Darchild77

doctors insulting you in front of pt and co workers other nurses belitttling you to others while you can hear them backstabbing between every shift having to put in 15 years before you aren't considered GREEN anymore having all the other units in the hosp. hate you and be rude because they think you have it better having an on call doc whine about coming in or better yet, try to make you sit on a patient that you know needs to be seen, until 7am

doctors insulting you in front of pt and co workers other nurses belitttling you to others while you can hear them backstabbing between every shift having to put in 15 years before you aren't considered GREEN anymore having all the other units in the hosp. hate you and be rude because they think you have it better having an on call doc whine about coming in or better yet, try to make you sit on a patient that you know needs to be seen, until 7am

of course not- not willing to lose my whole life(jail )over a stranger . But if it was me or my family, the answer may change. If I was a quadrapalegic and had to be on a vent etc.. I would want one of my family members or anyone to put me out of my private hell- I know I could not live like this-but I would not want them to get in trouble with the law, they'd have to be creative. mind you, these would be in extreme cases such as the boy who could only talk by blinking his eyes, and asked his mom to end his life. In this case, it was documented by several different people( wrote a book with the help of others) that he did not want to continue living, therefore, I don't think his mom should be punished.

of course not- not willing to lose my whole life(jail )over a stranger . But if it was me or my family, the answer may change. If I was a quadrapalegic and had to be on a vent etc.. I would want one of my family members or anyone to put me out of my private hell- I know I could not live like this-but I would not want them to get in trouble with the law, they'd have to be creative. mind you, these would be in extreme cases such as the boy who could only talk by blinking his eyes, and asked his mom to end his life. In this case, it was documented by several different people( wrote a book with the help of others) that he did not want to continue living, therefore, I don't think his mom should be punished.

well it's been about 2 weeks and he is now in inpatient rehab. He has footdrop and they tried to electrically stim that muscle with no response. This scares me!!! He will be non weight bearing for 4 months!!! lost his job and is painful:it's a wonderful life! FYI to any nurse that might do this: when a pt is writhing in pain and the pain meds aren't helping don't ask them if they are a drug user because it is irrelevent. It's not like you would withold meds because they are, and he was already asked when he was initially assessed. you don't ask when they are out of their minds inpain!!! anyway, they say he will come home on friday, but they restarted his IV saying he's dehydrated, has increasing BP and a HR of 130 since his injury occured. Also had a fever for 7 days without antibiotics: is this the norm?

as to regards of the ET tube, the CRNA is the one that does this. at our hospital nurses do not intubate, so I used the 10 french method until the crna came over to use the ET tube. And BTW, the crna got his *** chewed for leaving his patient(the mom), so he turned on me and told everyone that I froze!!!! kinda ruined the whole experience for me, now everyone really thinks that I froze!!!!!:angryfire Now i'm just embarrassed:o

My husband was riding his 4 wheeler yesterday, when he roled it over. After it hit him, he had to get up, push the 4 wheeler back on all fours, and ride on it side ways home. Once he got home, we somehow got him in the car and to the ER. X-rays showed that the "ball" of his femur went right through and crushed his socket on one side!!! He was then transferred from our hospital to a hospital that actually does orthopedics. He won't be able to have surgery until friday or monday due to inflammation, but they will have to reconstruct his socket, and in the future may need a total hip replacement!!!!! He won't be able to bear weight for at least 3 months, after waiting so long for summer, he will not be able to do anything. Just to add to our worries, he has 0 insurance (I call him my hubby, but haven't married yet). I'm just wondering how long until he can actually leave the hospital, and if he will problems walking or being active in the future because of this. I just never imagined something like this would happen, and feel as if our lives have been turned upside down!! I'm scared.

Actually, I would not have a male nurse care for me, and chose not to have a male doctor either. I don't think that makes me an idiot, just a little uncomfortable around men(child hood experience) and self concious. I don't think it's fair to say that these women are idiots when you don't know where they are coming from.

Well, here's my experience: I'm not married, but have been with my guy for 6-7 years and we have a 5yo son. 2 years ago, I came to the same feelings you are having now. I felt we just weren't right for each other and fought way too much. I had tried leaving before but was always convinced to stay. But 2 years ago, I finally made up my mind to leave and have our son come with me. We shared custody and got along ok-his family was more rude to me than they should have been(I am still my son's mother for pete'sake) On my own, I bought my first house, got my first nursing job, and had my first adult relationships(besides him). After time went on, we started being friendly again, and he started coming over to my house, then staying over, then moving in. We still fight, the same things still annoy me, but our time apart allowed both of us to grow into different people, and we fell in love all over again. As for our son, this was a difficult transition(and he's autistic) and he didn't quite understand what was going on, but that was a sacrifice I needed to take in order for us to all be happier. And I still believe that-a child isn't going to be happy if the parents aren't happy. I guess I did'nt really give you any advice, but wanted you to know others go through this too. Don't stay just because you are scared to make the leap. if you've been thinking about this for a long time, then in your heart you know you need to leave, it's just getting up the courage to do so(my experience-I contemplated leaving for years). Hope you will b happy with whatever your heart tells you to do-I feel for you because it is soooo hard!!! Good luck in the future.

