I am five weeks into my orientation in labor and delivery. I have an ER background as well as cardiac stress testing and occupational health. I was able to witness a spontaneous lady partsl delivery...
sandseaandstone replied to PacoUSA's topic in Emergency
I've worked In a level one trauma ER, and then eventually did agency for ERs. In my opinion, I liked the level one better because when stuff went down you could page a trauma code and everyone was...
sandseaandstone replied to ad3vans's topic in Ob/Gyn
I just started L&D about eight weeks ago...I had to do basic fetal heart monitoring, work through 15 hours of baby friendly material, did NRP and read an L&D book as if now. I need STABLE, and...
sandseaandstone replied to PurplePowerRN's topic in Ob/Gyn
I am a level one trauma nurse who went to L&D. Your ED skills will enhance your knowledge when triaging patients (especially falls and MVAs), assessment skills related to shock and of course...
sandseaandstone replied to LittleNurse15's topic in Emergency
I was a new grad in the ER in a level one trauma center.....get ACLS if you haven't. Try to start looking at the material for TNS cerification---a lot of the "whys" are explained. Ask ask ask...
sandseaandstone replied to nursediesel's topic in Ob/Gyn
I agree with Klone. I left a m-f no weekends no holiday schedule doing M W F occupational health T Th cardiac stress testing (ER agency whenever I wanted on the weekends) to do ***hired for nights****...
We are going through getting baby friendly certification. The skin to skin initiative in my opinion is such a good thing---mom gets baby right away and she gets to see him/her the first hour before...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
The link won't let you guys read- so the above link is the resource and here's the article: March 26, 2012 — Red blood cell (RBC) transfusions in most hospitalized patients should be performed based...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
[h=1]Guidelines Define Hemoglobin Levels for Transfusion[/h] Free Medscape registration required to read article--excellent professional site. Karen I am truly grateful for all of this discussion-...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
With the patient continuing to pass baseball sized clots and her H &H continually dropping, I was concerned (especially coupled with the HR). BUT-- I see that a bedside ultrasound, vigilant...
sandseaandstone replied to Quicksilver77's topic in Orthopedic
I'm a nurse that's from ED and went to labor and delivery. It's a totally new ball game and lingo. I'm in my fifth week of orientation and they split my shifts into two eights and two twelves between...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
You know, I was just thinking too- the mom is a primip and trying to diligently breast feed. They were talking about the baby losing weight and them having to stay longer---ahhhh!!! I can feel the...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
She did get 3 bags of LR the day prior, so I could see having dilution come into play. No, a bedside ultrasound was not done as of when I left yesterday. I think I understand a little bit better what...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
She had a midline episiotomy....why is she still having clots of that size if she had all of that pit, methergine, and cytotec? Those size clots are normal? That hemoglobin was drawn this am, long...
sandseaandstone replied to sandseaandstone's topic in Ob/Gyn
I forgot to mention that after delivery this patient did receive two bags of Patosa and she also received one dose of Methergine and she also received 200 µg of