TexasCourgette

TexasCourgette

Labor & Deliery

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All Content by TexasCourgette

  1. Possible 36 week delivery, hospital has no NICU

    Per allnurses.com terms of service, we cannot give medical advice or help you make medical decisions for you or your baby.
  2. Opening new unit

    Pie in the sky dream: birthing tubs. But maybe there isn't THAT much equipment allotment left? Wireless Tele with water-safe monitors (even without birthing tubs, you can monitor your patients while they're in a shower if you have the telemetry box ...
  3. Postpartum Hemorrhage drills

    At my facility, our educator would make jello and put it in ziplocs for drills is visually estimating bloodloss-- we also had drills in which we would weigh pads that had been soaked (water/food coloring), and had to find and use the reference sheets...
  4. Documentation

    At my facility we chart q30 for labor without pit, and q15 for pitocin, and q5 when pushing (regardless of pit or not). We also have an intermittent monitoring protocol for patients who are unmedicated (no pit, or fentanyl, or epidural, or anything),...
  5. I need confidence!!

    Good for you! Know that preceptors don't generally give out that kind of praise very often. She's not crazy, and you're not crazy--you're good at what you do. Does it become less scary? Yes. Absolutely. Like, none of us would be able to survive L&...
  6. Your first OB clinical experience

    There is absolutely a "shock value" that comes with L&D, especially if it's your first obstetric experience. I absolutely love women's health, and knew that going into L&D, and there was still an adjustment period--seeing my first birth was a...
  7. Projects in your OB department

    We just started offering birth classes at our hospital, and are increasing the number of tours we give per month. Our unit is in the middle of remodel, and we're gaining an LDR from that. In the last year we've added a "birth plan" to our tour packet...
  8. Most helpful orientation activity

    We had lots of "drills" with our educator--she'd make jello and spread it on pads and have us guess amounts to demonstrate how hemorrhages are often underestimated, run mock codes, mock neonatal resuscitations, and role-playing common patient scenari...
  9. Vanderbilt admits, what were your stats?

    I had a 3.5 GPA, and GRE score of 158 verbal (I think?) and 155 for the math portion (I think? This was back in August, and all I remember was trying to make sure I had over 150 in both portions). I applied to the CNM/FNP dual program. So far I've be...
  10. dealing with the death of a baby

    I can't answer this as a midwife (yet--just got accepted to start in Vandy's CNM/FNP program in Fall 2014), but I've been an L&D nurse for 2 years, and have seen several demises. Most of the demises I've seen have not been intrapartum--a woman co...
  11. Question about noisy/open-glottis pushing

    I think it mainly comes from how uncomfortable it is for the OB/midwife/nurses to hear someone making that kind of noise (and truthfully, I see this most with OBs, at least at my hospital). It's not a societal norm we have, and so people are asked to...
  12. What's the craziest thing a patient or family member has said to you?

    I once had a dad ask me, immediately following delivery, if we could "put a tracking chip" in his son (for child safety, in case he got lost?). His rationale was that "in the military, they do it all the time, so I know that technology's out there". ...
  13. Oncology nurse turned L&D nurse!

    I'm 9 weeks into my first job, on an L&D unit, and oh my goodness, is there a lot to learn! One of the best pieces of advice I've gotten (after "read everything" and "know as much as you can") is to not be too concerned with being the BEST nurse ...
  14. nursing policy on handling infant that is not bathed

    At my hospital, we actually draw labs when we start their IV/saline lock (the IV/lock is recommended to everyone, even if they're having a drug-free birth, in the event of an unforeseen emergency) and test for these same things the day of delivery. I...
  15. Any US-trained CNMs qualified and working abroad?

    I know in Canada, they require you to be licensed in whatever country you're coming from, and then take a roughly 9-month "bridge" course before registering as a Canadian midwife.
  16. Resume/Cover Letter Critique

    I'm a BSN student in Texas (graduating this May!) who is growing increasingly more worried as I watch my classmates get interviews/job offers. My phone has been painfully, patiently, pitifully silent. I'd love to have someone take a look at my resume...
  17. Resume/Cover Letter Critique

    Thank you to everyone who posted! I used these critiques to edit my cover letter for a different application--and was hired for the position! I'm lucky to have access to such a helpful online community. Best of luck to those who are still job-searchi...
  18. Do you like the visiting IBCLC? How about doulas?

    I try to be open to anyone the mom is comfortable with in the birthing process (from admission to discharge), regardless of what I may think/feel about them, because it's not really about me, or about what I think about whoever she has chosen to supp...
  19. OB "Goodie" Bags for Moms

    For the boys, pull 2 little strings out from the bottom of the hat, and use it to tie the top 2 corners of the hat--it'll look like bear ears!
  20. ER to L&D!?!?

    I love love LOVE my job because of the variety--I never know what kind of patients I'm going to get, or what their history is, and even if it's exactly the same history/age/parity as a patient I've had before, every labor is different. I also like th...
  21. Guys, I'm having some issues, and yall have been incredible about answering my questions in the past. I'm a native Texan, graduating a BSN program in May, and hoping to relocate to Canada ASAP, to be with my lovable Ottawa-native boyfriend of two yea...
  22. Resume/Cover Letter Critique

    .....Anyone?
  23. new grad opportunities in around Austin, TX

    I'm a student, graduating with my BSN in May from The University of Texas at Austin. The market is pretty darn saturated, and previous posters who pointed out low salaries are correct--they're relatively low in most fields, by industry standards, bec...
  24. Why did you pick your username?

    Texas is where I'm from; Courgette is the word for zucchini in French--it's the first French word I learned, and I thought it was so pretty, my boyfriend (who is French-Canadian, and taught me the word to begin with) started using it as a private nic...
  25. How does anyone ever get to be a nurse in Canada?

    Ha, we'll get married at some point, he's my person. :redbeathe But not now, and not for immigration...though I can't say the topic hasn't come up once or twice. :) Could we say "convenient"?