MamaCJRN

The recommendation for a true reading is for the patient to be in a semi-fowlers or sitting position. The most important thing is to never have the patient lay flat on her back, at the very least she needs a hip roll under her left or right hip. I'm...

We use the 30 units Oxytocin in 500 mls for induction, then run at 125 ml/hr after delivery. Where I used to work we ran it at 444 ml/hr after delivery, why that rate, I don't know :)

Last I heard, we were all on the same side, to do safe patient care. The nurse should have informed that tech she was out of line. I have a great deal of respect for the OR techs I work with, but they accord others respect also. She needs to remember...

Sorry this happened to you, I have had docs go over my head so much I have a permanent part in my hair :)

AWHONN is Association of Women's Health, Obstetrics and Neonatal Nurses. When you say AWHONN Certification, are you referring to the Fetal Monitoring Course? If so, you can usually find a class for $150-$200. I teach this course but I'm in Oklahoma. ...

i am ready to return to travel nursing, the only concern i have is benefits. although blessed with great health myself, my husband is on several medications that without a great pharmacy benefit, we can't afford. how are the benefits with the compan...

Basic fetal monitoring class & NRP are a good start. The more advanced or specialty courses will require some experience in the field. Best wishes!

We have 4 LDRs, 2 docs deliver 450 babies a year. We are a Women's unit with L&D, PP (12 beds) and nursery. Our central monitor/EMR system is GE CPN, love it! I've worked with OB Tracevue and unless they've made changes it's not very user friend...

Does your facility use AWHONN Staffing Guidelines as a standard of care? I believe the standard is 3-4 stable mother/baby couplets and no more than 2 of these should be 1st day post op Cesareans. Standards and guidelines are for patient safety and if...

My guess it would make too much sense :) I agree, it would be much more efficient. I'm going to have to research that one to see if anyone has ever made a serious effort to create a national board.

If the area of nursing you are working in requires a certification (ACLS, PALS, NRP, etc) the hospital will normally send you to the class and pay for it. I never had to take an IV therapy course, just learned OTJ :) Hope this helps.

I have had internal staff contact me regarding job openings. I am okay with email, although some managers are more traditional and would rather have you come see them in person to introduce yourself. Best wishes!

A pregnant woman came in thought the ED in labor, dilated to 7cm. She told the doc she couldn't be more than 27 weeks because her husband had been gone on job related training for about 16 weeks prior to that. We were prepared for this sick preemie (...

Thanks for proving once again that nurses are the most creative and adaptable people. Best wishes in your new job(s)!

The typical day (LOL does that exist for nurses :) ? ) depends on where you work. In a large facility L&D is caring for laboring patients, inductions, C/S all day, once delivered and recovered they will be transferred to the Post Partum floor. If...

I was working in Bakersfield, CA at Mercy Southwest. I was ending my night shift and walked into the break room to see the 1st tower burning and then the 2nd plane hit, I couldn't believe what I was seeing. Some of the travel companies were asking fo...

Congratulations! We have nurses at our facility who pump PRN, we have a nice little breastfeeding room and provide electric pumps for the staff to use. We even buy them an electric pump to use at home! Breastfeeding is your right, your employer shoul...

In our rural hospital, the physician draws the cord gas when getting the cord blood during vaginal deliveries, we just have to put the blood in the lab tube. In C/S the OR circulating nurse draws the cord gases (The OB nurses receive the baby & o...

Love you! Wish you were delivering at my hospital :) Birth plans are great, I don't see many and things go well anyway. Just remember we are there to help you and it's all about you (well, at least until the baby arrives, then you have to share the s...

I have never seen this problem in my 16 years, where I work, everyone wants day shift! I am like you, love nights, everyone is much more calm about things, much less drama. Isn't there someone on nights currently who wants to work days? Whatever happ...

All school is jumping through hoops. I also have a business degree in addition to my BSN. One day you will pause in the middle of your busy nursing shift and think "That's why they taught me that!" Best wishes, you will love nursing, it's the best j...

I'm so sorry for your loss, it makes it even more difficult when those around you ignore your feelings. Does your job not have funeral leave? Our hospital gives you 32 hours paid funeral leave when an immediate family member dies. Even if it was not ...

Thanks for the information Rod. That's what I was afraid of when I started looking at travel companies. I will look into a personal policy.

Congratulations! I know how excited you must be even though it's been 16 years since I walked into my orientation on OB. There are many great resources out there for labor support techniques. From breathing techniques to massage and relaxation. You ...

Worked a neonate code at a term, scheduled C/S, anomalies not conducive to extrauterine life, very traumatic for the parents and staff. A few years later the parents returned and had a beautiful baby, a healing experience for all. It meant so much to...