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tablefor9 RN

ICU, Home Health, Camp, Travel, L&D
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tablefor9 has 16 years experience as a RN and specializes in ICU, Home Health, Camp, Travel, L&D.

Home-educating Mom to 7 great kiddos, enjoying my 30's, RN since age 20, Love hiking, running/walking, cooking, reading, music and gardening

tablefor9's Latest Activity

  1. Hi,

    which books do you suggest to read for new grad L&D nurse? 

  2. tablefor9

    Brain Sheets for OB

    Room _______ Name _______________________________________________ MD _____________________ Delivery info_____________________________________________________________ Allergies_________________________________________________________________ Labs ____________________________________________________________________ Diet_____________________________ IV_____________________________ Meds___________________________________________________________ Baby Info Boy/Girl Ped___________________________ Breast/House Formula ID#____________ Code Adam #________________ Delivery info______________________________ Apgars______/________/________ Labs_________________________________________________________ Hep_________ Hearing________________ tc bili___________ PKU________ Circ___________
  3. tablefor9

    Med surg patients on OB floor

    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, total cares, febrile illness, infections, wounds, N/V/D, and HX of MRSA, VRE, TB, or CDiff-ever- are automatic disqualifiers. And, you have to be female to ride the ride.
  4. tablefor9

    Lotus Birth...What do yall think about this?

    Lol! I thought the same thing. My oldest would say, "Mom, you really should not smoke crack"
  5. tablefor9

    Tips or suggestions for Postpartum New Grad

    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 your time wisely to encourage healthy behaviors, family bonding, and the mother's belief in her ability to parent. 4. Find a mentor. Don't believe all of what you hear about the nurses you'll be working with. Listen & look more than you speak and find the nurse you most want to emulate. There's a potential. 5. Keep a reference in your locker or bag and look up what you don't know.And a couple thoughts from the high risk OB side of my brain: 6. Never assume pph can't happen after 12 hours. Delivery doesn't cure pre-eclampsia. And if mama looks at you and says she's going to die, you better pay attention.
  6. tablefor9

    Blood draws are driving me crazy...

    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 fragile veins, the tourniquet may be what the problem is...try without it. Put a warm compress on before you stick...about 10 min will do it.
  7. 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 pay period....which started (you guessed it) because people weren't coming in on their days off. I *always* have to work my 4th day for the unit to be covered so I just take the OT $ and run!
  8. tablefor9

    Duramorph and foley removal...

    PCA Morphine/Dilaudid postop
  9. tablefor9

    Where does all the money go?

    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: "I want x, y, and z...because it's free, well, at least I'm not paying for it"
  10. tablefor9

    Fetal Acid Base/ph Help!

    Your latest AWHONN fetal monitoring book & Perinatal Nursing by Simpkins (available on the AWHONN website) will cover this, in sufficient depth. Perinatal Nursing and Pearls Review were pretty much all I studied prior to my RNC exam. HTH T **shoot me a message with any specific questions.
  11. tablefor9

    Can Male RNs get jobs in Maternity Nursing?

    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 wouldn't have cared who helped me during my labors or births. One thing to consider, though, for those that don't understand why a person who would have a male OBGYN but would prefer not to have a male L/D RN...your labor RN is much more present, active, and personal in your care. Your OB shows up maybe to break water and to catch. MUCH different, especially when you consider a labor without epidural...your labor nurse may spend 10 hours with you bare naked, holding monitors on, having hands all over your belly to palpate contractions, uterine tonus, perform leopold's, do vag exams, massage your back, apply counterpressure to your hips or low back...a good labor nurse really isn't what you call your hands off. Good luck to you, in whatever you do. T
  12. tablefor9

    Why is it always "Fire the nurse"

    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 like the one you describe, the root of the patient's anger is that they don't feel that they were listened to or treated with respect, and that does require some type of corrective action and staff intervention. I certainly know about labor, it's how I make my living. If I had a dollar for every time I've seen a pt angry because the shift before me sent them home, or the hospital across town sent them home, I'd take everyone on this thread out to dinner. I also know about crackpots. Literally and figuratively. I've had my share of "cocaine induction" patients, but I've also seen too many times when our cynicism has gotten the best of us, to the detriment of our patient relationships. The fact is, we can't afford to let that happen. Our patients have all kinds of unrealistic expectations, and we need to use every tool we have to build rapport and stop the problems before they start, especially in an era where our reimbursement is tied to our pt satisfaction.
  13. tablefor9

    Question for Midwives!!

    Yes, CNMs go to hospitals, and yes, most are fine with epidurals if that's what the patient wants. CNMs are found on every part of what I call the crunchygranola-earthybirthy continuum. Interview your providers, read alot, take childbirth classes, keep an open mind, and don't make assumptions. Happy birthing! T
  14. tablefor9

    Following Dr.s Orders

    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 the protocols put in place by your employer, and submit to the authority listed as your supervisor, when doing so is not unethical, illegal, immoral, or harmful to yourself or your patients. Still pretty basic. Where it gets complex is deciding exactly how much you hate power struggles, because by your own account, this isn't an isolated incident. Seems to me you've got three choices: 1. RUN. Find another job, because this lady *using term loosely* isn't going to change and one of these days, you're going to be screwed, and maybe sued, for ignoring MD orders in favor of policy or reprimanded, and maybe replaced, for ignoring policy in favor of MD orders. This is a no win situation and leaving may be the only way you don't come out on the losing end all the way around. 2. FIGHT. Document issues with your clinical coordinator, then file a complaint, working your way steadily to the top. Everybody but God's got a boss, or at least an agency providing oversight and accountability. This isn't a comfortable choice, but it may help patients and other staff. Plus, it's satisfying to see a bully get what they've got coming to them. 3. WAIT and SEE. How's that working so far? This is okay in the short term, and perhaps somebody else is already working on OPTION 2. Since you are the only nurse, I kinda doubt it. Good luck to you! T
  15. tablefor9

    The OB ICU - Does It Exist?

    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 ICU RNs. Perhaps you could work to develop a similar program at your facility...it's gone over well, here.