OBRN1994
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Sorry for the end of my post last night, I was responding from my blackberry and thought I'd lost the post altogether! The gest of what I was getting at is that on our floor, it's too difficult to assign couplets and make it work in our situation.
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I work in a very busy unit that has a small seperate pstpartum unit ( 8 couplets) but with close to 200 deliveries a month & only 14 LDR's, we have to keep some of our PP until discharge. I HATE doing couplets on our floor. Our assignments have to be flexible for antepartum & labor. It's much easier to help with antepartums if you just have moms. It's also a benefit if you have breastfeeding issues etc, then there are 2 nurses available to assist if someone else is having a problem. Just works out so much better on our unit...our moms seem to like having 2 nurses taking care of them. Of course we assist with care of both of the pts & don,t go searching for the other nurse. We also communicate with each other, ie: pedi d/c'ed baby or momwants to go home, plz relay that to the pedi. Etc. WWhae have nursesas ,Etc
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I have worked with QS, BirthNet, and OB TraceVu........TraceVu outshines the other two. I believe Birthnet may have gone out of business....no interfacing at all, and you needed to document the same information in about 3 or 4 places!!!! UUUGGGHHH and more than half the time the system would go down...mostly when your patient was getting an epidural or delivering! The QS system I worked with was at a small HCA hospital and we still had to paper chart our labor on a flow sheet, even though the computer had the capability of doing it all....why you ask? Because they only had 2 computers at the desk and used it for central monitoring and storing FHT tracings. OB TraceVu is very user friendly, does auto charting (that you must verify), and has everything organized in a fashion that flows well. We have a dedicated "ward board", so you can look at a glance and know what's happening on the floor. I was one of 4 people to test out systems when we decided to get rid of BirthNet. Of the 3 systems we looked at, OB TraceVu was by far the best system of the 3. I am currently on a travel assignment and the hospital that I'm working at has made a labor triage, labor progress, and postpartum flowsheet from CPSI. Their admission forms in the computer are a nightmare. No flow to them and are redundant. It has to be absolutely the WORST system for OB, as it was clearly not designed for it. The MIS manager used to be the OB manager, so she built these forms....but you cannot scroll through the flow sheet to obtain information as the "boxes" only hold one character, so you have to open each box to be able to read it. I have to keep a cheat sheet (with time of rupture, dilatation, etc.) to be able to give the doc the times they want. OB TraceVu technicians can "build" your printable forms ie: delivery summary, admission sheets to your liking. This made it simple when we converted. Good luck.....a great charting system will make it so much easier for you!
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at my regular facility (i am currently on a travel assignment, but will be returning in april), we charge nurses come to the unit 15 mins prior to the rest of the staff and get report from the night shift/day shift charge. the charge nurse that will be working that shift makes the assignment for her nurses. we have a mix of l&d, antpartum, mother/baby & nursery. we also have an 8 bed mother/baby unit that is separate from our unit and run by a different charge nurse and we've got a 10 bed nicu that is run by another charge nurse. i can't imagine having another shift make assignments for my shift. i know the "comfort" level of my staff and who can "handle" better each different assignment. there is no safe way for one nurse, even with a tech to take care of 20 babies!
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Since when do you need "stitches" to have dermaplast ordered? Many deliveries can result in "skid marks" that can be as uncomfortable as stitches! You blew those little guys out because you were at the very least PIH. I've never had a Doctor or Midwife NOT order both Motrin & dermaplast for a lady partsl delivery. Some schedule the Motrin around the clock, some order it PRN. The only time it isn't ordered is if the pt has an allergy. I would definitely follow up with these complaints...they appear to be very valid. And, congratulations on your family addition!
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Hi! I am currently on my first assignment in Maine. When I applied to several agencies this past November...I had specified that I wanted to remain in the state of Florida for my first assignment. Unfortunately, what was available for my specialty, actually paid less than what I was currently making....so I opened the field~ hence my current assignment. I read over and over again that the recruiter can "make or break" your experience. I never got a warm & fuzzy feeling with my current recruiter and would not have accepted this assignment had I not gotten extremely "good vibes" from the manager I am working for. My manager has not dissapointed me. My recruiter on the other hand is less than desirable. After working a night shift (which she is well aware that I do), she left me an email asking if I was interested in extending the contract. This is a very small hospital that does not need additional staff....I was hired to train her night staff. The manager made it clear from the beginning that it would only be a 13 week assignment....which I am very happy about, because I am now tired of the snow and want to return to Florida as soon as I am finished. Before I could reply to this email the recruiter called the hospital to see if they were extending my contract!!!!! What if they said they would and I didn't want to....I felt that was unprofessional of her. Before I signed up, the recruiter told me they would reimburse for licensing. After the contract was signed, she made it very clear that it was only the actual cost of the license and that they would not reimburse for fingerprinting, photos, or verification. Fine, wasn't happy about that but what can I do at that point. I submitted my receipt from the state of Maine for $75, which was the cost of the actual license. Somehow, I didn't notice that they only reimbursed me $60 for this on my first paycheck. I caught this error last night when I was organizing my pay stubs. I emailed payroll (that person has ALWAYS been very friendly and accommodating) telling her that I found this error and asked her if I needed to resubmit my receipt. She forwarded my email to my recruiter who responded immediately that I was not entitled to reimbursement for fingerprints or verification, and that Kim (from payroll) could forward to the nurse....didn't even address me by my name. What the h-ll? She didn't look into the matter before responding. I went on Maine's nursing website, opened the page for license by endorsement, and forwarded it to her.....in an attempt to show her that the license fee is $75. My next email from her was a repeat of the first!!!! She didn't read what I'd sent. My third email I wrote in all caps asking her to please read what I'd sent, and why is it that I have to fight for the stinking $15! Her next response was I apologize for any inconvenience this has caused you. No apology for NOT reading what I'd sent, or for NOT looking into the matter before responding. She will not be my recruiter in the future. That is a promise:( Thanks for letting me vent....I can now probably go to bed! LOL
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I DO have that file with me. The labs they requested were for Hep B titers, not Hep C. They also asked for MMR & varicella titers, as well as a current PPD reading. I don't see any reason to discuss the Hep C with anyone. As I said before....Good luck & Happy Traveling!
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I am currently on my first assignment in Maine. I am with RNNetwork and before leaving for this assignment, I was required to submit a drug screen and titers. I cannot for the life of me remember exactly which Hepatitis titers, but I was screened. Varicella was one of the titers. That particular paperwork is at my home in Florida. RNNetwork sent lab slips to my home for either LabCorp or Qwest and I simply made the appt for the draws. You could ask the recruiter what labwork they require without divulging your status. Good luck
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The area is beautiful! If you are accustom to the weather....which I'm sure you are....you will love it here. The people are very friendly. My husband and I just spent a long weekend in Quebec City...which is 200 miles to the north of us. That was a lot of fun, you can place that on your "to do" while in Bangor list!
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A lot of agencies have "non-compete" clauses in their contracts, meaning...if you "test drive" the hospital & locale and really decide that you want to stay, you will not be able to take a full time job there for 6 months (at least I think that's the standard time frame). Hope this helps. Also, I would apply at more than 2 agencies since not all have the same access to available assignments.
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So, do you just ask the manager during your interview which agencies they've contacted about the position? Thanks so much for the input!