nic900

I agree what I do on my own time is my biz but can u imagine having a patient for several shifts who recognized you from your Media web site?

Thanks-my brain is not working today:hug:

I am a relatively new ob nurse taking perianaesthetic courses (long story). In simple terms (i.e. obstetrical nurses for dummies) why do we give boluses prior to c-sections? I know during surgery, with anaesthesia our blood pressure drops but physiologically, why? Thanks

I live/work in Ontario, Canada. The resources I personally go to regularly are: SOGC website, NRP, AWHONN, WHO website as well as the CNO and RNAO. Your facility should have developed policies and procedures for dealing with imminent birth, fetal monitoring, preterm labour, eclampsia, etc. On our unit, you have to be a University educated RN with a current NRP certification and at least level 1 of the maternity certificate. Our OB dept is currently taking the MOREOB program. It is great for dealing with obstetrical emergencies, things that you will probably see in the ER with no OB department: shoulder dystocia, postpartum hemorrhage, forceps and vacuum deliveries, etc. We were fortunate enough to have a local business fund enough training for 36 staff: doctors, nurses, midwives and RT's. Part of the training includes lots of skills drills, as well as pre and post tests. I recommend it highly. Good luck.

Yes, I am calm now as I reflect on it so I can learn from it; however, at the time I was ****ing my pants! We only have 2 nurses on the floor (only 1 left on the floor if the other nurse goes on a transfer-as we are a level 1) and so if we are having one OR MORE deliveries, then any post partum moms, newborns, walk-ins, NST's, etc. will be dealt with as a triage scenario: by priority. Part of our preadmission is that moms have someone with them for at least the first night as we may be busy with other patients. I agree, it is totally ridiculous that many times, patients have to rely on their family/friends but it is a reality with today's difficult economy. We are currently keeping track of any overtime and the number of hours we have someone else come to the floor to help us when we are crazy busy so we can appeal to get a 3rd nurse on the floor at all times but as I said, it is a difficult economic time. If someone comes in alone, then we I will do everything I can for her as I do for all my patients but I can only do what I can do. I wish sometimes the public was more aware of what nurses really do on a daily basis so they would realize how invaluable nurses are.

We are a small hospital with no nursery. I'll admit I have had sympathy for multips who are tired and could do with a nap before heading home; however, I don't feel responsible to babysit if there is not enough staff. I will mind the baby for a short period but if I need to attend to another pt, the baby will have to return to mom. When I admit a pt, I always tell the moms they should have someone with them always in case we get busy. Once I had a mom fall on her way to the bathroom, hemorrhage and lose consciousness. Thank goodness she had her mom with her.

Then ask for more information and if you can't answer the question, then move on-it is you who was disrespectful first

I don't know all the details. I wonder if anyone has information so we can all learn from it. http://www.thebarrieexaminer.com/ArticleDisplay.aspx?e=2833581&

It is a great opportunity for students. When I was a student, during my ob rotation, I never was able to see a birth. The nurses there always said the woman refused but I think they (the nurses) just didn't want us in there. They were awful to us-just made us make up the folders for new moms. Now I'm an L&D nurse and see births all the time but I will always remember what it was like to be a student and seek out opportunities for them. I always ask the woman first and I have not had any say no. Having said that, it is your body and nobody would blame you for wanting to keep this experience private, especially considering if you know the person. When I have a woman in labour, one of my first questions is who would you like in the delivery room. I am kind of like their bouncer. Labour is hard work and you need to feel totally comfortable. Although when I was labouring the entire hospital could have been in there and I would not have cared. It is your choice-if they are your friends, they will not judge you. Good luck.

In order to make my patient's experiences "extra special", I give them the best care I can give. I ensure my care is competent and safe and always try to treat them with respect. I would not babysit on my own time because that is when I need to recharge myself and look after myself and my own family so that I can return the next shift a whole person in order to provide excellent patient care (not babysitting services).

Disappointed RN, I think there are many people that feel the way you do. There are many things in nursing school that they just don't tell you. What I don't understand is the reason why people feel the need to put people down. I guess it is because they are so low on themselves it makes them feel better. They probably hate themselves and their own lives that they want others to be just as miserable. I try to review the day as I'm driving home by remembering all the positive ways in which I helped people (listened, back rub, etc.) not by reviewing all the times I screwed up. At the time I make a mistake I always go over it and learn from it so I don't repeat it but if I don't leave the day on a positive note, I probably won't come back. Remember one thing, you are responsible for your own license. So make sure you are giving safe competent care. You are responsible to the college of nurses and your patients as well as the facility where you work. Your coworkers and the doctors are NOT YOUR BOSSES. They are also members of YOUR TEAM. Even though THEY may forget that, you must think of that everyday. Speak up for yourself. If you disagree, say so and tell them intelligently why. When they chew you out in front of patients, pull them aside and tell them that it is unprofessional and rude and if it is a learning opportunity, learn from it and move on. No nurse or doctor is perfect. Leave the stress of yesterday behind and start tomorrow with a fresh attitude, and if you can't then consider other careers. Good luck.

If people didn't get into it for the money, then there wouldn't be very many nurses. Nursing is hard and very little respect is given to nurses nowadays. Plus, patients are more acute with multiple issues and there is a greater patient to nurse ratio. Nursing is hard - period.

Actually, in LTC, RN's would be in charge and monitor the RPN's and PSW's. Although not an acute care setting, still a huge responsibility.

Sorry "cherrybreeze"

The ng was iced but we ended up calling the doc to deal with-probably enemas till clear. Thanks guys.