Kayla.J.RN

Kayla.J.RN

Labor & Delivery

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All Content by Kayla.J.RN

  1. New grad. position withdrawn! HELP!

    Kayla.J.RN replied to kdescarc's topic in Ob/Gyn

    It's possible that the withdrawal of the job offer might not have been related to what you said, but then again you should also take this as a lesson. Do not second guess yourself and your abilities....

  2. Adjusting from Teaching to Non-teaching hospital

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    There are ORs on L&D at both places. There are also scrub techs available. I will be circulating c/s and recovering the pt on

  3. Adjusting from Teaching to Non-teaching hospital

    Kayla.J.RN posted a topic in Ob/Gyn

    I have been working full-time for about a year in L&D at a large teaching facility in an urban area. I'm used to working with residents and midwives who are always readily available. Although I...

  4. Adjusting from Teaching to Non-teaching hospital

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    Thank you for your responses. I know that working at a non-teaching hospital will be quite an adjustment. Luckily starting out per diem will be a way to test the waters and see if I like the autonomy....

  5. Nurse managers (or experienced RNs), help me out?

    Kayla.J.RN replied to snapshot's topic in Ob/Gyn

    If you run into her on your way out from work, I think it would be a good idea to speak with her in person. You already called and e-mailed her. So there is nothing left for you to do but speak to her...

  6. Wow

    Kayla.J.RN replied to RN19802008's topic in Ob/Gyn

    I'm sorry that you ran into nurses like this. I can admit that sometimes you can find humor in some of the things that we come across and not everything is sunshine and rainbows in L&D.... but it...

  7. Angry Nurse here!

    Kayla.J.RN replied to beeker's topic in Patient, Colleague Relations

    What did you end up eating? I don't think I could go a whole shift without eating anything and I'm NOT pregnant... so I can imagine how upsetting that must have been for you. I get super cranky if I...

  8. Finally did my own delivery

    Kayla.J.RN replied to itsnowornever's topic in Ob/Gyn

    I felt the same way when I did my first delivery on my own.. it's such a feeling of accomplishment. Good job and

  9. What's the max dose Pitocin is allowed at your hospital?

    Kayla.J.RN replied to violet_violet's topic in Ob/Gyn

    I'm from NJ, at my hospital the max dose is 30 mu/min.... it's very rare that we ever reach that number though. In my experience so far I have never reached 30, but that's the max dose per our...

  10. PCA use for pain control after c-section

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    Thank you everyone for responding. I guess I already knew the answer to my own question. I figured it would be better to start it as soon as possible to ensure that their pain in under control....

  11. PCA use for pain control after c-section

    Kayla.J.RN posted a topic in Ob/Gyn

    On the L&D unit where I work, post-op orders for pain management after c-sections typically include an order for IV PCA with morphine sulfate. Some of the nurses on my unit start the PCA in the...

  12. "Not allowed" to perform vaginal exams

    Kayla.J.RN posted a topic in Ob/Gyn

    I am a new grad in Labor & Delivery and I began working in a large teaching facility in August. I was informed that nurses here are "not allowed" to do lady partsl exams. While on orientation on...

  13. "Not allowed" to perform vaginal exams

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    Thanks everyone for your responses. I agree with what everyone has been saying. I want to continue to learn this skill.. so I will take the opportunity to check with the residents and doctors that are...

  14. "Not allowed" to perform vaginal exams

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    Thanks for your response Fyreflie. I honestly think it's more culture than policy... but I need to clarify this when I go in to work again. I'm going to see if there is any written policy on nurses...

  15. Is this what night shift really does to us?

    Kayla.J.RN replied to gloryfied's topic in Health, Stress Management

    I just started working 12 hour night shifts this past week. I can't tell whether I like it or not yet. I do like the calm environment on nights (compared to day shift)... but I am feeling tired on my...

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

    Kayla.J.RN replied to PeepnBiscuitsRN's topic in Ob/Gyn

    I find this subject amusing because, so far, I have never encountered a couple with a written birth plan. I'm a very new nurse and have only been a nurse in L&D for 3 months, but even while I was...

  17. New Nurses in L&D/OB

    Kayla.J.RN replied to slidster's topic in Ob/Gyn

    It is very competitive to find a job in OB because it is so sought after, esp. by new grads. I graduated May 2012 with my BSN, passed the NCLEX in June, and was fortunate to get hired on an L&D...

  18. NRP course?

    Kayla.J.RN replied to itsnowornever's topic in Ob/Gyn

    All I did was read the NRP book and I took a few notes on it. Then I signed up for the test online.. which was $30. I took the test at home with my book open. After you take the test online and pass...

  19. New grad starting L&D position. Advice on how to prepare!

    Kayla.J.RN replied to knufflebunny's topic in Ob/Gyn

    I started my L&D position in august and was told by my nurse educator to purchase the book, Intrapartum Management Modules: A perinatal Education Program, 4th ed. by B. Kennedy, D. Ruth, & E....

  20. Preceptoring a new grad...

    Kayla.J.RN replied to Jen,RN's topic in General Nursing

    As a new grad currently on my 6th week of orientation. I am finding that feedback from my preceptor is the best thing that has helped me so far. I always like hearing when I am doing a good job, but I...

  21. How do you document Pitocin on the I&O?

    Kayla.J.RN posted a topic in Ob/Gyn

    I have just completed my 4th week of orientation on L&D and I ran into something that I am confused about. My preceptor does not include Pitocin used for induction/augmentation of labor on the...

  22. Would like to become an Ob/Gyn nurse.. advice?

    Kayla.J.RN replied to ndjarvi's topic in Ob/Gyn

    If any hospitals in your area have openings for a patient care tech/associate on an OB floor I think that would be a good place to learn. When I was in my last year of nursing school I worked as a...

  23. How do you document Pitocin on the I&O?

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    Thank you Fyreflie, your post was very helpful. We use 20 units pitocin in 1000 ml and start at 2 mu/min which is 6 ml/hr and we increase by 2 mu/min q 15-30 depending on the order. I always document...

  24. What are you really good at?

    Kayla.J.RN replied to proud nurse's topic in First Year After Licensure

    I am a new grad on my 5th week of orientation in L&D. I have been getting a lot of compliments from my preceptor and other nurses on the unit that I am a quick learner and have great assessment...

  25. How do you document Pitocin on the I&O?

    Kayla.J.RN replied to Kayla.J.RN's topic in Ob/Gyn

    Thanks Ashley, that sounds like a great suggestion. We have two different IV pumps on our units, Alaris and Imed. I am more familiar with the Alaris pump and I'm pretty sure you can see the volume...