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RN-Obstetrics/Case Management/MIS/Quality

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  1. QTBabyNurse

    Career Change==>Accounting to Nursing

    i have to be honest....i never had any fear of germs until i was in nursing school and now i'm a germophobe! taking microbiology did it for me.....
  2. QTBabyNurse


    how often does your unit do assessments/vitals on your stable vaginal and c-section deliveries and the babies? what does awhonn recommend?
  3. QTBabyNurse

    Medicare Observation vs Inpatient

    our facility uses the term "place patient in observation status". actually the choices are printed at the top of the physician order sheet as follows: place in observation status for (fill in diagnosis) or admit to inpatient for (fill in diagnosis). it makes it easy for the docs to just check the appropriate box and not have to worry about getting the correct verbage!
  4. QTBabyNurse

    Oxygen administration during labor

    thanks for clearing that up, your explanation sure makes more sense! :)
  5. QTBabyNurse

    Oxygen administration during labor

    i remember a respiratory therapist once telling me not to use more than 6l/min via a face mask. if using more than that, you need to change to a non-rebreather. anyone else hear similar information?
  6. having been out of ob for a couple of years, what do the new guidelines specify for staffing?
  7. QTBabyNurse

    How To Become A Labor and Delivery Nurse?

    hi and congratulations on your decision to be a nurse! you will need to become a registered nurse to work in obstetrics. the ob department (short for obstetrics) is comprised of three different areas: labor & delivery, newborn nursery and mother/baby couplets (sometimes called postpartum). labor & delivery nurses manage women in labor and assist the physician/midwife with the delivery of the baby. they also manage women who are having health issues during their pregnancy or women who think they might be in labor, but actually aren't. they also assist in some form or fashion in the or for c-sections. your role will be different in that regard depending on the hospital where you work. nursery nurses work in the newborn nursery and help infants that might be having difficulties. babies who are having serious problems will be transferred to the neonatal intensive care unit (nicu). mother/baby couplet nurses work with the mother and the baby and do alot of teaching....everything from breastfeeding help to teaching how to bathe a newborn and how to change diapers, etc. this sounded like what you were interested in. many hospitals expect the nurses to be cross-trained in all three areas. especially the smaller hospitals. larger hospitals will generally have separate nurses for each of these three areas. it is to your advantage to be as proficient as possible in all the areas though because you never know when you want a change. you have a couple of choices to get to be a registered nurse....one way is to go to a community college and get an associate degree in nursing (adn). this generally takes 2 years, maybe a little longer. the other route is to get a 4 year degree...bachelor of science in nursing (bsn). just don't go to school for lpn. you will not be able to work in ob in most hospitals with that. one more thing....keep your grades up in college....getting accepted into a nursing program can sometimes be a difficult endeavor and alot hinges on your grades. if i can answer any more questions for you, please do not hesitate to ask! good luck to you! :anpom:
  8. QTBabyNurse

    Nursing Theory

    jean watson's theory of human caring :heartbeat
  9. QTBabyNurse

    code on a baby

    hugs to you! that newborn is very lucky that you were there! :hug:
  10. QTBabyNurse

    Advice needed for Role Transition in L and D

    we weren't allowed to do ours in l&d, however, right after i passed the nclex i was hired into l&d which many people said couldn't be done at the time. i would just let the director and fellow nurses on the unit know that is where you would like to work after graduation. also, ask questions about what you don't understand, don't just assume to know. no floor likes to see a newbie thinking that they "know everything"....because that can be very dangerous to the patients. get to know your fellow nurses and do not participate in gossip. open yourself up to any new experience that can give you an opportunity for growth. spend some of your down time learning about new concepts or research being done on a particular area in l&d and share that with your colleagues on the unit. jump in to assist fellow nurses during your shift with the mundane tasks on the unit such as stocking, etc. :zzzzz in regards to a good resource is the book awhonn's "core curriculum for maternal-newborn nursing"...it's kind of expensive $50-60 on amazon. however if you are wanting to stay in l&d, it is an invaluable resource that you will use again and again. i hope your thoroughly enjoy your time in l&d and good luck with your last few months of nursing school!
  11. QTBabyNurse

    New Nursing Student with Loads of Questions!

    some of the best advice i was given when i was looking to go to nursing school was not to bother with the lpn, but to go straight for an rn. i went through an associate of science program at a community college to get my rn. after i was practicing for about 10 years, i went on for my bsn. if you are wanting to work in labor & delivery, you will need to have an rn. best of luck in your future education and career! :)
  12. QTBabyNurse

    L&D pearls of wisdom

    the degree of outward demonstration of pain does not always directly correlate to the amount of cervix dilation. sometimes your quietest patient needs to be watched the closest!
  13. QTBabyNurse

    Any OB/Nursery nurses that can help?

    you could do a demonstration on how to assess for hyperbilirubinemia.
  14. QTBabyNurse

    Day in the life of OB RN?

    Best of luck to you....I thoroughly enjoyed my time working OB....I hope you will too! :heartbeat
  15. QTBabyNurse

    Utilization Review vs Case Management

    where i work, case management is split into two divisions: discharge planning and utilization review. discharge planners work on each unit in the hospital and have a caseload of anywhere from 30-40 patients. they do case management evaluations on each patient and make all discharge arrangements, i.e., transfers to skilled nursing, alf's, arrange for home o2, walkers, canes, etc. on the other hand, the utilization review nurses review the medical record to determine correct status (inpatient or observation) of each new patient. they also do concurrent reviews for patients already in the hospital to determine when they no longer meet criteria to stay in the hospital. i hope this helps you some......