tablefor9 RN

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,...

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

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, fami...

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...

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) becau...

PCA Morphine/Dilaudid postop

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 ...

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 ...

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 ...

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 ...

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 simila...

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 L&D is a law unto itself in many ways, after severa...

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. For BF moms, we give packs with lansinoh, medela s...

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 requirements. Yearly AWHONN course/competency and skill...

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 basis.

What klone said. In 16 years all across the southeastern US, I have never seen a patient reinfibulate, only repair.

About the legs...I don't usually hold them. I either use foot pads or let mom pull back on her own legs. Many times I'll have mom put feet flat on bed, knees bent and close to body while pushing. About not laboring down...I hear you. I will say that...

Nursing judgement. We may pull foleys as early as 6 hrs postop, or as late as 24 hrs. Our docs write "may initiate 1st day orders between _______ and ________". We aren't using duramorph right now, we're experiencing a shortage.

I'm not going to be popular, here, but no one else answered you. I think you do need a couple of years in L&D to make a good midwife, or at least to save your sanity. With a couple of years in the L&D, you're comfortable with fetal monitoring...

Heartrending.

$2400/yr undergrad, $3600/yr graduate; they will do complete scholarship with a service contract for positions in need (ARNP). Most facilities I've worked for have had this type of comp package. I worked for another facility that did 50% after your...

Twice: SVT and unable to vagal myself down. Migraine with TIA symptoms.

Really? Exactly how many women would that be? Coming across pretty condescending here. If you don't feel it's necessary to suffer, then by all means, please don't. There are good reasons not to have epidurals or IV pain meds. I'm sure you know where...

In another post for another day, I might mention concerns about what we are turning into when we think the collective should make decisions for individual families. But, that's another post. Today, I'll just say that I am a parent, as well as a labor...

4 or 6 gram load for Mag, depends on patient factors and physician preference. 1-2 milliunits initial for Pit, depending on patient factors, RN assessment. Our orders allow either.