mugwump

I have started my new position as clinical informatics coordinator in March, so I am a newbee as well and am interested

i will be in a couple weeks :)

so just a little devils advocate what is diffrent between a baby not getting a bath and you holding the hand of your patient who maybe has HSV that just was in the bathroom scratching a leison did not wash their hands and is now holding yours (i guess my point is chances are very slim. I think there are a whole host of germs out there that we don't see and know about that can do just as much damage (but donlt) than a baby without a bath

so everyone i am working on a project and i am just curious when does eveyone complete their initial newborn bath???

well, technically we have 24 LDR's, 4 OR suites, however we typically only use 3 (one of those being for cerclages mostly. we deliver about 450 a month, although a couple of years ago when I started (before the birthrate dropped yes I think it it did) we were delivering over 700 a month

I learned and accepted when i started in labor and delivery that non-medicated births made me nervous i was scarred, I felt bad for the woman who was hurting and i wanted to try to make it better. Then one day I said to myself, this is HER birth experience, not mine I need to and can help her acheive whatever experience she wanted the best. (yes i have sort of fought with doctors to make this happen for some) I rarely talk anybody in to an epidural who didn't want one to begin with. I only do that as a last resort when there is been no change and dr is talking c/section. I have also been known to talk people out of epidurals (those are also few and far between) limited to the women who come in 9 cm and can push out a baby before the epidural will start working. (however if they insist I will start preparations for the epidural which usually doen'st make it

I can't wait to read the update on what actually happens. Your birthplan sounds very reasonable. But keep this in mind birth is a fluid dance. Nothing happens by itself and everything affects everything else. I do NOT agree with the mandatory nursery time, I would probably fight it, site other hospitals in the area that don't and call it fraud (although since your insurance is the hospital it probably won't fly) The only thing in your birthplan that I may or may not have an issue is with not cut the cord until it stops pulseating, some people are very lets say strict on this and don't see the bigger picture. most of the time not a big deal, but there are instances where it does need to be cut. "Tight" cord around the neck that cannot be reduced, the baby not breathing with stimulation or a short cord. sometimes the cord literally won't reach to put the baby on your chest. I personally would rather have the cord cut and the baby on me, that the cord pulsating and the baby in the doctors gloved hand. just saying. Good luck, I hope you have a great expierience

well, first of all i would say as a new grad in this economy, don't excpect a labor and delivery job. I would however encourage you to get as close to it, as you could. for instance a hospital with a big labor and delivery unit and work where ever you can. ICU if it is a level 3 maternity, would give you great experience for high risk labor and delivery. Also postpartum would give you some experience in womens health. Don't look exactly at the unit you are working for, but the hosptial system as you would have advantage when a position does open up working with that system. Good luck

I work at Banner Desert so I don't really know any who go to scottsdale

Well as far as the AWHONN do you attend meetings, then you are a "active member" also I try to use the nurse job description in my resume instead of care for patients, you might right i formulate the nursing plan of care for my patients and assess, and reassess my interventions and evauluate the responses.

Wow this is a tuff one, my first reactin when your old preceptor critisez you is to remind her that she was your preceptor and you are mirroring her behaviors. so basically when she is critisizing you she is critisizing herslef. i would also talk to the director of the WIS department, keep going at it, safety is first, jumping into situations is how you learn, keep your head and everyone should support you, voice your concers. if you need anything else, let me know

There is an article about this on cnn.com

I know this is in the speciatly area for OB I'm not sure that all the people posting are in OB so I want to remind everyone or educate everyone that yes all hospitals that do labor and delivery can do an emergency c/section. However the accepted standard of care from decision to incision is 30 minutes. it can be longer for more outlying facilities. The whole point of having of having a vbac in the hospital is to have the or team "immediatly" available. if a mom comes into a hospital that does delivery babies if they are especially more outlying, even if it is emergent like a chord prolapse. they may have to call the anethesiologist at home to come in and the ob to come in from home. That is still an emergency it just takes longer. and within 30 minutes is still acceptable, although you can try to grab someone from the main or or any surgeon, but they may or may not do it if they are even there.

Had a bad delivery the otherday but suprizingly baby is doing good, can we just way primip pushing for 2 hours, c/section baby got stuck (beyond stuck) took about 5 minuts, pushing from below (2 different people) 2 doctors, 2 surgical techs, extended inciwsion laterally and an almost "t" incision apgars 2 and 9. gassess good (never in my life have I thought nor do i want to ever think again. This baby is going to die because we can't get it out) Horrible cannot describe it.

The doctor did tell them the gestational age and it was not viable and it needed to stay with the mother. He was overrulled by the paramedics. And yes there was a reason that she was too unstable for transport. Transport was already called before she delivered.

Good luck Halo 425 I wish the best for you and I hope you get in to Labor and Delivery, I LOVE what I do

To make a long story short. Patient delivered a non-viable baby in the doctors office 18-20 weeks. Paramedics were called to transsport patient and baby to labor and delivery. Paramedics separated the two had two ambulences took mom to l and d attempted to reseccitate the baby and it died in the ER or in my arms when I went to retrieve the baby from ER. I'm not upset about the baby dying (well i am but that is not the point) baby should have been with mom the entire time!!!!!!!!!!!! I'm trying to tell as many "big wigs" as I can so some education or something can be done so this doesn't happen again

I am new to instructing clinicals. I am doing them for labor and delivery, triage, post partum and antepartum. Any ideas for post confrences and learning experiences

You had me at no holiday's no weekends. I work in labor and delivery so i have no idea of the work your doing, i however work 6a-6p and love it. I love my 12's and yes 6am is early but traffic is usually great, i get home earlier as well i actually get to see my kids for an hour or so before they go to bed

I think the thought process is on the manufacture directions it says to dilute. I'll tell you if we start dilluting it, but i doubt we will

Thanks everyone, keep the info comming. Our pharmacy is saying that we have to dilute it in 240 cc water or juice.

Just a question. out of everyone who gives bicitra prior to surgeries. Do you dilute it?

I was wondering has anyone had a women declare safe haven for her baby while she was in labor and delivery or post partum (not just delivered at home and came in) but actually while she was a patient??? If so, how did you handle it

I am on a comitee to plan next years nurses day recognition. In your perfect world what would your ideas be

First of all the best resources would be to join a professional organization like AWHONN Also are you working in labor and delivery because your coworkers would be a wealth of knowlege. If you are still in school i wouldn't worry about specializing yet just learn all you can and when you have clinicals in labor and delivery ask lots of questions You might find in clinicals that you love it or you might find out you hate it. Good luck