Stacy in North Texas

Stacy in North Texas

L&D and OB-GYN office

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All Content by Stacy in North Texas

  1. Plastic surgery office nurses?

    I'm an R.N. in an Ob-Gyn's office. He recently opened a 2nd satellite office in a nearby, but more rural area. He is interested in bringing in a 2nd doctor, who happens to be a plastic surgeon. They would share the 2 offices, each having office ho...
  2. Physician office job

    Drop off your resume at offices you would like to work in. Be aware, though, that many Ob-Gyns don't hire RN's anymore, they hire MA's to save money. I'm sure there are some out there, though, that will hire an RN. Also, when doing a job search, u...
  3. Charting blood draws in an office

    For those of you who work in an office setting and do blood draws, what do you chart regarding the blood draw? The office I am now working in charts nothing. The MA's and RN's who do blood draws do not chart anything about from where and how the bl...
  4. Late decel?

    A late is a late and a sign of distress, even if it has good variability. You are right that the lack of variability only makes it even worse. The fact that she said you don't have to chart them is disturbing and wrong. The usual interventions sho...
  5. As a Nurse what are some things that make you sick?

    I worked in L&D for years, so I got used to urine, feces, vomit and blood real fast. Suctioning mucus makes me gag, but the worst for me was witnessing an orthopedic surgery on a pregnant woman. I was there to monitor the fetus. The mother had...
  6. Question from a new nurse in L & D!!

    16 weeks is more than I got. I got 12 weeks in L&D which included some classroom time with other new grads. I think it was enough. 16 weeks will be enough for you to take your own patients, but you will still be learning after that, and that i...
  7. Thoughts and ramblings from a tech/student

    That is neat! Thanks for sharing. You are going to make a great nurse!!!
  8. Vastus Lateralis

    The VL is great, just be sure to know the best route of admin for the particular drug you are giving. For example, I often give Depo Provera IM injections, but the manufacturer recommends giving it in one of the gluteal muscles.
  9. OK, Cultural question here, please forgive the stupidity.

    Hi. My 2 cents here. I would just add that I think the vast majority of Muslim men who are in an American hospital are aware that the vast majority of their nurses and other care givers might not also be Muslim. I don't think they would expect a n...
  10. Reglan and Compazine IV push policies?

    I worked L&D for years and we frequently gave Reglan IVP and I never saw any complications. We did not give Compazine. I agree with the previous poster, you should not be giving a med one way and charting it another! You could get into big trou...
  11. Circulating c-sections

    When I worked in L&D, we had our own ORs (2 of them) and a 4 bed recovery room. Whether it was a planned C/S or not, the nurse assigned to the pt prepared her for surgery (IV, Foley, Shave, etc.) and circulated. All the RN's were trained to do ...
  12. jacuzzi use during labor

    I hope your facility actually gets to use them. The hospital where I delivered both of my kids had jacuzzi's in the LDR's, but the nurses said they rarely got used because the MD's didn't like them. The MD's wanted continuous fetal monitoring which...
  13. Pregnant & Working... When to Tell?

    I would tell them sooner rather than later. It would be better if they knew before you are potentially assigned a pt that might not be good for you to care for. I worked in L&D when I was pregnant with my 1st baby (also in a very busy teaching ...
  14. High-risk long-term antepartum patients, what do you do?

    Interesting. When I worked in L&D we would keep people on Mag in one of the LDRs. It was policy to keep them in L&D for as long as they were on MAG, due to the frequent assessments necessary, even if it was for weeks. Only when they were o...
  15. What Happens If the Nurse Didn't Aspirate For H1N1?

    I got the seasonal flu vaccine at a Walgreens. Even the pharmacist that administered it to me knew to aspirate. I was taught to aspirate and that is what I do. I think it should be done. It only takes a second.
  16. Labor and Delivery nursing

    L&D nurses generally do not teach mothers to care for their newborn babies. L&D nurses are (generally) there during labor and delivery and for about an hour afterwards. The moms (in many hospitals) get transfered to postpartum after that. ...
  17. I would like to work in labor and delivery. What should I specialize in?

    If you want to work in L&D, you should study/specialize in obstetrics and gynecology. Neonatology is what you would study/specialize in if you wanted to work in a newborn nursery or the NICU. Generally, L&D nurses do not care for the babies...
  18. OR -C/S QUESTIONS

    The surgeon (OB) catches (or rather pulls out) the baby. Yes, he or she wears a sterile gown and gloves (it IS surgery). He or she places the baby on the warmer. If it is a high risk case, the NICU nurses attend the delivery and assess the baby an...
  19. Dismissed from Nursing school

    Just from what you have written it does not sound like grounds for dismissal from the program. I mean, come on, you are a STUDENT. Students are not perfect and students make mistakes. Is this really the basis for your dismissal? Is this what you...
  20. labor/postpartum UTI

    I'm saying this with love from an "old " nurse to a new one, okay? You do realize you should have discarded that foley kit when you broke aseptic technique, don't you? You should not have inserted that foley. It's okay to get another one if it gets...
  21. I Am Feeling Like the Biggest Loser...

    I am an RN with an ADN. I took a break from nursing for 9 years. I didn't want to go back, but had to because of the economy. I also did not want to have to take a refresher course. SO, what I did was ask a doctor friend of mine if I could come i...
  22. What's the weirdest baby name?

    Lemonjello, Orangejello, and Nosmoking (pronounced Nozmo-king) have been making the rounds for years at Parkland in Dallas. It seems like every resident "swears" they personally heard a mom name her baby those names. I think it is an urban myth.
  23. How long before you were a charge nurse?

    I was made one of the charge nurses after working 1 year (after graduating) in L&D. I did not get any extra pay, and it was "on the job training". Of course, being such a large unit, it was a shared position. I did not have to do it every shif...
  24. I was trying to fold up a fold out sleeping chair. It was stuck, but I kept trying. I put all my weight into it and it finally gave, but it made me lurch forward very quickly and I hit my head on the edge of an inside window ledge. My preeclamptic...
  25. Should I go to work tomorrow

    Doesn't sound like a cold to me. Call in sick. Sometimes calling in sick is the most responsible thing you can do as an employee. You should see a doctor, too and get a note stating you were/are ill.