sweetcheekers

sweetcheekers

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All Content by sweetcheekers

  1. Any ideas for annual goals?

    I have my review in a few days and at the facility I work for we are required to submit goals each year to be included in our review the following year. They must be measureable and fit under one of our five pillars which are quality, finance, growt...
  2. Tattoos and epidurals

    Our CRNAs will do an epidural on a patient with a tattoo only if they can place it without going through the inked areas. Their reasoning is that some tattoos are done with ink that contains lead and this can be released into the system if punctured...
  3. Frustrated OB RN

    I don't know about legal, but we're worse off than that where I work. The other night I was scheduled with another labor nurse but since we only had a mother who had a fetal demise the day before, and a cytotec induction that night, the plan was tha...
  4. Normal Newborn Resp. Rate???

    30-60 is what we consider normal in our OB unit. Not everyone though, is going to fit into the cookie cutter numbers that are laid out for us. Look at your patient and if he/she seems okay recheck in an hour. You'll probably get something closer t...
  5. clarify rubella titer please

    I've never seen the actual numbers used to determine the result, but we get a result listed as immune, equivocal, or non-immune. We vaccinate the equivocal and non-immune patients in our OB department before discharge.
  6. Baby went bad

    If you believe in God, then know that what we do or don't do, or what we cannot get others to do when we know what needs done are irrelevant in the big scheme of things. I witnessed a stillborn birth a year ago in which we lost heart tones only a fe...
  7. Funniest Complaint on Press Ganey Scores

    Okay, now I'm LMAO! That is hilarious.
  8. Help identifying decels on fetal monitor strip

    I'm orienting to L & D and have taken a class in fetal monitoring. I've been working with a L & D nurse in our unit taking care of labor patients for the past couple of weeks. The problem is that yesterday I had a decel at the end of my s...
  9. How fast is too fast?

    I began orientation to L & D this week after being a mom/babe nurse for the last 15 months. I was reluctant to learn this new role because I work in a small hospital on night shift which usually has only two nurses in OB, one L&D RN and one ...
  10. Newborn nurses please help!

    Our OB unit has recently begun giving the hep B vaccine to our newborns prior to discharge if the parents elect to have it. We recently discovered that we are not all administering it with the same size needle. What do you feel is appropriate for a...
  11. Are you my waitress today?

    No, I'm your nurse. You must be disoriented because you are at a hospital not a restaraunt.
  12. Clamping a Newly Inserted Foley

    We were taught that the "old school" of thought was to clamp at 1000ml of output, but no one could justify why so it was not considered to be knowledge based practice so we did not abide by it. I don't see the issue with it. If a person were to sit...
  13. I don't know how to feel about this

    Holy cow! What a night. I'm a newer nurse working in OB. I earned my RN license last October and have learned a lot since then, but I work in a small hospital so even in the time I've been there have not seen what many see in only a few weeks in lar...
  14. I don't know how to feel about this

    GREAT NEWS! The baby in my post had open heart surgery yesterday and did well. He may only need one more surgery instead of two more like they originally were thinking and he goes home this coming week if all goes well. (To wait for his next proced...
  15. How about a thread for baby names you liked?

    I love the name Sawyer for a little boy or Kaden. If there are any more little girls in my future I plan to use Karson or Kamden. I have two daughters Kaitlyn and Kennedy.
  16. Area/speciality with most "knowledge"

    I think all areas of nursing supply nurses with ample opportunities to learn all the time, especially considering that the field we work in changes all the time. If a person does not want to always be learning this is the wrong field. As for your q...
  17. Diluting IV push

    At my facility we give morphine IV push through a saline lock simply flushing before and after administration. We give it very slowly and I have had no complaints. I did have a Pt with a running IV though that said it burned so we gave it in a port...
  18. Am I a baby or is this outrageous?

    Maybe I am just weak and inefficient. If I am, I have a good excuse. I am a new nurse and certainly have a lot of room for learning to juggle tasks in an efficient manner to better manage my time. But, this seems over-the-top to me. I work with a...
  19. How can this be legal?

    I was recently summoned for jury duty. I am primarily a night shift worker with a few evening shifts here and there. My employer requires its employees to report for their shifts regardless of jury duty if not serving at the time of the employee's ...
  20. This sucks! I hate being a patient!

    I recently had my annual pap test which came back abnormal. This was a first, and I was surprised since I have been getting my annual exam religiously for the past 15 years. I had to then get a colposcopy, which didn't thrill me, but you do what ya...
  21. How can this be legal?

    They don't plan to pay me for jury duty because it does not fall in the hours I am scheduled to work. It states clearly in our handbood from human resourced that if you are scheduled on evenings or nights and have served on jury duty during the day ...
  22. 30 days sober!

    WAY TO GO!!!! Keep it up, one day at a time!
  23. OB tech?

    In our hospital OB techs are simply patient care techs (PCTs= CNA) who are employed in the OB department. They do CNA tasks with no more training than any other CNA.
  24. This weekend was ugly! I work in OB and this was my weekend to work. We had 3 moms and 3 babes and one in labor. I had the 3 couplets and the other RN had the labor patient. It was just after midnight and a labor Pt shows up looking really painfu...
  25. Lactation Consultants-On Staff?

    I work in a small rural hospital that delivered just under 400 babes last year and we have at least three LC and possibly four RNs in OB that are also LC's. They are not necessarily always on duty, but can be called to meet with a patient having dif...