SoldierNurse22 BSN, RN

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All Content by SoldierNurse22

  1. SoldierNurse22

    Insulin drips patients on L&D

    SoldierNurse22 replied to Upgrading_Status's topic in Ob/Gyn

    Our unit takes patients on insulin drips, too, and they're not often 1:1 patients. We have extremely poor staffing ratios, often times meaning that we aren't 1:1 with our labor patients, either....
  2. SoldierNurse22

    Advice-New to L&D

    SoldierNurse22 replied to Perky_nurse's topic in Ob/Gyn

    SVEs can take time to really master. There are several blogs out there that can add the personal experience/tips/tricks of current L&D nurses to your preexisting experience/textbook info. If you...
  3. SoldierNurse22

    New OB nurse with question about methergine and HTN crisis!

    SoldierNurse22 replied to Cpdrn's topic in Patient Medications

    My apologies, OP--onset time for methergine IM is 2-5 minutes, as stated by a PP. So if you were going to see symptoms of a hypertensive crisis, it would be much faster than what I indicated in my...
  4. SoldierNurse22

    Implementing New Hire/New RN Orientation for L&D Unit

    SoldierNurse22 replied to OBRN91's topic in Ob/Gyn

    I don't want to be too specific, so I'll tell you what I can. We have under 20 labor beds. We have a separate PP unit with less than 30 beds. We see about 250 births per
  5. SoldierNurse22

    Why is so hard to get into Labor and delivery department?

    SoldierNurse22 replied to Marian96's topic in Ob/Gyn

    It's really not that unbelievable. Hospitals hire based on their needs, and if they need an experienced L&D nurse, they will often wait it out until they find one instead of trying to leverage...
  6. SoldierNurse22

    New OB nurse with question about methergine and HTN crisis!

    SoldierNurse22 replied to Cpdrn's topic in Patient Medications

    That really depends on the patient's underlying disease process(es) and the extent of the bleed. Generally speaking, if you're giving methergine to a patient who is experiencing a hemorrhage and has...
  7. SoldierNurse22

    Army Nurse best CNTP location?

    SoldierNurse22 replied to Erin_RN's topic in Nursing Career

    Either BAMC or Madigan would be good choices. Unless things have changed in the past few years, the ICU course is offered at BAMC (I know it was previously done at Madigan, though I'm not sure if...
  8. SoldierNurse22

    October 2016 Caption Contest. Win $100!

    SoldierNurse22 replied to Joe V's topic in News, Announcements

    And suddenly, HR's Halloween costume contest as a morale-improving measure took an unseemly
  9. SoldierNurse22

    October 2016 Caption Contest. Win $100!

    SoldierNurse22 replied to Joe V's topic in News, Announcements

    Nurse: "Maybe this goes without saying, but I think it's best for everyone if the angel helps Mr. Jones sign his surgical
  10. SoldierNurse22

    Maternal position in labor with one sided cervix

    SoldierNurse22 replied to Chapsi's topic in Ob/Gyn

    What quazar said. Putting the thick side up makes no sense. You want pressure on that lip to make it skidaddle so you can get to the baby-havin' part! The only time I might consider putting the...
  11. SoldierNurse22

    Do you have an OB in the hospital 24/7?

    SoldierNurse22 replied to adpiRN's topic in Ob/Gyn

    I work in a pretty big facility (~2500 births per year) and it was only around when I was hired that we had an OB in-house 24/7 for the first time. Prior to that, trauma surgeons in the ER were on...
  12. SoldierNurse22

    What to know about L&D Nursing?

    SoldierNurse22 replied to wknurse's topic in Ob/Gyn

    Agree with all of the above. I would strongly emphasize continuing education, even on your own time. Take the time to review strips and read textbooks if you've got the availability. Keep up on new...
  13. SoldierNurse22

    Helpful Information For New L and D Nurse

    SoldierNurse22 replied to LaurenEdge's topic in Ob/Gyn

    Your employer should be investing the time and money to get you certified in EFM, NRP, STABLE, etc. I wouldn't invest any money in anything at this point as that should be taken care of and you will...
  14. SoldierNurse22

    Is this a safe job?

