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Skips MSN, RN

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Skips is a MSN, RN and specializes in L&D.

Skips's Latest Activity

  1. Skips

    Should I be upfront with my supervisor?

    Not necessarily, it is more of a courtesy than anything else.
  2. I have worked on my L&D floor for 2.5 years. I took a 7 week break and went to another hospital on their LDRP floor closer to my home, but I didn't like it and went back to my current hospital. That was a big mistake. I do not want to work nights, holidays, weekends, or 12-hour shifts anymore. I want a more balanced home life. I applied to one of our hospital-based offices in the same building I currently work, in the maternal fetal medicine office. Because I left, I have technically only been in my position for 2 months. Some managers will not let you transfer positions until you've been at your current position for 6 months (even though I've been there 2.5 years at this point). Should I be upfront with my supervisor and let her know I applied? She probably won't be happy with me, but she knew nights wasn't my favorite before. Thank you.
  3. Hello! I wanted to update everyone. I never did go into elementary education. After working as a school nurse, I realized what teachers went through daily and it is definitely something I was not interested in doing after working for that district. Too much stress! I now work in labor & delivery. I have gotten over my new nurse jitters and I have come to enjoy nursing as a profession...I even got my MSN! If you find after awhile you still aren't enjoying nursing, then by all means, take the plunge. It took me 1.5 years of being a nurse to really embrace it and become comfortable in my role.
  4. Skips

    Who Did NOT Do a Year of Med Surg?

    I didn't, and I am glad I didn't! I never had interest in doing a year of med/surg. I wanted to get into L&D right from when I graduated, but of course, I didn't at first. They don't really hire new grads. So, I worked in a clinic and did school nursing before I finally landed a L&D job. I was lucky.
  5. Skips

    Fully drain distended bladder?

    I was taught to stop draining at 800ml d/t hypotension and bladder spasm. I think you should consult your hospital's specific policy on this, as the exact numbers vary facility to facility. Let us know what you find!
  6. Skips

    Labor & Delivery Interview (New Grad)

    I'm sorry you did not get any replies on time! How did it go?
  7. Skips

    Transferring RN license

    You can still practice while holding multiple state licenses. As long as you renew and pay on time, you can hold how ever many licenses you want. As far as applying for an endorsement in another state, it all depends. Some BONs are quicker than others. In the state I live in now, it took about 2-3 weeks.
  8. Skips

    Forgot to unclamp the secondary

    This happens a lot! Your hospital may implement something to help decrease this issue. I wasn't taught to "back prime", but many nursing schools are teaching students to start back priming their secondary bags. You hold the secondary bag below the primary and prime the tubing and get rid of air that way. Then, hang the bag and start the drip via the pump. The other method (the one that I use) is a reminder in the MAR when I scan the medication into EPIC. There is a reminder that must be clicked to verify that you see drips in the secondary bag before you can finish with administering the medication in the MAR. This is extremely helpful for me, and I am glad that my hospital has it built into the system. Are you able to fill out an incident report for this? Encourage other nurses to do the same thing so the hospital can track issues and work on implementing something to decrease the incidence of it. It happens a lot. We've all made this mistake, trust me. You're doing great.
  9. Skips

    Studying for the CNE exam

    Hello, all! I just graduated with my Master's in Nursing Education. (yay!) I am studying for the CNE exam. I have studied for about a week using Billings & Halstead and the NLN Review Book. I downloaded the CNE study app...but unlocking most of the content is $80. Is it worth it? I already took the SAE once and I got a 72%, just to see where I am starting from. I suppose that's not horrible, but obviously I want to get better! Any tips for me? Did anyone else take the SAE without a lot of studying and compared it to when they were ready to take the test? I am curious. Thank you!
  10. Skips

    L&D “extremes”

    I have been in OB for 2.5 years. Here are my numbers so far: Largest set of multiples: triplets Longest overdue: 42.2 weeks Youngest mother: 16 Oldest mother: 43 Grand multipara: 12 Biggest baby: 11#10oz Smallest baby: 1 pound 6 oz Biggest QBL: 3000
  11. Skips

    Switching to L&D

    It helps that you have nursing experience! They typically hire nurses with experience over new graduates. My advice is to keep applying and see if you get an interview. I had no hospital RN experience when I secured my first OB job. I just kept applying. It took me 2 years, but I eventually did it! Best of luck to you.
  12. Skips

    Bloody Urine in Foley Catheter Postpartum?

    The vag deliveries with a Foley seems unnecessary, I agree. That is asking for infection or trauma! Klone's answers are spot on.
  13. Skips

    New Grad in L&D-

    Congratulations! I love OB nursing. I hope you will, too. It sounds like you know you are getting into a challenge, and that is the first step here. I do have a question. Is this a teaching hospital? The residents will do their own exams for the most part. At my facility, we are just starting with residents this year, so we do cervical exams behind them. Some places don't. So I am just curious! As far as exams on someone with an infection, I have never personally encountered that. However, you're gloved anyway. It doesn't always smell great even if the person does not have an infection. However, smell is part of your nursing assessment. If someone is ruptured, is the fluid malodorous? etc. You get used to everything and anything in OB. Blood, urine, vomit, vaginal fluid. It's all part of the job and you don't notice it after awhile. If the mother does develop an infection, the doctor will prescribe antibiotics. The main infection I have dealt with in OB is chorioamnionitis. Psych is everywhere, including OB. We have had our fair share of them. Use therapeutic communication, set clear boundaries, and get help if you need it. We have had to call security before, but it really doesn't get that far very often. It sounds like you have skills in this area, so that is a good start. As far as CPS goes, the moms will have an idea about that before delivery. They have a clue that CPS will probably be around to do an assessment or take the baby. It isn't a surprise (usually). I have never been in an instance where the mother became violent due to CPS involvement. If there is, there will be extra hands available to help. I'm sure your hospital has a strong social work or case management presence due to the nature of the clients. I am excited for you! Update us on your next steps or how you feel at your new job.
  14. Skips


    Hello there! I am a labor & delivery nurse, so I think I can help! Your experience sounds relevant, so I would be surprised if you did not get an interview. I also think your certification in perinatal bereavement is great. It also shows that you really care about the population that you work with. It is a wonderful start. Now all there is to do is wait to hear back in regards to scheduling an interview or not. Sometimes that can take weeks. If there are other hospitals in your area with a mother/baby unit, keep applying in the mean time. I know that my hospital is always hiring for nights on MBU. They are never short on positions. I hope this helps!
  15. I am very happy, for a multitude of reasons. With nursing, I am guaranteed a stable income. I made very good money at entry level, with raises every year. I live in a stable part of the country, and healthcare is thriving here. I can move anywhere I want and I would probably be able to find a job. It's a career that is flexible, both in hours and skill sets. If I want to try another specialty, I am able to do so. I love my specialty so much. It has given me transferrable, valuable skills that are attractive to employers if I want to move or do travel nursing. I like working with my patients and their families. However, sometimes things get crazy with patients and their families and you can't make this stuff up. You go home and laugh at how ridiculous some situations are, but in the heat of the moment, it was tense or stressful. I am able to be both a nurse and a teacher. I am going to graduate school for teaching. It has given me a whole new perspective on nursing, and I enjoy that.
  16. Skips

    On-call requirements

    We are required to sign up for 8 on-call shifts per year. I am full-time. I am unsure if this number differs for part-time or PRN employees. You are on call for 12 hours, are paid $3/hr at home. If you get called in, it's time and a half.