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Hushi05

Hushi05

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  1. Hushi05

    Need some reassurance

    You MUST give yourself a year at least. Don't be hard on yourself. It isn't easy to be humble and accept that you can't know everything all at once. There is no substitute for experience. None. You will be fine. Really.
  2. Hushi05

    Epidural vs. nature births

    I find that it depends on the patient. A patient who takes responsibility for her birth and has a plan for managing her pain and who has a lot of inner resources is a pleasure to care for without an epidural even though she may require intensive one-on-one nursing care. A patient who is thrashing around, screaming and seems to have lost control without any interest in nursing support is someone I want to get an epidural ASAP. Epiduralized patients still need nursing support though: they have to be toileted, turned, BP checked every 15 minutes, etc.
  3. Hushi05

    My first precipitous delivery - freaked out!

    I'm not the OP, but in our facility we have residents who do the checking. That has always bothered me, so I made it my business to learn how to check a patient. ETA: In our facility we are trying to get away from using routine Foleys for epiduralized patients. We try to get patients on the bedpan first. Our CNS produced a study that showed that even repeated straight caths are less likely to cause infection than a Foley.
  4. Hushi05

    L&D nurses - can you look at my birth plan?

    I think it sounds very reasonable. You don't really need to include no circumcision and informed consent before procedures- they have to get your consent anyway. The cord pulsing thing isn't a nursing decision- whoever delivers you needs to know your desires. As I've said elsewhere, birthplans are for *you* to use to clarify what you want and to use as a tool for discussion with your *provider*. There is really no need to give it to your nurse- you can just tell your nurse what you want.
  5. Hushi05

    How do you "bond" with your patients?

    I ask if they're having a boy or girl. I ask about their babies' names. I ask if they have other children at home. I ask if they are ready for the baby. I ask what they are watching on t.v. I ask if they are expecting visitors. I get them treats (when permissible). I ask if there is anything I can do for them. I smile. I'm respectful. I'm warm.
  6. Hushi05

    questions for L&D nurses from a pregnant nurse :)

    I work with an excellent group of wonderful (and kind) nurses, so my jaw just drops when I hear stories like this. What I would say is that you need to clarify your wishes with your *provider*; nurses follow hospital protocol (like running pit after delivery), but it's not up to them to decide whether or not you should have it. When you refuse things like IVs or monitoring, you put the nurses in a bad position *unless you have decided that in advance with your provider* and the provider has written it into the orders. I work at a University hospital where we do high risk deliveries of all kinds, but every one of our nurses will help a woman have a natural delivery if she wants it, has agreed with her provider, and if it is appropriate according to her individual circumstances. Written birth plans are useful for you to use for a discussion with your provider; they are meaningless when waved in front of a nurses's face when you present in labor.
  7. Hushi05

    Epidural vs. nature births

    The residents tend to encourage epidurals; the nurses seem to encourage the patient in whatever she wants. Not sure why that is. The residents are all female, young; some have had kids but most not.
  8. Hushi05

    OB Nurses that are insensitive?

    My point is, I wouldn't find that offensive at all and I wouldn't find such remarks from a nurse to be insensitive.
  9. Hushi05

    OB Nurses that are insensitive?

    On the other hand, since OB tends to be a very intimate field, many OB nurses take on a motherly or sisterly persona. "Girlfriend, you got stretchmarks; you need to be using your vitamin E oil" sounds a lot less offensive when looked at from that point of view. As your experience shows, you can't tell how someone will receive such remarks so you have to be careful. On the other hand, perhaps the remark was not intended to be insensitive but merely comradly.
  10. Hushi05

    Abruption pattern

    They can look like rolling hills in someone you don't expect to see very frequent contractions (e.g., no Pitocin).
  11. Hushi05

    Question About Abortion

    I work at a large urban hospital. Abortion on our L&D unit isn't common but not unheard of either. We do second trimester terminations for genetion reasons as well as terminations if the mother chooses due to pprom prior to viability. We also do terminations prior to viability when the mother is very sick. None of our nurses refuses to care for these patients.
  12. Hushi05

    GBBS to treat or not to treat

    http://www.cdc.gov/groupbstrep/guidelines/downloads/indications.pdf
  13. Hushi05

    Postpartum care plans

    The idea behind a careplan is that you use your nurse brain to THINK about your patient's needs. How does copying a prepackaged careplan teach you anything?
  14. Hushi05

    L&D rotation

    We have students all the time and really don't mind. Most of us like teaching. Just act interested, ask questions (not during a crisis!), and offer to help out. And do some reading in your textbook first so you have some idea of what's going on.
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