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LDNURSECITY

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  1. I work at an inner city hospital on the L&D floor. I was thinking about going to a community hospital. Another nurse told me she would be afraid doing her own vag exams and calling a doc from home. What is a typical patient like at a community hospital? Here is a "typical" shift at my hospital: -At least 1-2 people coming in triage at 7cm or more (1 delivering in triage) -At least 1-2 STAT sections -Sometimes, all recovery rooms (4 beds) and all triage rooms (5 beds) filled and all L & D beds filled (12 people on monitors at one time, viewable on our huge flat screen) -1-2 preterm patients -At least 3 patients with some high risk condition: No prenatal care, preeclampsia or GDM, prolapsed cord, placental abruption, HELLP, Barthalows Cyst etc -Most patients coming alone (FOB not involved) -Most patients in their early-late teens or early 20s -Most patients with limited education and resources -24/7 NICU team for all questionable deliveries -residents to do all vag exams -Attendings and residents in house at all times Obviously, L & D is unpredictable. I do not need someone to post and tell me that. But I would like to know what a community hospital setting is like. Thank you!

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