Hushi05

I am job hunting and was asked to provide references from previous employers. My current (soon to be former) supervisor tells me that HR rules say that she cannot provide a reference for me because of "liability issues". All she can do is confirm e...

I know this is an old thread, but I had to chime in. I have worked weekend option in L&D at a hospital for the past 6.5 years. I'll tell you, answering phones and doing paperwork and occasional vital signs sounds heavenly to me. I guess you co...

You didn't provide much information about your unit, how busy it is, etc., but it sounds like the unit's management has failed you. Six months is a good long orientation, but no matter how long an orientation is, if it doesn't prepare you to practic...

We use ibuprofen 800 mg for vaginal postpartums and add Percocet if there are lacerations. For vaginals we also use Epifoam and Tucks (witch hazel) pads. Post c/s we use Percocet after the morphine PCA is turned off or after the Duramorph wears off...

I can't think of a reason to ask a woman that question other than as part of gathering a social history.

Mag sulfate in postpartum preeclamptics is for seizure prophylaxis. It is a *mild* vasodilator which accounts for the slight lowering of BP and perhaps mild increase in urine output, but the real reason for the diuresis is that the preeclampsia (a v...

I have never heard of such a thing. Wow, talk about "old school"!

I couldn't find an answer to this anywhere. Why is the saline for irrigation that comes from a bottle not suitable for injection? As far as I can tell, it is chemically the same an an IV bag of normal saline. Does anyone know the answer?

Both the bottles and the IV saline bags say "preservative free". Both solutions are labelled "sterile" but of course neither would remain sterile once opened. I think the issue is more than that of concerns about sterility because the saline from t...

I want to know because I'm a curious person. I saw the bottle the other day and saw it said, "Not for injection" and I'm not one to take things at face value. I want to know why!

I agree with ktliz. There isn't much need to be exact with cervical checks. All you really need to know is closed/long/high, change from last exam, and crowning.

Does anyone know if there is much demand for Women's Health NPs? I'm an L&D nurse, and I do not want to be a midwife, but I would like to provide prenatal care as well as well-woman care in an office setting. I don't personally know any WHNPs, ...

To be an L&D nurse you have to be willing to have patients who are "unstable", i.e., patients whose conditions are rapidly changing. Some nurses prefer a shift where you can kind of predict what will happen, plan your day, care for the same pati...

We don't get a lot of private patients who can afford doulas but our unit is pretty accepting. Many of the L&D nurses where I work are former doulas and aspiring midwives. The doulas I have worked with have been pretty low key and unobtrusive, ...

That is so exciting! I'm thinking of moving "off the floor" at some point. I'm thinking women's and children's case management. Remember, you can always go back to OB if you don't like what you're doing.

Do you have policies/procedures on your unit which would answer your question (and which would ensure that all of the nurses are doing things the same way?) We have a little split port extension which comes off the IV hub so we don't have to start tw...

This is not new information (I say that not to criticize you for posting it- I'm really glad you did). I'm really astonished that people don't know this. Our RESIDENTS don't know this.

I didn't mean to hijack adpiRN's post, and I wonder if this got buried. Anyway, I'd really like some feedback if anyone has any to give. Thanks :-) Where I work, residents generally don't want a patient with ROM to get up and walk, use the bathroom...

It can be difficult to adopt a very young child or baby in this country, and that's what most people seem to want. Plus, there is a trend towards open adoptions here which doesn't appeal to a lot of people. Many people don't like to process of havi...

I understand; I feel that way too. There are many circumstances of abortion, the one in this article included, that just disgust me. But practically speaking, either women have a choice or they don't. I know this is what frustrates many Americans ...

For those who have changed from "lukewarm pro-choicers" to "staunch pro-lifers", how would you craft a law to make some abortions ok and some not which would account for the myriad circumstances of each woman?

What "choice" looks like. I don't have to like it. But it's hers to make.

I don't know of any protocols or legal requirements. But I would think you'd want pitocin (can be given IM) and O2 masks for mother and baby. Is your staff NRP certified? Otherwise, I would think your main job is to keep mom and baby warm and call...

I have two questions on related issues: Where I work, residents generally don't want a patient with ROM to get up and walk, use the bathroom, etc. Sometimes if we push, they'll say, "Oh, well, ok since the head is applied." Some of the midwives ar...

What I don't understand is that a term baby moving around does NOT feel like gas. You can SEE them. I'm skeptical of most claims of "I didn't know" but I suppose it does happen on rare occasions that a woman truly doesn't know.