tablefor9 RN

ICU, Home Health, Camp, Travel, L&D

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All Content by tablefor9

  1. tablefor9

    L&D versus Surgical floor.

    This is more difficult to answer than it was a couple of years ago. Then, I would have said, unequivocally, take the 1st year in Med-Surg, then move to L&D. I still think this is 1. going to...
  2. tablefor9

    What does it take to work in L&D and Post Partum?

    You don't have to be "mean or aggressive" to be an excellent L&D/PP RN. That's a load of crap, as is the idea that women in labor need a "firm hand". Ridiculous. Those are ideas that will not...
  3. tablefor9

    Donations of Sunscreen--how to get some...

    You might check with your local Avon lady/district sales person. Some of our foundations have done fundraisers with them with the salesperson's clients purchasing the product. Works pretty well,...
  4. tablefor9

    Role of the L&D Nurse vs. Midwife

    Some CNMs are very much active in the labor process; the RN will not do SVEs on their patients unless needed emergently, and the RN will not push with the pt. Others practice much like MDs and show...
  5. tablefor9

    How are pitocin orders written at your facility?

    Ours are much the same, start at 1-2 up by 1-2 q30 min to max of 20. We have alot of latitude with going up slower, or decreasing, or whatever. We do have an OB that occasionally will write 6x6...
  6. tablefor9

    do you get paid more for certifications?

    BSN I'll leave for people who believe it matters. NCC EFM, how about it proves you are an expert in fetal monitoring? Or, it maintains your competency in one key area of your practice? I can't see...
  7. tablefor9

    questions for L&D nurses from a pregnant nurse :)

    1. Be nice. Since it sounds like you are, you're halfway there. 2. Talk to your CNM about your preferences, like intermittent monitoring, saline lock, diet, out of bed, pit IM or not at all, etc....
  8. I would submit to you that the benefit to having actual L&D RN experience is in the ability to recognize cues about how a particular labor is progressing, when a situation is drifting from a...
  9. tablefor9

    Breach of Confidentiality?

    Sorry, but one can't ignore *anyone* in the hallway. I don't know that I would have stopped by the room without a direct invitation to do so, unless it was my personal family or that of my very best...
  10. tablefor9

    Fetal monitoring competencies

    AWHONN Basic for new hires without Labor exp. within orientation period (90 day). AWHONN Intermediate during 1st year. AWHONN Advanced thereafter, biannually. NRP, biannually. STABLE. PALS for charge...
  11. tablefor9

    GBBS to treat or not to treat

    You wouldn't believe the amount of Cochrane Review material I've left lying out in the doc lounge, on the labor desk...copies of recent journal articles... and I've never been one to keep silent... I...
  12. tablefor9

    Body jewelry/regular jewelry policies

    Nails...NO POLISH or wraps, 1/4 inch and well manicured if in a patient care capacity. Even nursing mgmt can not have wraps/gels/tips/or POLISH. Hair...up & controlled and "a hair natural to...
  13. I'm so sorry this happened to you, and more, to your friend. I'm always reluctant to lay down the nurse card, too, unless absolutely necessary. I would have probably asked for a gown and linens when...
  14. tablefor9

    GBBS to treat or not to treat

    Yep, klone, you're right. But, the wheels of change move slowly in OB units in the Deep South...we've only changed from NPO x ICE to clears in labor this last year, in this particular hospital. We...
  15. tablefor9

    Intubated Pt's Using Bedside Comodes

    3 words: Ready for
  16. Wade into a turdfight, you're going to get hit with some. Eh, let them continue. They'll figure out soon enough in the real world who saves who...and, that nurses DON'T work for
  17. tablefor9

    Pregnancy and floor nursing

    First, if more than you and one other person know something, it's no longer a secret. Depending on the one other person, it may not be a secret then. Second, so you can't hold for xrays. There are a...
  18. Leave No One Behind: Hurricane Katrina and the Rescue of Tulane Hospital is the name of the book I mentioned. Mostly, we don't get horrible things happening when we are at work where we're supposed...
  19. I've done an hour and a half commute, and that's okay (not great, but doable) on dayshift. Nightshift, not so much. I do 45 min now, and that's alright, even on nightshift. I *really* miss my 3...
  20. tablefor9

    GBBS to treat or not to treat

    GBS has to be between 35-37 weeks gestation, or a rapid GBS obtained at onset of labor, in my neck of the woods. Otherwise, we treat
  21. tablefor9

    Is "sundowners" a real term?

    Yes, Virginia, there really is a sundown
  22. tablefor9

    Inept Supervisors

    Most facilities/companies have a policy about this kind of thing that states that you do not have to go to your next in line supervisor if you have reason to believe you may be harmed by doing so. I...
  23. I evac the DH and kiddos, plus the faithful pooch, to inland relatives, and I GO TO WORK. Hospital will allow sheltering family in place, but we choose not to do that for a variety of reasons. We...
  24. tablefor9

    Inept Supervisors

    Go up the chain of command. Document incidents, in writing, including information about incident reports written about the same. Use the magic words...HOSTILE WORK ENVIRONMENT. LATERAL VIOLENCE....
  25. tablefor9

    IV Fluid/IV Tubing

    Pyxis scanner...who knew the best pre-nursing job experience ever would be grocery