Atlhonee

I picked reposition also .... after reviewing the answer though; turning off the infusion makes better sense. My critical thinking got me to this.... KEY WORD Prolong deceleration- baby is in distress and being deprived of oxygen. I know that with each uterine contraction the umbilical cord is " clamping down"

Usually the policy is to change all IV tubing every 3 days regardless of intermittent or not with some exceptions. Of course if you are hanging TPN/Lipids it would be every 24 hours as well as with propofol. Central Lines I was always taught when you change the tubing you change the caps and vice versa. If I were you , I would resort to my policy and procedure manual....can't go wrong with that. If you still need clarification you can always go to your supervisor or even ask the pharmacy.

Sunshine who cares about grammar right now? I graduated the top of my nursing class and believe me, my grammar sucks ! My grammar did not prevent me from saving the hundreds of lives that I have thus far as an ICU nurse or prevent me from effectively communicating with Dr.'s, family members, nurses and other members of the healthcare team. They all heard me loud and clear. The choice is up to you. I have an ADN currently. I will be going back to school shortly for the BSN though because nursing is competitive when it comes to getting the job that you want. I am also seeing that a lot of the hospitals are choosing BSN degrees over ADN because the hospitals are trying to become Magnent status. Having this attached to a hospital's name is like saying that the nursing care given to the patients is the " creme de la creme ". The choice is all yours . Hope this helps.

You will be just fine. Yes for a lot of new nurses this is normal to be afraid. You will be working in a Rehab/LTC facility so the acuity of the patients are a lot different than that of a hospital. I was an LPN for over 15 years before going on to get my RN degree. My first job was in a hospital on a med-surg/trauma floor. You will always have another nurse around to ask questions. Don't ever be afraid to ask a question regardless of how stupid it may seem to you....Please ask. My first day as an ICU nurse I freaked out too. I cried all the way to work because it was to be my first day on my own. My first day.....19 yr-old patient with cardiac tamponade....Hemoglobin of 2. I as a wreck. When you work in nursing, a lot of us are in it for the good of the patient and not the money. We look out for each other. Always ask questions if you do not understand something. I built up a great rapport with the nurses and Dr.'s I worked with and they always happily answered any questions I had or did not understand. If after your given time in orientation you still do not feel comfortable with being on your own.... let your supervisor know that you would like a little more time. Use every experience as a learning experience because it is. If another nurse has a pt. and that pt has something you have never seen....ask that nurse if he/she minds if you look in with her so you can learn too. Take notes of things you do not understand and look it up later when you get an opportunity. If there is a particular procedure that another nurse teaches you, learn from her...but also look it up in your facilities policy and procedure guide so you can make sure the way you were taught is the policy of your facility. Document...document....document....Remember, if it wasn't charted; it wasn't done. Besides they need to know /and you need to take credit for all your hard work. Smile, take a deep breath and go in there with a positive attitude. Attitude is everything !!! It affects your co-workers and even how your patients respond to you. You got this !!!!!