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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. Hello! I have been a nurse for 5 years. 3 of those years have been in L&D. 2 were in outpatient prior to that. I have an offer for a full time teaching job at a community college in their ADN program. I would be teaching in their second to last semester, one of which is a med/surg clinical. Problem is, I have never worked med/sug, so how can I teach it? Is this a red flag? I also have a job offer for a OB/GYN clinic. Please help!
  2. Skips

    Bedside with an MSN?

    I have a MSN and I work bedside. Itโ€™s possible!
  3. I need help, and I will start counseling about it here soon. However, I'm turning to allnurses.com to put a label on what I'm feeling because I'm very confused. I have been a nurse for 5 years total, 3 of them in labor and delivery. I feel like a new nurse all over again! I cry after (just okay and bad equally) shifts. I dread going into work. I've had to be put on anxiety medication. I'm baffled because this started back in September/October. However, I've always sort of struggled with how stressful L&D is and if I'm even smart enough of a nurse to do it. At the 1.5 year mark, I felt better and competent but only for a few months. I definitely do not feel this way at all anymore. Nothing in particular happened. But the thought of going back for a routine C-section makes me nauseous with anxiety. Or the thought of a vaginal delivery with some type of complication happening, even though I've dealt with plenty of complications and I've done many C-sections just fine. I've precepted and I've taught people in those situations. I am getting tired of every shift having some kind of emergency happening. Getting yelled at/belittled by a doctor or two here and there. Having a physically demanding shift where everything hurts afterward due to turning epidural patients constantly. Pushing for hours. It's all getting to be too much. I used to like this job and I thought L&D was my *dream* job (ha!), I don't know what happened. My personality is quiet and reserved, and I am shy. I tend to really like routine and I have generalized anxiety disorder. I don't know if labor is for me anymore. I worked hard to actually get into OB and I have my master's in nursing education. But without OB or any inpatient experience, how will a nursing school or hospital ever hire me in the future as an educator without it? I suppose I would like emotional support/stories of similar situations. Thank you.
  4. Skips

    Should I be upfront with my supervisor?

    Not necessarily, it is more of a courtesy than anything else.
  5. 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.
  6. 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! ๐Ÿ™‚ 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.
  7. 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.
  8. 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! ๐Ÿ™‚
  9. Skips

    Labor & Delivery Interview (New Grad)

    I'm sorry you did not get any replies on time! How did it go? ๐Ÿ™‚
  10. 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.
  11. 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.
  12. 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!
  13. Skips

    L&D โ€œextremesโ€

    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
  14. 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.
  15. 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.
  16. 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.

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