kastas

kastas BSN, RN

Labor and Delivery

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All Content by kastas

  1. This doc makes me very uncomfortable . . .

    Suprapubic is acceptable. Fundal is INEXCUSABLE in a court of
  2. Doc tells me pt killed her baby

    That is quite an accusation. I would like to know the whole story though! Either way it was wrong for her to tell you something like that and leave you hanging. It's one thing to give you the details...
  3. Is 52 to old for starting nursing program

    I doubt they would could consider your age. You will still be considered a new grad and they can hire you on much cheaper than a seasoned nurse. That seems to be all my hospital looks at. It's all a...
  4. Patients refusing Pitocin

    We were replying at the same time. I agree with the pain med. We often give it to them and make sure they have a safe ride home. They are often more willing to labor the early stuff at home when the...
  5. Patients refusing Pitocin

    I'd have to leave it up to the MD. Luckily, most of our MDs support us. If I say she is 1/th/high and we are short on staff/beds and doesn't want to be augmented. S/he will d/c her and tell her to...
  6. I'll pm
  7. Lori, Don't know if you're interested in going back to LMH, but the prn pay is pretty good. I make more there, prn, then I do at my full time job when I get on-call pay. I also make just barely less...
  8. I don't have much in way of advice for you. I know the stress. I worked full time and had a baby through school also. I can feel for you. I did have a very supportive husband, at that time. Maybe you...
  9. ADHD and son

    We have an appt next week with a psychiatrist to help us find out for sure if my son is ADHD. I have suspected it since he was 2 and now his 1st grade teacher suspects it too...... He has always been...
  10. What's Your Best Nursing Ghost Story?

    How in the world did he hit them
  11. NICU to PICU

    I don't think you'll have a problem, especially if you are peds trained. You'll give different meds and the concentrations will be stronger. Just always look up what you don't know, you'll be fine....
  12. I'm going to in charge for the first time.

    I agree with all of the above. I would add to stay calm. I haven't charged for long, but that is the biggest compliment I get. When sh_ _ hits the fan, be the one that doesn't panic or change your...
  13. What's Your Best Nursing Ghost Story?

    Maybe she could throw some my way too.
  14. Hi I have a couple of questions?

    As far as getting your tubes tied, it shouldn't affect your breastfeeding. If you get pain meds afterwards just be sure to remind them you are breastfeeding so that they give you the appropriate...
  15. What's Your Best Nursing Ghost Story?

    ooohhhh...I forgot one more good one that happened to me. I was in charge one night (we charge LDRP/nursery/antepartum). I went to check on the ante unit and the CNAs were acting goofy. They were...
  16. What's Your Best Nursing Ghost Story?

    I work labor and delivery. We have a separate unit for antepartum. This unit used to be the old ICU, years and years ago. I've seen tons of things out of the corner of my eye, but when you try to look...
  17. Lpn in L&D?

    We have several LPN's doing postpartum and nursery in my hospital. You'll find something, just keep looking and good
  18. Question about Bloody Amniotic Fluid?

    Do you think your fluid was truely bloody in itself or blood-tinged? As your cervix makes change you have bloody show (your cervix is very vascular) and when your water breaks it could have just been...
  19. a *really* stupid question

    No. You will just have to pay the licensing fee and meet their
  20. Very very good. You couldn't have said it better! All of my pet peeves summed up
  21. Letter Carrier or R.N?

    How strange that someone else would be in this dilemma... My Dad is a letter carrier, planning to retire October of '05. I took the exam while in nursing school also. I went through the interview...
  22. Cervical checks...need help learning

    Practice, practice, practice is correct. I don't know how busy of a hospital you are at, but could you get the word out to the other more experienced nurses? Let them know that you want every...
  23. Cervical checks...need help learning

    LOL! This just made me think of the male L&D thread we had recently. :chuckle Don't think we could give them the same advice as we are seeing here.
  24. Do you count?

    Once again Deb has the right answer. I do count for the ones who need to focus. Some pt's are so concentrated on the pain that they can't get a grip and push effectively. If you count in a calm quiet...
  25. Medicaid. Is it being abused?

    My Dad is a mailman. I remeber him coming home one afternoon when I was a child. He was flaming p.o.'ed. :angryfire He was telling my Mom that he was talking to a guy on his route that afternoon. He...