SanDiegoCaliRN

SanDiegoCaliRN

OB/GYN, L&D, Postpartum Couplet Care

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All Content by SanDiegoCaliRN

  1. The most ridiculous birth plans you've had the pleasure of reading

  2. The most ridiculous birth plans you've had the pleasure of reading

  3. B/P and Seizures

  4. The most ridiculous birth plans you've had the pleasure of reading

  5. The most ridiculous birth plans you've had the pleasure of reading

  6. The most ridiculous birth plans you've had the pleasure of reading

    Klone, low risk women have babies who crump for no reason at all at or shortly after birth. Low risk women hemorrhage, have shoulder dystocias that DON'T resolve, no matter what maneuvers you perform and develop preeclampsia in a day when the day bef...
  7. Can a woman refuse an emergency csection ?

    I had a mentally retard patient once and her mother, who was her legal guardian and conservator, gave written permission on her behalf to perform a C/S. That baby had a lot of problems but it survived
  8. Can a woman refuse an emergency csection ?

    Not at my hospital and I don't think legally a C/S can be performed against a woman's will anywhere. Written consent is required to operate because until the baby is born, it doesn't have "rights." We had a North African woman refuse a C/S for recurr...
  9. The most ridiculous birth plans you've had the pleasure of reading

    I am not afraid, I'm cautious. There's a difference. If I'd had my son at home as I had planned, he would have died without a doubt, and I had a picture-perfect pregnancy and labor with no risk factors. The delivery is where things got very scary, v...
  10. The most ridiculous birth plans you've had the pleasure of reading

  11. The most ridiculous birth plans you've had the pleasure of reading

  12. Blame the nurse!

    We don't know the answer to any of those questions. But plain and simple, if the RN wasn't in the room, it's most likely primarily her fault. If she was, it may be no one's fault because emergency C/S's take priority over uncomplicated vag deliveries...
  13. Blame the nurse!

    If you'll read the small follow-up at the bottom of the story, it says after release of the publication and a hospital review into the situation, the nurse is claiming she WAS in the room at the moment of delivery but the couple still disputes that. ...
  14. Baby Friendly- getting a tad over the top

    I have to agree with whoever said this "Baby Friendly" initiative is going a bit too far. I love the push towards breastfeeding but ultimately feel it's a mother's choice and her choice should be supported. I also feel a newborn nursery should be ava...
  15. Changing to a New Specialty

    I think you should go for it without hesitation. Don't let fear of failure or change hold you back. The only thing that will prevent you from realizing your dreams is fear. You've got experience as an RN. You can totally do this! Good luck...
  16. Blame the nurse!

    This incident actually happened in Florida where there aren't any state mandated ratios. BUT the OB said the nurse was likely too nervous to be in the room alone so clearly she wasn't in the C/S with her. The patient said the nurse told them she'll "...
  17. Blame the nurse!

    As an L&D nurse, I'm obviously looking for a way to let the nurse off the hook but I can't find an excuse for her being out of the room at the moment of delivery. I'm not sure how the staffing ratios are nationwide but here in California, we have...
  18. Nurse as a patient-how not to be a PITA???

    Hey Redmorgan, here's wishing you the best of luck tomorrow with your induction. You sound like an awesome pt with realistic expectations and a great sense of humor so I know you'll do great! :)
  19. C-Section spinal - Why husband asked to stay outside?

    I don't know if it's for the same reason everywhere but I know at our hospital it's because the anesthesiologist wants to make sure there are no complications with the spinal before family is allowed in. If you'd ended up with a high spinal which aff...
  20. Nurse as a patient-how not to be a PITA???

    IMO, the biggest PITA's are people who show up on the L&D floor with a condescending, critical and suspicious attitude towards hospital staff. If you have a very rigid and unrealistic birth plan (no IV, no continuous FHM, etc), please do everyone...
  21. Panel interview

    These panel interviews can be nerve wracking (I had one too). The only tips I can give you is to brush up on your interviewing skills. Everyone on that panel knows you have zero M/B experience so don't anticipate questions related to the speciality. ...
  22. Pros and Cons of Induction in L&D

    It's doubtful any practitioner will induce (especially at 36 weeks) for one elevated BP. Drawing PET labs or collecting a 24 hour urine can determine if the pt is preeclamptic, which is definitely an indication for induction. Look deeper. Ask questio...
  23. Pay Rate

    I've lived in both LA and San Diego and can say if you're looking to relocate to So Cal, make sure you have a job first. San Diego is an extremely tight market to break into, even with experience. You may have better luck finding work in LA but will ...
  24. Vocera or Alternative?

    We have Vocera but never use it because, like cellphones, they're subject to weak signals and can be unreliable (especially in our maternal child dept) Sent from my iPhone using allnurses.com
  25. OB nursing was the one thing I didn't want to do!

    I landed in PP/L&D unexpectedly when I was trying to break into the ED (trauma was my goal). Talk about a difficult specialty to get into (ED that is)! In fact, I barely paid attention during my OB rotations because it was the last unit before I ...