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Lauraingalls BSN, RN

Posts by Lauraingalls

  1. Sorry your doc is making you feel guilty. As a. Labor nurse, I reassure lots of patients who come in to our triage wondering if it's labor. We would rather you keep bothering us then showing up crowning.

    Generally if you are having cx 2-3 minutes apart and can't talk, text or move when they occur it's time to come in. Good luck! Happy Birthing!

  2. I am an L and D nurse. I do have those patients that crawl up the bed or clamp their legs. I never force an exam on them but calmly explain what I need to do.

    I also dont agree with the birth rape phrase. And yes the woman is on display especially when pushing and about to deliver. I really dont know a way around this.

    I am always very sensitive to a woman with past sexual abuse.

    But I need to do what I need to do to ensure a safe delivery of baby and at the same time keeping momma healthy. I dont look at the vagina as a sexual organ during this time, it is simply the passage way for the birth of a child.

  3. Thank you for your input. We had another situation in which I was left alone handling a complicated C-section and I felt patient safety was an issue and I directly addressed it with her. It didnt go over very well but I said that patient safety was a priority with me. She had said that she would attend every C-section I was doing personally and point out all the mistakes I made afterwards. She said she would only step in if I was doing something grossly wrong. To me that isnt helpful at all.

  4. I am a newish nurse. I have been working on my unit since last summer and on my own since the fall. I pretty much get along with most of my co-workers. I love my unit and the teamwork atmosphere. It is a busy L and D unit.

    I work nights. Nights are different than days because most of our admits are in active labor unlike the scheduled inductions for the day. We generally work as a team when someone comes in. One nurse starts the IV, one gets consents signed, one gets the medications for delivery and so on. This way if the patient delivers soon (and they generally do) we are ready to go.

    There is one charge nurse in particular who I am having trouble with. Her method of teaching is letting you figure it out on your own. She doesn't jump in and help unless it is a true emergency with new nurses. The other night, I got an admission and I proceeded to do what is normally done. Another nurse stepped in to help me with the admission as well. I was told later by this charge nurse that I am to not accept help from anyone until I can quickly and accurately do the process by myself. I understand that I need to know all the steps in admitting a person (including the stuff our techs do). I was actually delayed in getting all the minute details done because she delivered a short time later and I had to stay late catching up on all my charting and inputting of orders.

    I personally dont think its right to not accept help from other nurses. I truly believe in the team approach. The other charge nurses I work with understand that I am new but am trying to get my feet under me including time management. They dont coddle me but teach while they are helping me (or we are helping others).

    This charge nurse is very condescending when speaking to me and feels the need to lecture me about how I am being taught wrong by other nurses. I dont say anything because I consider her my supervisor and I just put my head down and work. But it is getting to the point that I try to avoid working with her at all costs.

    I just had an annual review and it was a glowing report from my other peers. The nurse manager is aware of my issues with this charge nurse and has offered to step in. I am hesitant because of fear of repercussions. I just want to tell her in a firm way to stop but still respecting the fact she is my supervisor. Help!

  5. I am a month off orientation so I get your paranoia. I usually spend my drive home after every shift analyzing what I did and the mistakes I made or things I forgot to tell in report. I then go home and when I go to sleep, I dream about work and usually it involves me forgetting to take care of patient or losing a patient- crazy things like that. I think about my job alot. I over analyze and I feel very hypervigilant at work too. One thing I do is utilize my coworkers and ask lots and lots of questions. I assume nothing and ask and ask and ask. Good luck to you.

  6. The head can be sitting in front of the cervix so it can seem to be low. I hope that makes sense. I am a new grad and just got 20 weeks of training in L and D. I have been on my own for a month now and I completely understand the mystery of the cervix. I dont hesitate to ask someone to check behind me if I am not sure.