RNmommy

RNmommy

Postpartum, Lactation

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All Content by RNmommy

  1. Nursing Assistant patient ratio on OB

    We use assistive staff (CNAs LVNs) on PP only. Our LVNs virtually function as CNAs and are not considered in nursing staff ratios. Each RN has 4 couplets. The assistive staff only cares for the...
  2. post delivery MgSo4 pts

    We get pts on mag right after recovery (usu @ 2h) in postpartum as long as they are on 2g/hr or less. If the pt is on more than 2g/hr she is sent to the ICU or kept in L&D, if they have the staff...
  3. ABO Blood Incompatibility

    Glad to hear that baby is home with mom. I know it is hard to point out possible problems to family and friends and I can surely understand how you felt as a nursing student not wanting to undermine...
  4. ABO Blood Incompatibility

    I am totally UNIMPRESSED with the pediatrician. First of all, did the baby have a positive direct coombs? If so, it is totally unacceptable that the jaundice was not "discovered" until 32 hours of...
  5. Odds of getting an OB job as a new grad?

    I got an additional certification as a lactation educator prior to applying for my externship. I externed on mother/baby for a year before being offered a full time position (days) as a new grad....
  6. Umbilical cord care

    Our orders are to apply alcohol to the cord q shift. We are supposed to tell parents to apply alcohol TID after discharge. However, the written information that we give parents says specifically not...
  7. Questions about Clonus

    I'm in PP and we check EVERY pt for clonus q shift, PIH pts get checked q
  8. Does your hospital give Hep B vaccines to newborns?

    We only give it to babies with HbsAg positive or unknown mothers. All other babies receive it at their 2 month well baby check
  9. transferring unstable pts to postpartum

    We routinely take patients on Mag on PP. We serve an older population so we see tons of PIH. However, in order to be transferred to PP, the pt can be on 2mg/hr max. Otherwise, they are sent to the...
  10. is there any use for an LPN in ob-gyn nursing?

    At my facility, we use LVNs as assistive staff, like CNAs. Of course, they get paid more. However, they are not given their own patient load and only rarely give PO meds. On the PM shift, we...
  11. Postive UDS's What is your facilities policy?

    We don't deliver many "high-risk" social cases so we only have a positive UDS once every blue moon. Social services is consulted per protocol. Are we not required to make a report to CPS for a...
  12. We are going through some transition regarding the use of Lactation Consultants at my facility. I am curious to know what is going on elsewhere. Do you use LCs? Are they IBCLE certified? Are they RNs?...
  13. Tell me about lactation at your facility

    Thank you so much for all of your replies. LauraLou~ your facility sounds the most similar to mine. Can I get a few more responses? Thanks so much
  14. I started out as a new grad on days. I had an in, though. I externed in my dept for a year before signing on as an RN. However, we have had quite a few new grads start on
  15. OB Report Sheets

    We each have our own. I just made mine on my
  16. I Hate Pp!

    Well, differnt strokes for different folks :) I LOVE postpartum and do not like L&D. Of course I like the MOMENT of birth but everything else about L&D bores me. But I do have to say that...
  17. preparing for the NCLEX

    I did Kaplan online because my hospital paid for it. I only listened to the first two lectures and spent the rest of my study time doing the practice tests and reading the course book that came with...
  18. Mother-Infant Coupling

    Honestly, I am stunned that there are still facilities that do not do couplet care. At our hospital, we are stunned when visitors ask where the nursery is so that they can stare at the babies. Umm,...
  19. New Nurse Salary

    Funny, we just found out that we (new grads) are being bumped up to 26.70 in May to compete with the market rate for new grads in our city. That is the BSN rate. ADNs will make 25.50. There is also...
  20. Did prepare enough?

    My employer paid for me to go through a Kaplan review course. Because I have a family, I did not want to commit every Sat for 6 weeks to the class. I opted for the online course. I only listened to...
  21. Would you assist in abortions?

    To respond to the OP, yes I would theoretically but I would never choose that line of work. I am not morally
  22. loan forgiveness for new grads

    I think that Paradise Valley Hospital in San Diego offers loan
  23. New Nurse Salary

    newgrad2004~ We thought about going north but SD is our home. Both my husband and I grew up here and our families are here. I'm sure that I wouldn't fetch $100K for the house we just bought if it...
  24. Scripps Memorial La Jolla

    I'll PM you
  25. New Nurse Salary

    $24.72/hr + $1000 sign on bonus in San Diego. Barely enough to cover bills and mortgage. The going rate for a 3 br home in a decent part of the city is $400,000+ My hospital also pays relocation...