MKPRN

MKPRN

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All Content by MKPRN

  1. RN License plate

    I am a L&D nurse and have had STORK RN as my plates for a long time. No one has ever bothered me because of this. I am super proud of what I do. So I don't think there is anything wrong with it....
  2. Who out there is doing standardized pitocin orders?

    My hospital has standardized Pit orders. We also have slow pit orders for cervical ripening. Pretty much the Pit is to turn in up 2mu q 30. If you aren't turning the pit up q 30 you need to document...
  3. Oh and BTW, I just took a new job at another hospital in L&D and had to sign a contract that I would get my BSN within 5 years of hire. I don't want to start an argument here. I am just telling...
  4. What I meant was, that in specialized areas of the hospital such as OB, surgery, peds, ER, they are now expecting you to have a BSN. The Children's hospital in my area won't even give you an interview...
  5. I think the most important thing to do is to get your BSN done. All the hospitals in my area are all going to eventually require a BSN of all their nurses. I think they are saying by 2020. IMO,...
  6. I recently found out my unit is closing and I am now on the hunt for a new job. I have not been on a job interview in over 12 years. I am applying for hospital jobs. PreOp nurse, Mother-Baby floor...
  7. Can you be a pp or mother baby nurse without doing l&d?

    Yes, at a bigger hospital you can. A lot of nurses that do L&D start out on post
  8. NRP course?

    Read the book and do the practice problems at the end of the chapters. If you can answer the chapter questions you will do fine on the test. Make sure you know the flow charts for
  9. Online Tutorials: Electronic Fetal Monitoring

    Here are a couple sites I used when studying for my C-EFM: Quillen College of Medicine, East Tennessee State University QCOM - Fetal Heart Monitoring - Home Page ACOG tutorial with test questions ACOG...
  10. Umbilical Cord Blood Gases

    I recently took the NCC EFM exam and passed. AWHONN Fetal Monitoring Principles and Practices was enough to help me understand what I
  11. This is an exact situation that isn't always about what you know but WHO you know. Definately talk to the managers! They are the ones that are going to scoot your application past HR. Also talk to...
  12. What..work with NO residents??

    I work at a hospital exactly like the one you describe except no OB in house. I work nights and the only doctor in house is the one in the ER. However, when things are going down we don't call the...
  13. VE prior to epidural

    I typically VE my patients before and after epidural placement. I probably wouldn't check if my last exam was less than 1-2 hours prior. If my patient is hurting I want to know where they are and how...
  14. What would you do?

    Is the patient pushing at this point? That is what I am thinking but not a lot of info to go on. If she is pushing, first stop pushing, see how the kid recovers and notify the MD. If the MD was in...
  15. FHT question, where is the variable on this strip?

    After looking again, the 10:20 spot may technically be a variable by definition. The baseline looks to be 145 and at 10:20 the FHR drops to 125-130. I would not even treat this, it is a category 1...
  16. FHT question, where is the variable on this strip?

    There are no variables in this strip. IMO there is not a greater than 15bpm decrease to classify this as a deceleration. NICHD defines a variable deceleration is as an apparent abrupt decrease in FHR...
  17. How to get Advanced Fetal Heart Monitoring

    I have taken all the AWHONN fetal motoring courses. They were great. You can go to the AWHONN website and search for courses in your area. Having taken Intermediate and Advanced, I would highly...
  18. New Grad to L/D

    I have been an L&D nurse for 10 years now and still have times where I am questioning myself. When this happens I go to my coworkers. They can be a great wealth of knowledge and help to you. We...
  19. Effacement

    The way I was taught effacement was to imagine 10 saltine crackers stacked on top of each other. Each saltine is 10%. So if your patient is 80% effaced the cervix would feel like the thickness of 2...