winter_green

Hi all, Just wondering if anyone can give me feedback on their work experience at Washington Hospital Labor & Delivery in Fremont, CA? Curious about the work culture, work flow, doctors, and any inputs. Thanks!

Just wondering, at your hospital, are you given any education hours or even a dollar amount that you can use to take classes or conferences? If so, how many hours and what dollar amount? I know sometimes if this benefit is offered, the amount is also different depending on if you're full time, part time and per diem. I'm just disappointed that at my new hospital, we are only given 16 hours of ed hours for 2 years and $0 amount!! (full time) My old hospital offers 72 hours and $2,000 to use for any travel expense, class cost, etc. Is this rare to find at most hospitals? Any suggestion on what to do? I love attending conferences and try to attend at least one every 2 years.

Just read you first paragraph and it sounds like hell. We only do at most, 3 couplets care.

Our FBC (LDRP) , nurses are assigned to either learn PACU or scrubs. It works out fine because if an Rn is the scrub for our shift, the scrub Rn only takes mother baby couplets for patient care and if she needs to go scrub, the rest of the rns will listen out for her patients or the free nurse will take over scrub nurse's patients until she gets back.

At my current hospital, there is no limit in the number of visitors. However most patients choose to only have the significant other there only, sometimes that is also because they are military family and are far away from their families. I used to think it was "sad" and "lonely" to deliver this way but I also soon realized it's better for bonding time and breastfeeding and more privacy not to mention rest for the mom. People don't need to see everything. I used to think that when I have my baby, I'd want all my family there... No, not anymore. I'm more like come visit me after I'm out of the hospital.

Yes. It's standard at our hospital we have emergency medications at every delivery. You never know when you really need them, always good to have them. And if you don't need it, you can always return them.

I've been in L&D at this new facility for about 2 years now. Here, they provide our scrubs for us and they wash them for us. My previous hospital did not provide scrubs for the nurses. We had to provide our own and we had to wash them ourselves. Before I left this job, the hospital was in the process of providing scrubs for RNs in labor and delivery. I'm wondering if most hospitals out there provide uniforms for their registered nurses in labor delivery? Is it a good idea to just donate all my scrubs that I have? Or should I keep some of them just in case I may change jobs from now and may need them again? I would hate to buy them all again because they are not cheap.

I hate the feeling... Can't stop thinking of what else I could have done... Or what I should have done... Even moments of "maybe this isn't for me anymore"... Even as far as" i think I should quit... Find something less stressful " Is it normal to feel this way? Or should I consider quitting? My self-esteem really affects me...

Standard order, start at 1 mU then increase by 1 - 2 every 30 minutes to a maximum of 20 mU.

I would call HR, they can give you a general idea before you decide to apply and whether its for you or not. Let us know what you find out please.

I've thought about moving to PA but the pay for RN is very low. I believe CA and NY are the top paying states for RN. I don't mean to brag and please don't take it wrong but I have 2 years of experience and I get over 100k. But then again, living expense in CA is high.

I'm in CA, at a baby-friendly hospital. We average 100-110 births per month. Active labor, always 1:1. Mother baby always 1:3. Charge RN never takes patients. We are pretty well staff, which I'm grateful for.

We are baby friendly, and we do LDRP. Recently one of the major change to baby friendly is skin to skin immediately after birth for one uninterrupted hour! That means no baby weight, no meds, nothing besides vital signs, all this of course if baby comes out with no complications. This has extended our lady partsl birth recovery from time from 3 hours to 4. Also on each shift (we do 8 hours shift here) we have at least one nurse who is IBLC as a resource for nurses if needed, and all nurses are oriented to breast feeding. Nurses who are doing mother baby care are also required to observed at least one feeding and give a latch score. Other breastfeeding times are also documented as reported by the moms or as written by the moms on their breastfeeding diary that we give them. All breastfeeding times are scored with a latch score whether it is observed feeding or reported by moms. Here at this facility, active labor we are staffed one to one. Mother Baby care we staff one nurse to 3 couplet care, which is really nice. If we haves any breastfeeding issues or with latch, we have a nurse who works on day shift solely focusing and providing additional help with breastfeeding. I rarely see formula ...or given formula since I have been here at this facility (been here for 9 months now). If parent chose formula they must sign consent and be explained risks and benefits of both formula and breastfeeding. I rarely see pacifiers as well. We offer breast feeding classes to expecting moms. Also in patients room we have breastfeeding videos they can watch for additional information or help. We also have handouts to use if needed. If latching is problem, we do hand expression and count number of drops for breast feeding times. These latch scores and if hand expressing are always passed during shift change. Baby room in with mom at all times unless of course there are any complications.

At this new facility, they are very short...just "SVD female" then "placenta delivered". I was trained to be more detail from my old facility.... "Spontaneous lady partsl delivery of viable female/male.... Stimulated and dried with towel... Vigorous cry...quick pinkening...cord clamped and cut. Skin to skin with mom......(or to preheated radiant warmer for assessments, meds given and id bands applied x2 or wrappedx2 with hat on to mom). As far as placenta, "placenta delievered. Pitocin started as ordered." Am Im charting too much? What do you chart? Please share.

My old workplace, and currently where I am at.... always betadine.