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chanelagonzalez

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  1. Cost of living in NYC has got to be expensive! I'm a new RN making 25/hr and i work in a border town in South Texas where the living in cheaper than cheap. Your rate seems too low to make ends meet....
  2. There are a lot of moms working the night shift 7p-7a in my unit and they are moms to youngens like yours. All I can say is, these nurses all put in a request to work days and when the time came and the spot was open, all of them stayed nights. Nights is a whole different world in nursing and you may love it. You may also love the night differential which will make it hard to leave nights and take a pay cut to do the same job (some might say to take a pay cut to do MORE work during the day shift). Either way, it's your dream, and 9 months seems like such a small amount of time in the scheme of things. Good luck to you!
  3. A birthing center inside of a hospital. Now that is an idea. Where is this located? Again, thanks everyone for the opinions. I have done a small amount of research on the subjects of inductions vs natural labor and hospital deliveries vs out of hospital and I do like to hear what others think. I appreciate the stories !
  4. The patient with lady partsl lacerations did not have an epidural, did have natural labor and a precipitous one at that. Just very quick and uncontrolled pushing we believe led to the terrible destruction at the lady partsl vault. And the abrupting patient, the strip was beautiful before the prolonged decel. There were no signs of distress. Mod variability with accels down to the 60s. Like that. We believe the knot in the cord was getting tighter as the baby tried to descend , along with the abrupting placenta caused the abrupt decel.....
  5. I don't think midwives could pick up on a tight nuchal cord too quickly since many do not use continuous fetal monitoring. I have assisted many deliveries to babies born with tight nuchal cords and the outcome was great. But, in this rare particular case, it was a combo. of the nuchal cord, a true knot and a short cord that was causing an abruption... Also, the hemorrhage i mentioned was from terrible lady partsl lacerations leading all the way to the lady partsl fornix which took a significant amount of time to repair and an EBL of 3000 cc. I know these instances are RARE, just glad that these patients were at my facility and not at home or in a BC. . I do admit that i am biased... and a bit naive when it comes to BCs... I appreciate all the opinions so far!
  6. "The argument can be made that bad things can happen at home and mothers/babies can die, but I've also seen babies die and mothers almost die from things that happened to them in the hospital." If bad things happen at home, don't you think that they are better cared for at a hospital? Again, i'm not fully aware of how birthing centers are prepared. But, I have seen our staff in the unit work together and move quickly (decision to incision to birth in less than 10 min) to save a newborn via cesarean section after a tight nuchal cord and true knot along with a short cord was causing a placental abruption and prolonged deceleration, or to save a mom whose suffering from hemorrhage. I know the risks of delivering at home or in a BC have proven to be low, but just wondering, in case of a real emergency, is the hospital more prepared?
  7. I would like to hear more opinions on the matter of hospital deliveries vs home births or birthing centers. As a L&D RN, I believe hospitals are the safest place to deliver since the staff and facility are well prepared to deal with emergent situations. Am I biased since I am a L&D nurse? I am also a new nurse and rather young, and truely do not know exactly what birthing centers have to offer. Any opinions on the matter?
  8. I work 3 or 4 twelve hour day shifts each week. You will be leaving early, your kid will more than likely still be asleep (mine doesn't go to pre-K until 730 am, so she is sound asleep at 6 am when i'm leaving) You will get home late. I am usually home by 8:30 pm, enough time for a quick dinner together and a bath (unless your child has an earlier bed time??) So after a short period of family time, you can count on about 6 hours of sleep before waking up and starting the cycle over. It is difficult to spend only an hour with your child on the days that you work. But, i think that goes for days and nights. On my days off, I am still missing my child because she is in school until 3:30. Maybe a Mon-Fri 8-5 would help you? The 12 hours do seem exhausting... Just a thought. Hope it helps!
  9. Good point. This is another thought I am wondering about. What do you think?
  10. Hi everyone! I am a RN with a BSN. I am anxious to go back to school to eventually become a Family Nurse Practitioner. I have a local university (University of Texas at Pan American) that offers the program- but i am interested in pursuing an on-line degree. I have no idea which schools are credible, etc. Anyone have any suggestions?? Thanks in advance!

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