at your cervix

I am curious to know what other hospitals are doing. According to AWHONN guidelines, a pt that is low risk should have fhr documented q30 min in active first stage of labor, however, it should be q15 min if high risk. Does having an epidural make a...

Our unit is having a huge problem with sick calls. We have a few select employee's that are calling in sick on average once or twice a week. One even calls in to find out if it is busy and if it is she says that she is sick. We have been trying to...

I'm sure we all have stories about patients requesting their "epidermal" and the likes of that, let's share some here. Now, while I never encourage laughing at or making fun of patients, this is a safe place among other nurses where we can find the ...

I have started putting all babes skin to skin with mom and I've even convinced almost all of the docs that I work with to let the cord stop pulsating before clamping. I take the bag and mask to the mom's bed and hook it up, I've even given PPV on the...

Have you found any studies that support higher bilirubin levels? I did a project on delayed cord clamping and I was unable to find any studies that supported the idea that delayed cord clamping leads to higher bilirubin levels. I found many, many s...

It is difficult for new grads to get positions in these areas, just as it is usually difficult for new grads to get positions in the ER or the ICU. My suggestion would be to "do your time" so to speak in a med-surg unit-you may hate it but your expe...

Sometimes you need to take conrol of your own experience. Don't take it the wrong way but, you should NOT have been doing the baby bands, if you are orienting to L&D you need to find every experience that you can-filling out baby bands is not a ...

I must say I don't agree with you at all and I worry that you have some issues with wanting to be in total control. I once read a comment from a patient that I will never forget and I have thought of it often to guide my practice, the patient wrote ...

Pt comes in, ask her what brought her in today, she says that MD checked her in the office and then she had some spotting so she thinks that her "mucous cord broke". Checked a pt, she was 4 cm-primip. Her mother starts having a freak out fit and say...

OK , I'll start. Last night I had a post partum patient tell me "I keep passing out in my sleep" could someone please explain this one to me??????? Lets hear some of your strangest pt complaints.

Every room is full, you empty one room and two patients come in..you know the kind of day...then, a doc calls and tells you that he has a patient that's scheduled for a c-section in three days but she's in labor now...and here's where the real fun b...

Last May, I signed up for the New York City Marathon. I was so excited for it and I KNEW everyday that I HAD to run my mileage for the day or I wouldn't be ready for the marathon and I really didn't want to go all that way to DNF! Since a friend and...

I run. I love it! Some days I'll take off from my house and run around the farm fields near where I live, other days I'll drive somewhere new to run. Some days I'll load up the iPod with upbeat music, some days I'll just run with my own thoughts. M...

I've done the South Beach Diet a few times in the past and I've always lost 10 lbs in the first two weeks. It has always worked well for me to get a jumpstart on weight loss. I have tried to restart it a few times in the past couple of months and t...

I would like any input that you have on fundal pressure. Do it? Don't do it? Do it under certain circumstances? Does anyone have a specific policy r/t fundal pressure? I would love to know what you think and what your policy is! Thanks!

We are in the process of trying to develop some little "perks" for our patients. Some ideas have been a steak dinner for the new parents or a gift certificate for them to use at a resturant at a later date, sending home a "picnic" type meal for the ...

We had a patient last week call in to see if we had a bed open for her "inducement"

AWHONN has a positioning statement on the use of non-licensed personnel that is very good, it is the model that our hospital uses.

I agree with what everyone else is saying....if it's not harmful to the patient or the baby, no biggie. If it is harmful or potentially harmful, I have them sign an AMA form and document very extensively the teaching that I have done. For example, ...

In our agency the RN takes the referrals whenever possible. In the situations where an RN is not available, the office staff will take basic info (patient's name, MD's name, hospital being dc'd from etc) and then they have a list of info to ask to b...

We also do amnioinfusions quite often for variables and for thick mec.

I just left the hospital I was working for for this very same reason (among others) although I have 9 years of experience, the new nurses were getting a terrible orientation, much like the one you described, and we had a lot of new nurses and a lot j...

Two of my four! The first time I went into labor at work-had to call in the on call nurse to take my patients....and me!!! Second time I was on call and I was the patient that sent them over the edge to needing the call nurse (me) luckily, a friend...

I always feel a little uncomfortable! Just kidding!! Keep in mind that otherwise healthy babies have about 10 min of residual, therefore, a 2 min decel is most likely not going to cause permanent damage. However, the question becomes this....when y...

I agree, just concentrate on doing the best you can in nursing school. I also went straight to L&D after graduation and also have been doing it for 9 years. I love it but if I could do it over again, I may do a year or so of Med/Surg nursing fi...