I know how you feel, it seems as though everyone onthe planet has heard about your mistakes, and you truly wonder if you are in the wrong place. I've faced these questions myself on the L+D unit-it seems as though every mistake is blown out on proportion,and announced to the world. I say hang in there!! It may take awhile, but you will come to trust your skills and have confidence to blow off condiscending remarks(such as a nurse asking if I even looked at my patient). You do belong, and it will get better, just trust in your self and put your self in a scrutinizing nurse's shoes: catch any minor thing yourself, before she does. :)

Doing nights on our L+D floor gives us a ton of responsibility. It is basically up to us if an OB observation goes home or stays, based on what we tell our docs. When we call our docs, they know to come. I guess I'm getting at the fact that we as nurses know our patients and usually know what's best for them(or the best action). We pick and choose what information is pertinent to tell the docs, because unlike us, the docs don't want to know everything bout the patient. And just for sh*ts and giggles, I'd love to see one of our docs just try and putting TEDS on a pt or try to figure out where and how the internal monitors are hooked up!!:rotfl:

This is usually normal in pediatrics, their heart will spead up and skip a beat in relation to their respirations. This goes away when they get older. If you are truly concerned, seek a second opinion.

We have a nurse who couldn't answer the phone because she had "already clocked out". This same nurse, on a different occasion, watched late decels in a laboring patient for 2 hours without a single intervention-such as a scalp electrode to get a more accurate reading. Of course, when I arrived, she told me I should put a scalp e on. She knew this patient would be a C-sec and just wanted to pass the buck.

I so know what you are talking about, at our hospital, the nurses complain if the meds aren't "on schedule" and that you should get them on the pharmacy scheduled times!! this is rediculous to me, I'm not going to give a med an hour or two early just because it's more convenient!!:angryfire

Having been fairly young when I was pregnant, I myself contemplated abortion(though I changed my mind). So I actually thought about this when I started nursing school and think that I would have no trouble doing this. I believe that every mother should have the choice, and in some ways it would be rewarding being able to help a woman cope and give her support that she may not have. Just for the record I do not believe in partial birth abortions, but that , to me, is a whole other issue. So, to answer your Q, yes I would contemplate this area of work(if I lived in a larger area that had more facilities to chose from), and would be able to give someone a pill to induce a miscariage.

The OB nurse(me) is there soley for the baby with the peds doc. The circulating nurse isn't any of our unit nurses and usually records birth times and helps with the delivery(she's there for mom along with the crna), but this was the first time I've seen them take hands on with a baby. Of course, she did know exactly what to grab when the CRNA stated what size scope he wanted, and knew exactly where it was. Now, I know where these things are, but I would've been alot slower at getting them than she was(not quite sure if I'm supposed to be the one to do this or both of us or what, I'm gonna have to find out soon!!!) Unfortunatly, I didn't have time to even call a 2nd nurse from the desk B4 they got baby out, so I wasn't even thinking bout getting Respiratory. The floor nurses told me later that when they brought the bed back to surgery ,for the pt, the CRNA was just starting the spinal, so they didn't even know that the cutting had begun. The next night I went into our c-sec room and found that there is a call light in there that connects to our nursing station-wish I wouldve thought of that B4, but if anything, this whole situation has made me think a lot more about how to be better prepared. Thank you all for your encouraging words, you all made me feel great!!

Wow, in our small town hospital, we all but lose our med-surg skills associated with G-tubes,heart probs and etc... I have on occasion told the other nurses that I'm uncomfortable taking a pt as you mentioned above. Usually, one of the other nurse will take them, but I feel even this isn't right because the last time anyone had a patient taking Labatolol or a Pt with DVT on our unit was years ago. It just seems that they are jeopordizing their license to me. Nobody on our unit would have the first clue as to hoe to use a heparin drip!!! of course nobody else in our hospital knows what to do for pp hemorhage.

Just wanted to share my experience with you all because it was my first and who else understands me better? We had an emergency C-section the other night and I was the one going to the OR. The operating doc likes to keep his patients on the internal monitors right up until he is removing the baby. So you know who is under the drapes fumbling to detatch before he gets baby out, me. When I got out fom under the drapes I realized that the Peds doc wasn't there and I would have to take this baby myself, I was scared because there was thick meconium fluid. Well they got the baby out, and suctioned out mouth and nose with bulb syringe and gave the babe to me. It wasn't breathing , and was completly stained green. I suctioned babe with suction cath and gave o2 via mask. Still not breathing, HR 90's, I suction a few more times and try to stimulate. Still flaccid and not responding, got the circulating over to help me stim and suction. No response, so we got the CRNA over (mom was a spinal) and He started bagging baby while I did the HR. After 2-3 MIN BAGGING BABY STARTED BREATHING ON HER OWN RIGHT WHEN THE PEDS DOC CAME IN. Apgars were 2-8-9. Baby was fine with no probs. Have to say this was my first time having anything but a healthy no need for suction baby!!! Needless to say I was Sh*ting my pants later thinking about it. But everyone said I did a good job( my place of work is not known for complementing anyone)!!! Just wanted to share my pride with all of you !!!

