kthelan2

I'm a Labor and Delivery/Mother-Baby Nurse at a Level 2 hospital. We currently perform circumcisions on an inpatient basis, but I want to spearhead that we start doing them outpatient. Does anyone work at a hospital where the circumcisions are done outpatient? My argument is that reimbursement is very low, especially since it takes up many resources to actually perform the circumcision as well as deal with any complications that arise afterwards. My only concern is with different types of insurance and the process of making it a seamless process. I would love any and all feedback for either side!

We stopped printing strips a couple of years ago as a cost saving method. We only use them in down time. Everything gets stored electronically, so that's our record. If someone still does print for some reason, they just throw it in the HIPAA bin when they're done.

I came across a very interesting birth plan. My hospital is Baby Friendly and this particular patient had her baby at our hospital 3 years ago. She breast fed her first child through a mix of BF and supplementing. She wrote on her birth plan that she doesn't "drink the BFHI koolaid and wants a pacifier" and that "nipple confusion won't occur and the world will not end." She asked that "any La Leche League nurses be reassigned to another patient". She also specifically requested 2 rooms on our mother-baby unit that are our largest. How does she remember those things from years ago?? It was pretty hysterical to see the other spectrum.

Everyone told me that it would be "impossible" to get hired as a new grad in L/D too. It's difficult, but definitely not impossible. I got hired 2 months after graduation into L/D. Best advice to give you: if you are able to get a job as a CNA on any unit in a hospital, it's easier to be an internal transfer rather than an outside applicant. Join AWHONN, attend meetings, and mention it during an interview. It will impress the manager. Hope that helps and good luck!

All of our patients automatically get a foley catheter with an epidural. We remove it when she's complete and ready to push.