jennobrn01

It depends on what type of unit you are hired to. On my unit we are all cross-trained to do all aspects: antepartum, L&D, postpartum, nursery. Of course there are some nurses who have definite strengths in one area, and other nurses who lament ...

I agree...don't spend the $$$ if you don't have to. In nursing school I was all about the Littman's. In the real world of nursing.... our unit is stocked with non-Littman steth's, and they work just fine. :)

"I got to watch the whole thing in the reflection on an overhead lamp.....to see one's own csection, well is a trip. I am glad I could." OT: That is so funny... I did the same thing....though I didn't notice the reflection until the MD and first assi...

I try hard to find some way to compliment the way they care for their baby (if delivered). This means a lot to new moms, especially if you are specific. If undelivered and I sense the baby is coming into a good/secure family unit I say that to the ...

I have only been in OB for four years and have seen a pt. 5 or 6 days post partum seize. She was feeling "bad", came to the ED, and while being registered seized right in the waiting area. Adequately treating pt.'s with PIH according to standard is ...

I am 95% sure the recommended ratio is 1:4. Yeah I have been in situations where it was 1:6 and even 1:8 :uhoh21:

Ahh so refreshing! Thanks for sharing! I especially liked the fact that she realized that the nurse is her advocate...even if it means standing up to her family. Wish more would realize that...

wow judy ann, i'd love to sit down with you and hear all your tales. :-)

Post partum our guidelines are as mentioned by mugwump. Though, I am in that room every hour. Just anal...

I agree that legal issues have curtailed the hand's on experience ob pt.'s need and deserve. Consider looking into a birthing center, or a hospital that advertises themselves as low-intervention.

I completely agree with this! :-) I went to OB right out of nursing school in 2001. We have a small unit, and our new grads do a certain amount of time in the post partum/gyn area before doing L&D. This area also receives non-infected med-surg...

Talk to a superior quickly! Document what she has said and done and have specific dates. Tell your nurse manager what your pt's have said. Just please talk to someone. I had bad experiences my first year out, and my career suffered because I did no...

Wow, awesome job! I was so proud of you as I read your post. Be proud of yourself!

Technically, we are supposed to say to pt.'s that we do not permit VBAC's. This is so the ob docs can draw up an policy on the issue. Nevertheless, VBAC's are still done by one practice. Yes, we have a huge disclaimer form that the pt. must initia...

We work 12 hour shifts. Full time works three 12's a week. Part time two 12's a week. And we have per diem, and casual nurses filling out the holes. We are a small unit... 6 LDRP's and 6 PP's/GYN rooms. The charge nurse of each shift makes out th...

This is an issue where it is soo nice to have a very specific policy. You can always fall back on, "Our policy states...". In my opinon, this is where "baby story" type shows have done a disservice to the L&D profession, and the laboring mom. ...

Good luck to you. Its always good to try something first and like it..then jump in and then hate it later.

good tips given already! mild fundal pressure can help going over to the left or right...sometimes it is displaced a little practice, practice. go in confident there's nothing like finding that hard to reach cervix...like that satisfying "pop" when ...

Sarah B., That would be ideal. But during the middle of the night we are afraid of what our docs repsonse would be to this method. I am helping in bench-marking, so I am not sure if risk management has been involved yet. This venture is only a few ...

We are working on a telephone triage policy on our unit. RN's have done telephone triage in the past, and we are now working on documentation of our t.t. Some questions: Do RN's on your unit do telephone triage? If so, what is the mode/method of d...

Thanks for your help, and the link. I would like to hear from more of you on this one though! :) This is an issue we are working through now in our facility. Our new nurse manager would like to discontinue telephone triage, while the ob's would lik...

Hi all! I am brand new to the boards. I have been practicing in ob/gyn nursing in a small community hospital for almost 4 years. Recently, we re-vamped our charting forms. Yes, we are still doing hand-written charting. I was in charge of complet...

Thanks for your replies. I'll have something to take back to the couple of nurses on our unit that just don't quite want to see it go. :)

Working in OB, I see it all. Some of the best stories stem from body ornamentation. Tattoo's and piercings are as creative as their owners. The time had come for one of my pt.'s to have a vag. exam. After first talking through the procedure with h...

We have 6 LDRP's and 6 post partum/gyn rooms. All of our staff is cross trained. So whether the pt. stays in an LDRP, or is transfered to a PP room...the RN there is equiped to care for her with a Mag drip.