Alikatz

Alikatz

Labor and Delivery

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All Content by Alikatz

  1. Post op recovery of regional C-section

    We have our own ORs on our L&D unit, as well as a recovery area right across from them. Not all of the nurses on my unit have ACLS (only some of us do, including myself), but all required to have at least BLS and NRP. We have 24 hour OB and OB an...
  2. Nurses Managing Epidural Pumps?

    I'm in CT and where I work we turn it off. Anesthesia takes care of anything else.
  3. Perineal Prep Solutions?

    Also Betadine on 4x4s with sterile water.
  4. What do you chart when you have a normal vaginal delivery?

    We chart in the computer and also by exception.
  5. Do techs deliver babies in L and D???

    Must depend on the facility. We have one scrub tech on days only (who sets up and hands doc the instruments and will help the nurse clean the patient up before going to recovery), so nurses on evenings and nights (the ones that are trained to scrub, ...
  6. Male obstetrical nurses

    No male RNs in Labor and Delivery, Postpartum, or the NICU where I work. About 50% of our OBs are male. We also have several male pediatric PAs who attend sections and any vag. delivery where there are/may be complications. The majority of our reside...
  7. Pregancy post tubal ligation

    There was a patient that had her tubal ligation (cauterization) right before that certain method (something else was done too) was stopped and basically "taken off market" and ended up pregnant. Between her and her husband they had 7 at home and this...
  8. Do techs deliver babies in L and D???

    Our techs on Labor and Delivery never deliver babies and actually don't do patient care. They stock rooms and help clean (important none the less, but no delivering)! Techs on Postpartum help patients get to the bathroom, take vitals, and ambulated. ...
  9. The best ways for a new grad to get in L&D???

    I find it wonderful that you have such enthusiasm as well! During school I took some extra certs, ACLS etc, however after doing an internship in L&D during my last year I spoke with several of the nurses and manager who told me honestly don't tak...
  10. Job!?

    When I got hired last year everything was sped up to make the process go very quickly before orientation, so I'm sure they could do the same for you!
  11. Retained placenta?

    That is exactly what the residents/attendings do at my facility.
  12. Foley placement BEFORE anesthesia??

    Where I work the circulator (nurse who was assigned the pt) puts the foley in (which we do after anesthesia...unless of course the patient has one alreadyh in or it's an emergency) and she will recover the patient. We have one nurse who comes in to b...
  13. "true knot"

    I have seen one so far. Everyone was so fascinated by it of course. It was a uneventful vaginal delivery with no complications. Baby had a nice strip!!
  14. Feeling insulted after job interview

    Not to mention anyone could "catch" a baby if they absolutely had to, but what about during complications...lets say a shoulder dystocia..I guess they would be preparred for that and could easily handle it....mmmmhmmm
  15. advice please :) new nurse...

    I also think it's farely useless to take the NRP and certain certifications before working on the unit and gaining some sort of experience. We didn't take it until 3 months in.
  16. Bedside handoff report on mother/baby unit

    "Hmmm at our hospital couplet care is 24 hrs meaning babies only go to the nursery if there is something wrong or if mom requests it. The mother-baby nurses are responsible for 3-4 couplets every shift. We do report then go to rooms to introduce on c...
  17. Can you be a pp or mother baby nurse without doing l&d?

    May I ask where you did your clinical? I work in a CT hospital in L&D and our L&D and PP units are separate. So, yes, like others have said it's totally possible.
  18. Women's Health NP positions

    You might get more answers if you ask in the APN section. :)
  19. What did you do...

    Got hired into L&D as a new grad.
  20. how long did it take for you to get into L&D nursing?

    I landed a super L&D job right out of school! Definitely can't see myself anywhere else!
  21. Prep for vaginal Delivery

    We do the same thing.
  22. There was a laboring mother who insisted that the doctor impregnated her by giving her a shot in her thigh (even though the doctor never did, the nurse was giving her an IM injection) and in the shot was the sperm. She also was convinced that the IV ...
  23. how do you push with your patients?

    We like to allow patients to labor down as well. I rarely count to 10 with a patient unless they really want that or seem to do better with it if they aren't making the progress needed or holding their pushes long enough. Depending on the situation, ...
  24. NRP course?

    I took ACLS while in school and was given advice to not do my NRP until I landed a job since they would pay for it and it would be applicable for the hands on and understanding of the entire course because I'd be already working in L&D and you us...
  25. Can a RN work under a direct entry midwife in Alaska?

    There are different types of midwives. CNM = Certified Nurse Midwife, which go into the midwifery program with a Bachelors of Science in Nursing as RN's and then become certified, by The American College of Nurse Midwives. All of the CNM's I know hav...