k-t-did

Keep practicing. People can overcome phobias with repeated exposure. Do no take Xanax! Seriously? You don't want to be a practicing RN with those drugs onboard. Not safe.

I was a CNA before becoming an RN. I mostly had good experiences with my RN's as a CNA...but I was not lazy! I work with techs now that are hesitant or slow or attitudinal to nurses delegation. What many cna's have no concept of is the absolutely crippling amount of charting nurses must do....and the time it takes. They also seem to downplay the responsibility that is on the shoulders of the nurse as far as patient outcome that they do not have the burden of.

I love me some OR. I would say 1/4 of my deliveries would typically end up there, but I volunteer to circulate often because I enjoy it, so it's probably a higher ratio for me. OB nurses will never completely avoid the OR!

We have "delivery kits" which are locked plastic boxes with 800 mcg of cytotec, a vial of lidocaine, some methergine, and extra pit. They are taken to every delivery. Hemabate has to be refrigerated. It also would be given AFTER the other drugs were already tried and failed, in my experience....so I wouldn't keep that bedside. Someone could go grab it if you think things are deteriorating to the point of needing it. I find that people who have strange, over the top habits like that, have lived through a bad scene....and that makes them feel safer.

As a nurse manager in L&D I would LOVE to hire someone for L&D who had a passion for it and had critical care experience! Same with OR experience. Keep trying!

I have found that shooting the efm at an angle very very high on the fundus (like you would for breech, or even higher) can sometimes help trace baby in an obese woman. Tends to be less adipose tissue there, and THROUGH the panniculus is basically impossible. other option, sometimes, is to get the mom to lift her belly up, find ht under there and then lower the belly back down to hold the efm in place. Our koala rep came by recently and gave us some disposable tocos to try. They are supposed to be better for big women.

I have never been specially trained to scrub, but I can in a pinch. Honestly, all you need to really know is sterile technique, and how to count! In an emergency, the MD can point and tell you what they need. A patient physician can get you through any situation! That all being said, I am working on setting up training from the head of our surgery department to inservice all the L&D nurses can take a short class to learn the basics of scrubbing.

My favorite that comes FREQUENTLY because it's on an online checklist... "We do not want fetal monitoring unless our baby is in distress." Ok honey. I'll just wave my hands over your belly and say, "hmmmm......I think.....I feel...hm.....probably not in distress.." Or just whip out the crystal ball. Seriously? Do they even think?

We have the wand, and don't touch the field, so clean gloves are all that is necessary. When inserviced by our rep, Chloraprep was taught to aggressively friction-scrub back and forth over the actual incision area, then use wide overlapping strokes. The prep must dry to work...do not drape too early....we let dry 4 min minimum.

Let's see...I've seen maybe 1/2 dozen or so in 3.5 years as a L&D nurse. Usually no complications at all and undetected until birth. Usually u see it and go, "oh...so that's why she kept having variables!"

I start next month as a new grad and make $19.85 base plus $4.00 night diff, and $2.00 weekend.

I have worked two years as a CNA. We do report pain levels to our nurses and are required during hourly rounds to ask pain scale.

I have deep respect for CNA's...I AM a CNA. but they are NOT nurses. I finish RN school in two weeks, and believe me, CNA training is not even a dot on the map of being equivalent. She should be reported to the supervisor.

I'm a panola student, and just wanted to say that it is complete BS that local hospitals will hire a NSU grad over a Panola grad. It's simply not true. WK partners with NSU, indeed. But it's a local school/local hospital. It makes sense. Why would an East Tx school partner with a Shreveport hospital? Sure, they will make space for the few NSU grads that go through with their partnership, but that is not to say that they would hire ANY NSU grad over a Panola grad. In fact, LSU will not hire NSU grads straight out of school to work in their ER, but routinely hire fresh Panola grads. We graduate with ACLS straight out of school. That's just one example... I work at Schumpert, and have done clinical at WK...I have heard on several occasions that the nurses LOVE when the Panola students come because their attitudes are much better. Now, I don't know why they would say this were it not true, at least in their opinions. NSU gets a bad rap for many reasons, one of which is the superior, cocky attitudes of the students. This is also quite evident in this thread!

I know when we were doing clinicals the CNA's sat around and did practically nothing while we did all the work, so I would hope and pray they would vote "help". LOL