lovemyjoblandd

lovemyjoblandd

L and D

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All Content by lovemyjoblandd

  1. New grad in L&D with severe anxiety and stress

    Oh sweetie, you will definitely not have it all down by May. That is unreasonable. It takes years to "have it all down." L&D is a tough ward. It takes atleast a year to get somewhat...
  2. Interesting night/patient

    Okay, here's the situation. I come into work tonight and my patient is a delivered PIH patient with a P C/S due to failure to descend. She had been on mag for the duration of her labor which was...
  3. Who out there is doing standardized pitocin orders?

    We use standard orders. It has checkboxes and the physician can either choose to start at 1 or 2 and increase by 1 or 2 every 15 or 30 minutes with a max of
  4. Managing breaks in Labor & Delivery

    I know it's frustrating, but honestly, it's nursing. You just got to manage your time the best you can and do your best to pump when you can. In my experience, management is so far removed from floor...
  5. I Feel Horrible! Confused! Dont know what to do!

    Take the ob job if that's what you want. You may not get the opportunity again. While it's frustrating that you took a job and now are going to leave, in the end it's about what makes you happy, not...
  6. I am burnt out

    I keep hearing the song "another one bites the dust, and another ones down and another ones down another one bites the dust". I'm so burnt out on hospital nursing. I'm hoping it's just the...
  7. I am burnt out

    Thanks everybody. The constant pressure on nurses, the backstabbing by each other and some doctors, the horrible management in my particular floor, the terrible hours, the understaffing.... Im just...
  8. Where do your postpartum Mag patients go?

    To be more specific, these are patients that have been discharged after delivery and then show back up a few days later with postpartum pre-eclampsia in the ED. Our protocol is that they are suppose...
  9. Everything is our responsibility. Rant.

    If only management would realize
  10. NIGHT SHIFT CENTRAL!

    I hate how apparently there are never that many admissions, or women going into labor, or water's breaking, or babies being born to need staff. All that stuff only happens on the dayshift ya know....
  11. Everything is our responsibility. Rant.

    Oh man, this is exactly how I always feel. This is one of my favorites: We labor patients. When they are GBS positive we start Pen G as soon as we get an IV. The order is wrote and sent down to...
  12. How does your hospital handle twins?

    As long as I've been here (not quite a year) all multiples are sections, point blank. Even if the woman comes in complete and
  13. Vaginal Birth after two consecutive C-Sections

    Yeah God forbid a doc hafta give up a few nights a month to cover the hospital so i woman may have the birthing experience she wants and deserves.... Ugh. I think im getting bitter in my ripe old age...
  14. Burned out and hate nursing

    AMEN!!! I have got to get out of the dang hospital. I'm so so so sick of floor
  15. Registered Nurses: Do you like your jobs?

    Little background on me: I'm a L&D nurse that started out with a year in Med-Surg in the Army. Has your opinion of people changed at all, do you still have faith in humanity so to speak after...
  16. I get out on time...

    Aint that the truth!!!! Not only that, but if people would worry as much about their own work and what they are doing as they do about me and mine AND if they would actually work as much as they try...
  17. I get out on time...

    I work nightshift and the only reason I don't get out of here on time is if the dayshift is late (which used to occur a lot until I just wouldn't let it go and complained so much to the management...
  18. Yesterday, I feel like I failed as a nurse.

    I guess the important question here is, did both of your patients have good outcomes? Sometimes we are not able to provide patients with specialized care in our field. Is it fair? no. Does it happen?...
  19. I'm afraid nursing might not be for me

    My suggestion would be to email the nurse manager of your women's health center at your hospital and let him or her know that you are interested in the specialty and would like to get a feel for it....
  20. Best unit as prep for L&D?

    The ER will give you good experience as working in emergencies, triaging, time management, etc. OR will get you used to circulating a c/s and would be good experience. Med/Surg is a good start for...
  21. Vaginal Birth after two consecutive C-Sections

    I don't think any of the docs at my hospital would allow that. It is a rare (VERY rare) occassion that they will even allow a TOLAC on a previous c/s. It's pretty much once a c/s always a c/s. I...
  22. I dont know if this is for me! Advice please!

    I feel it would be very difficult to start a nursing career in L&D. I know many brilliant L&D nurses that have done just that, but I am glad I had med-surg first. The reason I say that is...
  23. How do you know if you are cut out for L&D?

    I did med-surg for a year before moving to LDRP. I hated every minute of it. It made me continuously question if I even wanted to be a nurse; however, it gave me invaluable skills. Time management,...
  24. Where do your postpartum Mag patients go?

    I suppose it is possible that there could be an order to have baby boarding if another adult was with the mom. That hasn't come up. As I said, we rarely take re-admitted pre-e's because we have a...
  25. Where do your postpartum Mag patients go?

    I'm not sure if the babies are allowed to room in in the units or not, but I can tell you that if they are sick enough to have to be readmitted and on mag, their babies are not staying here with them...