nocturnalnurse

I was looking at the website mentioned for outcomes calculation, and I think I have seen it before, but it appears the data was based off of evidence collected between 1998-2003? Not the most up to date, do you know of any source for calculations tha...

Our hospital started participating in the Halo Sleep Sack (SIDS prevention) program. We purchase Halos for hospital use and then, at discharge, provide a new unused unopened halo sack for families to take home. (Obviously we also provide SIDS preve...

not a CRNA, just a nurse who asked "why aren't these epidurals working?!" and found a great anesthesiologist to explain it all. Better educated nurses=better educated patients=happier patients!

Epidurals can fail for many reasons. Sometimes technique or circumstance causes a poor placement of the catheter. Sometimes patients anatomy can cause problems with how the medication travels in the epidural space. Asymetrical blocks or "patchy" bl...

C-EFM should prove suficient competency in fetal monitoring. Congrats on passing, by the way! I would think the course, therefore, would be irrelevant. My institution requires the certification and doesn't really care if you take any prep courses or ...

I have only had a very rare complaint about a binder causing incision irritation. It has been easily fixed by placing a pad (without the sticky side) on top of the incision before placing the binder on (we usually do this anyway once the dressing is ...

Both bradycardia and tachycardia are known possible side effects of epidural anesthesia. I have seen both. epidural placement particularily at the L2-L3 location block sympethetic outflow to nerves that effect vasomotor nerve fibers that can effect...

You mean people WANT day shift? *shudders* all those people. doctors wanting to DO things with patients, management and other weirdos from the hospital milling about, phones ringing... lol jk I'll probably go to the grave working night shift, happil...

Ok, in my defense I love the Doulas in our area because of the wonderful support they provide to our patients and I'm not against birth plans at all...HOWEVER...I've heard some weirld things, especially recently, and have seen things taken to the poi...

I am very proud of our orientation for new L&D nurses. Sometimes it seems a bit excessive especially considering we, technically, don't do high risk and don't deliver (on purpose) below 34 weeks. Then that 32 weeker post MVA in severe respirato...

I have a thing for those babies that had nothing wrong until a perinatal event....abruption, uterine rupture, shoulder dystocia.... We almost never get to keep them which is fine, I like the stabilization period awaiting the transfer team then helpin...

We use terb. Not near as much as we used to not as many doses and only as sub q shots, no longer pumps or iv. We don't have a policy and are expected to know the drug we are administering just like any other drug. If you know it, it's risks, it's co...

We have multiple nurses and a few obstetricians who never had children if their own, some by choice some not, and all are excellent at their job. Everyone, even those who have kids, sometimes get frustrated with certain situations like the ones you d...

Midwest here...a new grad gets paid approx 21/hr. Our shift diff is only 1.25. We get paid the same as normal nurses at my hospital but ate required to be certified and hold current on NRP, BCLS, STABLES, ACLS,ALSO and CEfM and a few of us like me ke...

We have mom's up and running around the unit at 4-5hgb and are juststarted on iron and others who are super symptomatic and getting transfused at 8... it's really individualized. We do, however, give blood before counts drop on severe postpartum blee...

I am a freak for how peripheral IVs are taped! I hate nothing more than yards of tape all over those poor baby extremities. They get awful tape burn from that and it's uneccissary! Like using an elephant for a paperweight! And for the love of god...

Quiet environment is really the best thing you can do. Keep less sick babies happy to help prevent loud crying. Put infants needing sound restriction in isolettes with the tops down/sides up to dampen outside sounds. Have your nurses give report t...

you must not have typed the right thing in the search on you tube because they have some decent vids. try typing in newborn respiratory distress grunting. that may get more medical legit. hits for you

to be honest we don't have a freestanding NICU at my institution so when we do see interesting things it can be quite the learning experience (and usually completely unexpected/undiagnosed prior to delivery). I consider working in a NICU every once ...

anesth. came up to help us tube a bad baby...4.5+K kid and they pull our 4.0 that "slipped" in and stick in.........a 2.5! lesson learned, don't call anesth. for help, we were doing just dandy on our own lol The level IV team (we only have level ...

I think your experience especially in oncology will likely give you a hand in Labor and Delivery/OB. you've seen how important that family unit is. You've had opportunities to be creative in patient care and individualize care to each and every ind...

My advice is to ask for more orientation if you need it, and if they deny it and you are on your own- always ask for help or a second opinion if you need it. Your co-workers should be supportive of you. We all want what's best for the patient's and t...

We had this happen but mom was watching tv and eating supper. Thought it was odd that the blanket was moving around so called the nurse. All was ok and mom and dad thought it was funny. Never trust the G1 cervadils you are sure are going to do not...

doulas are not suppose to hold a medical role in birth so I would say having your RN would not necissarily help you. Some states will actually require you to uphold the highest standard of care for your highest level of certification. for example- yo...

we just started a new facebook page for our specific unit. over 200 "likes" already! we are looking for any ways possible to increase our census. the "bigger" hospital is sucking the life out of our business! baby friendly noises were made but i...