mitchsmom

mitchsmom

OB, lactation

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All Content by mitchsmom

  1. Orientation Timeline

    I am wondering what most units are using for their orientation timeline? Also, do you set a goal for an actual number of checkoffs (certain minimum number of deliveries, baby catches, c/s, mag, etc.)? I am updating ours and so I'm just curious and l...
  2. Best nursing magazine/journal?

    I know this has been discussed before but I'm not finding it in the search. What do you think is the best nursing magazine journal besides Nursing2004 (I get those free at school)???
  3. Who is in the OR during a c-section?

    This has been mostly answered, but every place is a little different. At my work: Patient Patient's support person OB First assist (RNFA or tech; we VERY rarely have a 2nd MD present) Scrub Tech Circulating Nurse (L&D nurse who is primary care nu...
  4. Does working in L&D affect your sex drive?

    Yes, it affects me because I'm too freaking tired to fool around after a 12! Otherwise, it is honestly a completely separate, & strictly clinical entity for me.
  5. On call pay for OB nurses

    You said "They need an RN to staff a department even if it's closed." --> if you are working on staff, then I would think you should be getting paid at least your regular wage. Our on call (at home) pay is $2/hour and if called in, time+1/2. As f...
  6. car seat challenge/test

    Hmmm... I think our ped hospitalist is ordering it be done just if
  7. Maternity Nursing Supplies

    I carry a lot of crap, YMMV: L pocket: some kind of breath freshener, chapstick, Evo smart phone (which of course is my phone, schedule/calendar, medical spanish app, translator, flashlight, internet, drug guide, do not forget list mp3 player, radio,...
  8. AWHONN Staffing Guidelines Please check this out:

    Article regarding the release Guidelines can be purchased here, but as I said before I'll try to post sometime:
  9. AWHONN Staffing Guidelines Please check this out:

    I didn't look through all the posts to see if someone wrote it already, but if not, be aware that the staffing guidelines were updated last year (2010) --> *to our advantage* --> for example, pitocin patients are now supposed to be 1:1. I will...
  10. Rocephin Question

    Wow... I didn't know rocephin was especially painful (I don't think I've ever given it)... my son got it in the ER about a year ago (with a couple of other shots) and didn't have any particular reaction or comment to it.
  11. Helicoptor trauma transport cost

    Currently in my area I think they are around $20k+
  12. pulling ob nurses to other floors

    We are a closed unit, too. We only float within Women's and Children's- L&D floats to postpartum to task or take patients, postpartum can float to us to baby-catch if needed, but not to take patients (one way street), they try not to have us even...
  13. Questions to ask at interview for womens health floor

    "I think the MB overflow is truly just for times when the normal MB unit is full. So its probably not very frequent that they get postpartum women/babes." There's one of your questions right there! We used to have an overflow area before our LDRP wa...
  14. Antepartums, Term pregnancies and flu

    Doesn't sound like a great idea for sure. Here's the CDC page on Considerations Regarding Novel H1N1 Flu Virus in Obstetric Settings. I don't know if it specifically addresses that, but it seems like common sense!! http://www.cdc.gov/h1n1flu/guidance...
  15. I don't think Doula/CBE experience would be frowned upon at all, but I also don't think it would get you "in" like actually working on the unit in some capacity (OB tech, CNA, unit clerk, etc.). It can be an adjustment to go from a circle of peers wh...
  16. What are your thoughts on AROM?

    Wish they'd leave it alone, or at least wait until good & active in labor... but our MD's do it ASAP if they are around.
  17. Cheat sheets

    Here are two that I have; the first one is the one that most of us use on L&D, the second is just an extra I have on file that has a postpartum side. We actually use a different one that I don't have on file. They are Word documents, so you can a...
  18. breastfeeding gone wrong

    I agree with the others who say, this is probably an apneic epidsode (or choked up on some mucus?), which happens whether at the breast or not. Baby just happened to be at the breast at the time. As moms who have nursed will attest to (think of nursi...
  19. IBCLCers? Started down the road, anyone else?

    If you don't find any luck here, you can also check out the Yahoo Group IBCLC2B Best Wishes! mm
  20. Mandatory prenatal HIV testing

    Does anyone know if prenatal HIV testing is legally required? On our unit last night, we had a note that stated that if there weren't the two legally mandated HIV tests on pt's prenatals, that we are to order a rapid HIV on admission. So I just got ...
  21. Medical termination of pregnancy.

    Probably sounds harsh, but to be honest, I feel the same way. And it tends to happen this way, too, doesn't it (ours really tend to come in the proverbial 3's so we'll have several days in a row or a week with several of these cases)? One a unit with...
  22. Medical termination of pregnancy.

    Probably sounds harsh, but to be honest, I feel the same way. And it tends to happen this way, too, doesn't it (ours really tend to come in the proverbial 3's so we'll have several days in a row or a week with several of these cases)? On a unit with ...
  23. Home Birth culture in your Area

    Direct-Entry Midwife laws by state: http://mana.org/statechart.html Florida Midwifery laws: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=Ch0467/titl0467.htm&StatuteYear=2008&Title=->2008->Chapter%20467 ...
  24. Survey about Cytotec

    How many births do you do per year or per month? around 1100/yr How many OB/gyns do you have on staff? 6 How many family practice doctors delivery babies? 0 How many nurses do you have on staff for L&D for each shift? usually 4 Do nurses place cy...
  25. Mandatory prenatal HIV testing

    That's what I was thinking/ wondering when I saw the note...