OBRN2004

OBRN2004

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  1. LPN's in OB?

    We have LPN's on my L&D unit. They work as a tech type position. They don't take patients. Their specific job duties include being the second license for a vag delivery, scrub personnel for c-sections and tubals, stocking the unit, assisting t...
  2. Care of High Risk Antepartum Moms

    Our hospital provides "group therapy" for them as well as movie nights, family nights (most of our moms love showing off their children! ), games, crafts, etc. for those that wish to participate. One of our physicians wanted to hire a massage thera...
  3. When do you move your pt to post-partum?

    Our recovery time for vag, c/s, and PPBTL for at least one hour, unless of course they aren't stable and then it would vary. IV's stay in for at least 12 hours post procedure. I always try to take my vag deliveries to the BR to void, it's a really ...
  4. I'm lucky b/c I enjoy 12hr noc shifts

    I enjoy working night shifts too. I have found I have a lot more time with my family and to do the things I want to. I don't have a hard time sleeping either. Of course I have always been able to sleep anytime, anywhere. My husband also works nig...
  5. ? For those who do C-Sections often

    I personally have not seen anyone faint. We always have the family member sit at the head of the OR table where they can't see anything, except the baby on the warmer. If the family member really feels like they can't handle it, we ask that they no...
  6. Greatest code brown stories!

    We had a pt who was mentally challenged and in hard active labor, no anesthesia. As the baby was crowning, understandably she was not being very cooperative, she kept pushing her knees together. Of course as she is trying to push, code brown is in ...
  7. How much did you make as a new grad?

    I was a new grad last year (Arkansas). Made 17.50/hr with 50% shift diff (weekend nights) ... so 26.25. This year after my eval I make 19.79/hr with 50% shift diff 29.69. New grads here started at 18.75 this year.
  8. Pearls for Transporting High Risk OB

    I work in a high risk OB setting, I wish that when a pt is transported with Magnesium Sulfate, whether it be PTL or preeclampsia, that the referring hospital would make sure that a foley is in place. We sometimes have pts that come by ground transpo...
  9. Just wondering???

    I work with an anesthesiologist and an ob, both were RN's first. They are both awesome!!! They both say though that nursing provided them a lot more time with the patients, that they wished they had now. I think it's a good idea for md's to work a...
  10. Quick ?: What is lowest viable birth weight?

    Just a little update . . . This family came by to see us last night! The baby went home 2 weeks ago. He is 3.5 months old and now weighs 4 lbs. 15.5 oz. Head is still clear, but his eyes are being watched closely since he is still requiring O2. ...
  11. Would YOU ever have a homebirth?

    I personally would not have a homebirth. I think being a nurse, I would worry too much, especially knowing the potential complications that arise. I do think homebirths are ok, for those pts who are low risk and are able to easily access interventi...
  12. "What could you know?!"

    Right on!!! From another G0 L&d nurse
  13. Patients refusing Pitocin

    I agree, hydrate and sedate and send her home until active labor.
  14. Amnioinfusion...pump or no pump???

    We use a pump.
  15. One of my good friends is bipolar. She happens to be a nurse I work with too. She takes her meds and has no problems at work. She is one of the best nurses I have seen. You know your limits. If you think it will effect your taking care of pts, t...
  16. New Grad L&D Nurse! Any others out there?

    I was a new grad on L&D. I just finished my first year, this past June. It certainly is a new learning experience every day! Don't be afraid to ask questions. I still ask my senior nurses questions. Congratulations on your new position. Tak...
  17. What do students prefer in a clinical instructor?

    My very favorite clinical instructor was big on positive feedback! She also made herself available "ALL THE TIME." She gave us her office, home, and pager numbers and her email. We had no excuse not to do well. She even told us that if we were up...
  18. choosing a specialty and personality type?

    I am INFJ. I work in Labor and Delivery. That's a very neat test. :)
  19. Hospital Infant Security Systems

    We use the HUGS system. Let me just tell you it stinks! We have lots of problems with it, from false alarms, to not going off at all. It seems like a good idea, an large electronic braclet on the baby's ankle and all. The parent's sure seem to fe...
  20. Are they still using Cytotec?

    We still use cytotec to induce labors, pp hem, etc. The MD must be the one to administer this drug, Our orders are usually 25 mcg vag q4 x4 doses. They have given po before, but usually only on the IUFD and usually a higher dosage. We also have u...
  21. Rate the degree of difficulty

    Microbilogy .........................................3 General Chemistry I(Not intro)................4 General Chemistry II..............................6 Biochemistry...................................... .. A & P I.................................
  22. Quick ?: What is lowest viable birth weight?

    About 7-8 weeks ago, we delivered a 25 week severe IUGR at 370 g. The baby is actually doing quite well. He had his PDA closed surgically at 5 weeks and had no complications. No brain bleeds to date. And he now weighs 2 lbs 7 oz and eating well. ...
  23. Our baby was stillborn... Please help me understand

    I'm so sorry for your loss. You are in my prayers.
  24. I Am So Nervous about my NCLEX on 6/23

    I wish you all the best. I too had similar scores on kaplan, don't let that worry you. I took 110 questions on my boards and I passed my first time. You have been preparing for this for awhile now. You know this stuff, otherwise you wouldn't have ...
  25. For people who did Kaplan and took boards already...

    I took the Kaplan review course, but didn't really l like the way it was taught. I did use the cd that came with the book, and used the book as a backup. Honestly I didn't use the book that much. The cd really does simulate the NCLEX. I feel this...