All Content by winter_green
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Has anyone worked at Washington Hospital Labor & Delivery in Fremont, CA?
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!
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Wondering...
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.
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New Nurse, New Job in Postpartum...Worse Than I Could Have Imagined
Just read you first paragraph and it sounds like hell. We only do at most, 3 couplets care.
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L/D RN learning to scrub for c/sec
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.
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L&D gals
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.
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Do you always keep emergency meds on hand for deliveries?
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.
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Should I donate all my scrubs?
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.
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How to cope when you had a bad delivery
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...
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Who out there is doing standardized pitocin orders?
Standard order, start at 1 mU then increase by 1 - 2 every 30 minutes to a maximum of 20 mU.
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Philadelphia Hospitals - Charting/Pay
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.
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Median pay for L&D RNC-OB with 4 years experience
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.
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LDRP vs L&D/Postpartum
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.
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Help Becoming Baby Friendly
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.
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What do you chart when you have a normal vaginal delivery?
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.
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Perineal Prep Solutions?
My old workplace, and currently where I am at.... always betadine.
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I think I should learn to sew. Can't find perfect scrubs.
They do sell paterns you can buy so you can sew your own scrubs, good luck.
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Not exactly full time, 0.9, but how should I schedule myself?
i'm starting my new job soon and i have to decide today if i want to do 0.9 or full time working nights 8 hour shifts. if doing full time, it will be 5 nights/week but if 0.9 it will be 4 nights one week, 5 nights the next week. if i choose to do full time, i will also qualify for relocation assistance which will help me alot considering it is a good chuck of money. however, i'm leading towards 0.9 only because i'm thinking i will need that extra night off. however i'm wondering if that extra night off will make a difference and if it's really worth it.... and how i would schedule myself being 0.9 to make the most of my days off....any ideas? i usually like my days off in a row if possible. i have to work every other weekend. i'm trying to write out my "schedule" just to get an idea but for some weeks i will have to work 7 nights straight to get a 3 day block off. any one familiar with 0.9, and 8 hour shifts scheduling that may be able to give some better insight on how to schedule myself so i can still have a block of time off? for example, i don't think i can hold up the 2nd to 3rd week: sun mon tues wed thurs fri sat 1 2 3 4 5 off off 1 2 off off off 3 4 1 2 3 4 5 off off 1 2 off off off 3 4 so i'm wondering, if the 3rd extra night worth it? if so, what is the best schedule? (we do self scheduling there) or is it better to just go full time and get the relocation bonus - one year commitment to full time?
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how to do 8 hour night shifts
Currently im jobless. I resigned from my last job because I was going to relocate to the East coast but plans changed after i reigned
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how to do 8 hour night shifts
I just accepted a job offer in my specialty that is 8 hour shift x5/week and x4/week alternating since is. 9 not full time. The pay is good. I will have to relocate and they are helping me with relocation but is asking for at least one year commitment. The new community where I will be relocating is right on the coast, beautiful but majorly a retired community however it is highly a tourist attraction as well. My question and concern is, what if 3 months into working the 8 hrs night shifts, I can't tolerate it? I've always done nights before but only 12 hr shifts.
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Need ideas for a new career when nursing career is over
I'm still new in the nursing field but there are some ideas... * Try public health... look into county jobs? Your public health department? How about the World Health Organization? or the CDC... You might surprise yourself. * Be an nurse educator either for a unit or for the public? You have alot of experience and knowledge. * Nurse recruiter... I've learned that most recruiters used to be nurses themselves... * or become an legal nurse....
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How to answer this interview question....
Unit manager: What skills would you bring to our facility, our unit when we hire you? ??? I only have 1 year and 4 months of experience of L&D as a new grad... I can't say, I have loads of experience and skills... so what do you say??? She's asking in particular, SKILLS....
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Travel Nursing in CA
Did you end up taking the assignment?? How was it? I'm also looking into the area as well....
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8 hrs night shift, x5/week
I was called for an interview and I'm just weighing out the schedule bc at this facility they do 8 hour shifts.... currently 1 open position of full time 5 nights/wk and another position of .9 which is one week 5 nights the next week 4 nights on... I'm so afraid I'm just going to be miserable on my days off unable to get anything done and no social life...
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Perform Leopold's Maneuvers
I have a little over 1 year experience in L&D and rarely was trained doing the Leopold maneuvers...JW how it is at other facilities.... Am I'm in trouble that at my place we don't practice it???
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How to get Advanced Fetal Heart Monitoring
I currently have Basic Fetal Heart Monitoring. JW how do I get Advanced? Do I have to first be Intermediate? Do I need so many years of experience with L&D to get to Intermediate and Advanced? I have about a little over 1 year. Where can I get it done?