmarie23 replied to CoppertopRNC's topic in Ob/Gyn

    We also have orders for Nubain too. It does work well for the itching. and of course we have the requisite orders for anti-nausea meds for our section patients (and for our patients with epidurals)....
  20. melmarie23

    Pain medications post partum

    melmarie23 replied to CoppertopRNC's topic in Ob/Gyn

    its prn and most dont use it. I give them the option of 1-2 tabs if they are needing something stronger. I give them that with the tylenol and usually that is enough to tie them over til their next...
  21. melmarie23

    Do you have gifts for your new moms??

    melmarie23 replied to shortstuff31117's topic in Ob/Gyn

    oh and we make crib cards too...some of our staff are good at scrap booking
  22. melmarie23

    Do you have gifts for your new moms??

    melmarie23 replied to shortstuff31117's topic in Ob/Gyn

    we give them a tote bag with our unit name/logo on it, a water bottle (again with our unit name/logo on it). They get a story book for the babe and a Halo Sleep Sack
  23. melmarie23

    Pain medications post partum

    melmarie23 replied to CoppertopRNC's topic in Ob/Gyn

    for lady partsl deliveries we have prn orders for Motrin 600mg q6h, Tylenol 650mg q4h and oxycodone 5-10mg q3h. We have standing orders for Dermoplast and Tucks pads. Ice packs live in the room....
  24. melmarie23

    Sesame Street Breastfeeding: Moms Push To Bring Nursing Back To TV Show

    melmarie23 replied to lrobinson5's topic in Ob/Gyn

    this is the age in which children are most impressionable. So what better time to teach them the different ways in which a baby can be fed? That people come in all shapes in colors. That sometimes...
  25. melmarie23

    Straight cath or foley cath for labor patients??

    melmarie23 replied to shortstuff31117's topic in Ob/Gyn

    we straight cath