I'm the women & children's day shift charge RN. Either the director or I interview and chart review each proposed overflow pt before that pt is assigned a bed on our units. Dementia, psych issues,...
1. Read the recommended books on the sticky at the bottom of this forum. 2. Join AWHONN. 3. Remember that although the peripartum period is not risk free, it is a state of health, not illness. Use...
Shop around...and not for the transilluminator. Look at both sides,hands to ACs, just like you do for IVs. Try starting your blood draws an hour early, like right after 3am VS. For some LOP, very...
Rare to get a call on my day off, and we are a closed unit (no one floats...in or out...of our unit). It's not that we have a ton of staff, either. It's that we all have a mandatory call shift once a...
tablefor9 replied to everydaynurse's topic in General Nursing
Money go? At our facility, it's not a black hole in the CEO's office as much as it's an entitlement mentality and an abuse of the ER, EMS, and the healthcare system in general. Quote from this week:...
Rare, especially in the South. That being said, the one I've worked with has been great, and the patients didn't have issues with him. Besides my life as a labor nurse, I'm also a grand multip. I...
I don't like the fire first and ask...well, don't ask, ever...mentality, either. And, I believe any nurse mgr worth their skin will take other action. However, many times, especially in situations...
As a nurse, you are the advocate for your patient. You are also expected to follow MD orders, when those orders are not harmful to your patient. That's basic. As an employee, you're expected to follow...
Our L&D will admit a patient that is OB-ICU to our L&D unit or one of our ICUs and work collaboratively with ICU staff to manage patient care. We also open our high-risk OB inservices to the...
The only way I would recommend a new grad moving straight into specialty area, even L&D, is 1. the specialty is her/his passion and 2. the orientation will be extensive and supportive. While...
tablefor9 replied to shortstuff31117's topic in Ob/Gyn
Steak or grilled fish dinner, water mug with Women & Children's Logo, diaper bag, baby hat with quilt or blanket, blanket with baby footprints added at delivery, and still pass out the gift bags....
At my current facility, RNs may insert FSEs once trained (AWHONN class) and signed off (3 successful observed insertions). IUPCs are CNM/MD only. Last Florida facility was RN FSE and IUPC, same...
tablefor9 replied to shortstuff31117's topic in Ob/Gyn
Since our average primigravid pt gets her (very dense) epidural about 10 hours prior to delivery, we place foleys. If we have a multip at 5-6, we proceed on a case by case