Started full time nights on OB and wouldn't do any thing else, they did require me to do day orientation shifts, though.

why, flattery will get you everywhere:rotfl: You are very welcome!! At one time our hospital was featured on 20/20 for being one of the leading C-sec hospitals!!Gee, what a thing to be proud about eh! I haven't seen very many complications with our surgicals. They will most likely do a hgb in the am of your 1st postop day- if its low they may give packed red cells- no biggy. If you have any more Q's you can post or PM me I am happy to help!!! And I am very glad that you feel better, BTW I faint when my blood is drawn if its any consolation!!:rotfl:

I had a C-section, and I work L+D. I know smilingblue eyes could probably give you more advice, but here is some of mine. Number 1- it is a lot better that you already know and are planning for a C-sec. When you are admitted they will go over the surgery with you, anestesia will come and talk to you about getting a spinal(I assume you will be awake for the procedure) and what to expect. The nurses will talk to you about pain meds and anti nausea meds you will recieve. They will also tell you about your incsion(doc preference of sutures or staples)and go over TCH and possibly you will recieve IS. You will have a foley, an IV, and a belly shave during admission. Some hospitals use compression boots or Teds also. Lab will come to draw a T+S and other labs in case they would need to transfuse you(possibly done at the clinic the day before). Your incision will most likely be across your lower abd/pubic region-but possibly vertical if your doc decides. During surgery you will feel a lot of tugging and pulling as your baby comes out. They will briefly show you your baby and then bring it to a warmer to assess it. After surgery you will most likely go to a PAR to recover for about an hour(unless they do sections right on the OB floor). When back in your room you will be able to breast feed your baby very soon if all is well. Some babies are natural breastfeeders, some are not. Just remember that it is like dancing and both of you need to learn your role, sometimes frustrating but it will get better. Also your nurses are there to help you with that. The day of your surgery you will remain in bed, catheter in place, there will be a dressing over your stomach. Your 1st Post-op day you will have sharp pain at first when move in bed, and you will have to rely on arms and legs rather than stomach muscles. Your foley will also be removed. The first day the nurses will help you get out of bed-you may feel light headed so don't look at the floor. You may also feel as though you are pulling your stitches-use your hand to support your abd underneath the incision(your stitches aren't pulling apart, its just such a tender area that it feels this way). Use your pain pump before moving or getting up- this helps. The more you move and ambulate, the faster you heal and the better you will feel. The 3rd day you will be able to shower- and usually you will feel like a million bucks after you do!! The bandage comes off, and when it fully heals it will be smaller than it is now(I can't barely see mine). Most docs don't want you to exersise for about 4 weeks after surgery, but ask your doc. Don't lift more that 10 pounds for about 4 weeks either. Most docs want you to obstain from sex, douching, or deep tub baths until they see you at your 4-6 week appointment(also ask your doc). By the time you go home you will be getting around much better, and the pain usually lessens to a dull soreness(also your doc will prescribe pain meds for you at home). I think you will be surprised at how fast you heal!! Keep in mind everyone's experience is different, and just ask your nurses if you have questions. I hope I answered your questions, Tell me if I left something out. Good Luck and early congrats on your 1st baby!!!:)

Thankyou for the info!! How often is it that they find anything significant? Can I ask how old you were when yours was done? I am only 23 and wonder if this is really necessary- my inner chicken is taking over!!!!:uhoh21:

Don't waste your Degree/Diploma, all that time and you made it. You have to keep trying for the test, just think of all the sacrifices you made while going through school!! I know you feel down, I would too, but you need to find a solution and not give up. Try a different way of studying that you haven't tried before- Group study, Prep class, flash cards etc..Please don't give up, we need you-haven't you heard about the shortage :) ?

I feel dumb asking this, but can anyone tell me about a colposcopy. I have to have one and am scared of whether it is painful or uncomfortable I don't know much about the procedure.

In my hospital, the L+D floor has no NM!! The hospital supervisors have stated on occasion that they think we are lazy on our unit, and get a kick out of sending us "difficult" or complicated cases if they can get away with it. And as for our DON, she says that no nurse is "indespensible" and that if we don't like it we can go somewhere else. Our hospital is a city owned facility that places way more importance on retaining doctors not nurses.