    SoldierNurse22 replied to slippersocks's topic in Ob/Gyn

    You and I might work in the same place. I am struggling with the same thoughts about what I enjoy vs. what's safe and prudent in terms of my license. Honestly, I think most of the healthcare field...
  15. SoldierNurse22

    What is a good book for L&D nurse?

    SoldierNurse22 replied to TaeRN's topic in Ob/Gyn

    In addition to books, there are lots of good blogs out there, too. These are my favorites: Cervix With A Smile – Walk the floor with an L&D Nurse! Adventures of a Labor Nurse – The Highs and...
  16. SoldierNurse22

    New to OB

    SoldierNurse22 replied to awhite36's topic in Ob/Gyn

    Cervix With A Smile – Walk the floor with an L&D Nurse! Adventures of a Labor Nurse – The Highs and Lows of Labor and Delivery Tales from Labor & Delivery Those are my three favorite...
  17. SoldierNurse22

    Cervical Ripening

    SoldierNurse22 replied to LibraSunCNM's topic in Ob/Gyn

    Nope, nothing I've ever seen, even in cases of severe maternal disease prompting a medically-indicated IOL (if anything, our docs are more aggressive about cervical ripening in those populations so as...
  18. SoldierNurse22

    Natural Caesareans...anyone seen this?

    SoldierNurse22 replied to quazar's topic in Ob/Gyn

    Holy contaminated field, batman. I'm good with "gentle" c/s practice in a non-emergent setting, but this...looks like you're asking for an infection. The natural caesarean: a woman-centred technique...
  19. SoldierNurse22

    ACLS requirement for NICU nurses

    SoldierNurse22 replied to BB2bbs2016's topic in NICU, Neonatal

    Enlighten me...why would you think ACLS would be optional for L&D nurses? (I mean, if you're confused, follow me around for a shift, and maybe you'll understand why ACLS training is important on...
  20. SoldierNurse22

    Cervical Exam Help!

    SoldierNurse22 replied to gmaily's topic in Ob/Gyn

    It's certainly an art mixed with a science. Cervical exams take lots of practice. When I was a new L&D nurse, my preceptor would often check the patient, then have me check her. Within a few...
  21. SoldierNurse22

    Preparing for OB Courses

    SoldierNurse22 replied to DMeers's topic in Ob/Gyn

    I prepared for all of those courses by working on the unit with actual patients under the guidance of a preceptor. I watched her interpret FHR, slowly started to do it myself with her help, and took...
  22. SoldierNurse22

    Do I aspirate too violently?

    SoldierNurse22 replied to lorelei13's topic in General Nursing

    I can't believe we're still having this ridiculous discussion. OP, aspirating for the majority of meds given the IM route is not only no longer taught,but it is completely unfounded from a scientific...
  23. SoldierNurse22

    prolapsed cord

    SoldierNurse22 replied to nfeese's topic in Nursing Student Assistance

    Once you realize you have a prolapse, you would push baby's presenting part off the cord immediately. THEN you have someone else start the bolus and O2, in which case yes, increased SPO2 and blood...
  24. SoldierNurse22

    prolapsed cord

    SoldierNurse22 replied to nfeese's topic in Nursing Student Assistance

    I generally agree with your post, but technically speaking, a prolapsed cord is occluded, often in a permanent sense, especially if baby's head is engaged in the maternal pelvis and the cord is...
  25. SoldierNurse22

    prolapsed cord

    SoldierNurse22 replied to nfeese's topic in Nursing Student Assistance

    Correct. I think you're missing one of the major interventions in a prolapse scenario: hold baby's presenting part off the cord! That means if you're the first one to discover the prolapse, you're...