cradlecrewer

Does anyone know if a CNA can move from state to state on the same certification? I don't know what to tell a friend that is moving. She is a CNA. Does she have to be certified in that particular state?

How about.........Wake up and get out of that bed, it belongs to the patient (while she sits in a chair)!!! or....no seriously..I don't mind stepping over your little blanket beds you have made in the middle of the room for ALL your family members. Ugggg!!!

The part of the country that I live in tends to cater to male nurses, and the male nurses really eat it up. They are cocky as hell, and the women love them. Well...except for us older nurses that think he is what he is...cocky. We aren't impressed with that. This is where I live...and the hospital I work at. Please..I know it's not like that everywhere.

BAHAHAHAH.....this is SUCH A COOL IDEA!...sneaky too..I love it

Two separate things....effacement is the thinning out of the cervix, so if you are 100% thinned out (or effaced) your cervix is paper thin. If you are dilated 10 cms you are "complete" or "fully" which means you can't feel ANY cervix.

I am printing this out and taking it in to work. Thank you.

How does that happen!!!

Childbirth becomes a medical issue when it is complicated with complications...those are the ones I am referring to. I'm talking preterm labors, PIH, uncontrolled gest diab, partial abruption, prolapsed cord, thick meconium, HELLP syndrome...etc. Not the run of the mill normal labors.

I worked in MT for a yr and a half. In that time I racked up so many bills I had to leave. The cost of living was way higher there than where I live now and the pay was way less. Too bad too...my familly lives there.

----------------------------------------------------------------------- this is where they "got me" where it says "except in workplace environments that by their nature of business provides for ample opportunity to rest or take an appropriate break". that's where the "you make up for it during slow times" comes in. i don't think i can win this one. it's been a topic of my frustration for a very long time. isn't my employer required to provide breaks and a meal period? state law requires that each employee scheduled to work six (6) consecutive hours must have a thirty (30) minute meal or rest period, except in workplace environments that by their nature of business provides for ample opportunity to rest or take an appropriate break. the failure to give a (30) minute meal or rest period is a violation of state law only. there are no state or federal requirements for additional breaks. the federal law does require breaks of less than 30 minutes in duration to be paid if the employer chooses to grant such breaks. title 50-2-103 (h)

I have brought this concern to all of my managers (past and present), and nursing administration several times. One of the Director of Nurses asked me, "just what would you do for 30 minutes off the floor?" Of course I told her "what difference does that make?" She blew it off, as did everyone else. I've looked at our policies, and they clearly say we are to have this time. Working 12 hour shifts with no down time to eat/rest/recoop..etc, sucks. If I bring it up I am labeled as a threat or a trouble maker and will soon find my way out of a job for whatever reason. It's very frustrating.

For the last 10 yrs my employer has deducted 30 minutes from my pay every day that I have worked for "lunch". I work in a small hospital, so at any given night it is just myself and the nursery nurse working, who can't leave the nursery. I can NEVER leave my floor for lunch..EVER. And forget any breaks! The supervisor doesn't know L&D, so he/she can't relieve me, but they deduct my pay anyway. I am either tending to patients or answering the phone, or doing something. My problem is...if I don't get an uninterrupted lunch time (if I get any) they shouldn't deduct that 30 minutes. Over the course of 10 yrs. this adds up to a substantial amount of money!! Their answer is..."you make up for it in the slow times". This makes me so angry! I'm thinking there must be a law against this practice. Anyone with the same problem?

It's the unreasonable ones that upset me. Have you ever sat on a laboring patient with PIH who refused an IV access (not in her birth plan), and then seized? Not pretty. Have you ever been in a deposition where a baby died because the patient came in in early labor having decels, but chose to leave AMA until she was in "active labor"(as per her birth plan) only to return the following day with no FHT's. I could go on...trust me, I have my reasons for not liking birth plans. I'm happy for anyone that has never had any bad outcomes, but I unfortunately have. I am not a control freak. I love my job, but let me do it!! That's all I'm saying.

Hi...I would be the original poster. I guess I just don't understand why fellow nurses would have a problem with this post, especially those who work L&D. I have worked in this area for 23 yrs. I have seen my share of bad outcomes. My job is to get a healthy newborn (and Mom) out of the deal, not a dead one, or one that is disabled for it's entire life. I know my job and I do it well. Maybe if I put it into this perspective those who don't work L&D would see my point. How about someone coming into the ER with chest pain,sob,pain in L arm, that has an "MI plan"? Or maybe someone coming in unable to speak, drooping on one side of their face, and unable to communicate but has their "CVA plan"? Or, a parent with a sick child that has their "menengitis plan". It's rediculous. My view is...if you come to the hospital for any reason you should expect the experts to take care of you doing what they know to do. Otherwise, stay home! (dodging daggars)

"No, she doesn't need pain meds" why does this bother you? If the woman wants pain meds then she can ask for pain meds; especially if a mom makes it clear from the beginning that she wants a natural birth.Are you explaining why she needs to get off her back or are you just dictating her to do so. I find that when you give a quick explanation as to why pt are more will to comply. Like some one else mentioned, every birth is different. Just as every woman is different. ----------------------------------------------------------------------- It bothers me because I don't think that a woman SCREAMING in pain should have to ask her boyfriend if it's okay to take something, and he doesn't allow it because it isn't in her "birth plan". And, yes..I explain everything to my patients in a very professional manner.

Yes, I'm old and rickety...but, I HATE birth plans!! Especially those that include NO vag exams unless she needs to push (wth), or NO IV access (wth), or NO fetal monitoring (WTH!!) etc..... It just annoys me to no end that a girl comes in and tries to tell me what is best for her and her unborn baby, and totally interferes with efforts to keep her and her baby safe. Then there is the sig other that really annoys me by being the patients mouth piece. "No, she doesn't need pain meds", or "No, she doesn't want to lay off of her back".(when having variables down to 60x60...UGGGG!! These people need to just have their babies at home, and leave my nursing license out of it!!! Anyone else bothered by birth plans? Maybe it's just me.

YIKES!! Besides YIKES...although that would be good if you wanted to know what a closed/thick/high cervix felt like..I ain't doing it!

OMG!! One of the first breech deliveries I assisted in was a preterm (27weeks) TWINS!!! The first baby delivered just fine...the second was a nightmare. It was breech and the head got clamped down on. The doctor had me holding the little legs up while he tried to manually remove the head, pulling and tugging. It was horrifying. I thought the neck would surely be broke. Quite a frightening experience. That was 20 some years ago, and it still haunts me. This was a family practice doctor who refused to call in the OB (pride you know). Stupid Stupid mistake.

10 cm's you don't feel ANY cervix, at that time they would be complete. An anterior lip is when you can feel just a "lip" of cervix on the anterior, and no where else. I would probably call someone 9-10 if they had an anterior lip. The spines are difficult to feel, I usually run my fingers along the insides where I know they should be. Practice is all I can say about that one.

This is a rediculous guideline. I work in a small hospital, where I AM the charge nurse, and I AM the labor nurse. We have just started using computer charting that is HORRIBLE and time consuming. It is so unsafe to labor two at a time!!! These people that make these guidelines need to come job shadow me. UGGGG!!!!! I work nights, and I am lucky if I have a post partum nurse on call. I'm it people...whatever walks in.