CNM 26.2

CNM 26.2

L&D/Postpartum/Newborn, Home Health

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All Content by CNM 26.2

  1. When nursing staff ask for medications

    I work in a hosptial so it's a little different situation but our pharmacy created a whole "employee med" section that is accessible pretty much to everyone-it has OTC meds for just about anything....
  2. New to nursing but arleady tired of freaking politics.

    Because, unfortunately, we live in a litigious society and a law suit is always ALL about the paperwork. The more complex the case, the more imporant the paperwork. It's sad but
  3. Patients who stay on the phone when you come...

    If a patient is on the phone when I walk in the room-I am very understanding-they didn't know I was about to walk in. I will stand at the bedside for a few seconds and if it doesn't seem like they...
  4. "It's a Family Affair....."

    My general rule of thumb is if the family is there for support for the patient and they are not causing problems they are welcome. I do have a problem with people that think they are "entitled" to...
  5. Excessive write-ups at work

    What do you mean by "write up" are you referring to a disciplinary process or are you referring to something like an incident report? A lot of times incident reports get a bad rap but really they...
  6. Best RN jobs to have more time for children/family

    I second the home health suggestion. I did it for awhile and the scheduling was a definate plus!!! I would do the same~start at 8 am (occasionally I'd even have a patient that would request 7 am!)...
  7. Improvement Ideas

    A baby is not a gift from the hospital-it's the couple's child-they made it, the mother grew it and then gave birth to the baby. We should be honored that they allow us to take part in this wonderful...
  8. What do some L&D nurses have against doulas?

    I agree with klone. Most of the time I love when patient's have doulas but there are those times when the doula can be very overbearing and even to the point of being rude. For the most part, nurses...
  9. 10 Things to NEVER Say to a Nurse

    Some of those are pretty funny but I'm not a fan of "doctor bashing" to make nurses look better. Doctors have their own set of problems to deal with and just because we do different jobs does not...
  10. I need help...keep forgetting to waste narcs

    I agree, do it when you waste the med. If the other nurse gives you an excuse just point out to them that wasting at the time is the best practice and it's your license on the line too and you want...
  11. Complications from HCG injections?

    I did the hCG diet last year before doing a lot of research on it. I did lose about a pound a day but the diet is SO strict that it's impossible to follow. You have to eat 500 calories a day but...
  12. Why do nurses eat their young?

    Mindy~ I am so sorry to hear that you are having a hard time in your new job. I must say that I wholeheartedly agree with rn/writer. It is very upsetting to experienced nurses when a new nurse comes...
  13. pitocin and oxygen

    Oxygen and pitocin together are not contraindicated from a "drug interaction" standpoint. However, think about why you are using each drug, what it is doing and that will tell you if you should be...
  14. Advice on SVE

    I'll second the idea of having her place her fists under her hips-and if the cervix is really posterior sometimes that's not quite enough so I'll even just ask the patient to lift her hips up higher...
  15. Medical Assistants and MD orders

    I also used to work in home health and I had it out with a doctor once because his receptionist called in an order because it was so obscure, I told her I needed to either talk to the doctor or the...
  16. Funny OB things people say

    Phone call rec'd at 1:00 am..... "Hi, this is Jennifer, I had a baby there a year and a half ago, did I have any complications?" She became a bit upset when I recommended she discuss this with her...
  17. Homebirth Gone Awry

    Beachmom, I could not agree more. I recall a situation where a physician sent a patient in for induction at 39 weeks, with an unfavorable cervix and when she was not progressing fast enough and had...
  18. Funny OB things people say

    I recently had a patient whose mother for some reason, assumed that the patient's right breast would not produce milk so she asked me the following question..... "Her right titty ain't makin' no milk,...
  19. I agree that L&D orientation can be overwhelming and that may very well be what you are experiencing. L&D is a specialty and there's a lot more that goes into it than some departments....
  20. Hysterectomies and PMS

    I also had a hysterectomy but left the ovaries a couple of years ago and like others have said, for a few days every month-around the 25th I also have breast tenderness, I turn into a bear and I want...