OBERrural

OBERrural

OB

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All Content by OBERrural

  1. Power chart maternity

    OBERrural replied to rnaturcervix's topic in Ob/Gyn

    I've been using it for 6 months. Before this I used QS and another program I can't remember from about 15 years ago. I feel like I have problems finding where to chart everything. I feel like half...

  2. Power chart maternity

    OBERrural replied to rnaturcervix's topic in Ob/Gyn

    We have it. It is called Fetalink and I'm not enjoying

  3. Certification before applying for L&D?

    OBERrural replied to SnowbirdRN's topic in Ob/Gyn

    You could take NRP and a basic fetal monitoring course. Most of the training is on the job, but this would let them know you are serious. Network, if you can. That always helps

  4. question to ER folks

    OBERrural replied to tarotale's topic in Emergency

    I understand, when I worked in a big city hosptial, all of the departments kept to themselves too. I just started working rural this last year and it is a whole new

  5. Midwifery

    OBERrural replied to momof3jboys's topic in Ob/Gyn

    In North Dakota they

  6. question to ER folks

    OBERrural replied to tarotale's topic in Emergency

    Depending on the size of your facility, could you volunteer to help in ER on their busy days? I work in a small, rural OB and when we don't have patients I ask to float to ER and have started to be...

  7. When did u feel comfortable...

    OBERrural replied to missyrad's topic in Ob/Gyn

    I've been a L&D nurse for 9 years. It took me about 4 weeks to even feel what I was supposed to be feeling and by the end of my 12 weeks, I was much more confident, but still had experienced...

  8. Ob call requirements

    OBERrural replied to TessLHRN's topic in Ob/Gyn

    One more thing, I would look into the legality of being on-call and not getting paid. I'm not sure that they can do

  9. Ob call requirements

    OBERrural replied to TessLHRN's topic in Ob/Gyn

    When I worked in a large hospital we took 10 call slots every 4 weeks. We always had two people on call per four hour block. Now I work in a rural hospital and we only have 1-10 deliveries a month...

  10. Career Break

    OBERrural replied to Zobu's topic in Nursing Career

    Don't be scared! You can do it. You have an amazing amount of experience and a 2 year break won't hurt anything. I recently rentered nursing after a 7 year break. They were thrilled to get someone...

  11. Non-evidence based practices on OB unit

    OBERrural replied to queenanneslace's topic in Ob/Gyn

    You can't control everyone else's behavior, but you can make suggestions and start getting things changed. Every place I've ever worked, we practice very independently as L&D nurses. The doctor...

  12. Terbutaline protocol

    OBERrural posted a topic in Ob/Gyn

    For some reason our hospital does not have a terbutaline protocol. I've been trying to research online, but all I come up with is the warning not to use it over 48-72 hours. So I'm curious, what is...

  13. Internal/External Os

    OBERrural replied to climbingeverest's topic in Ob/Gyn

    It sounds like you just need more practice. Your technique sounds good. I would say any chance you get, check a cervix, even if it is not your patient. Try to check a closed thick cervix, a swollen...

  14. New grads in L&D?

    OBERrural replied to bribreeze87's topic in Ob/Gyn

    It's possible, but I personally would want experience in other areas first. I did one year of med-surg first and don't regret it one bit. You'll use the skills more than you think and your critical...

  15. Internal/External Os

    OBERrural replied to climbingeverest's topic in Ob/Gyn

    I agree with everyone else. Usually you will only feel an internal and external os when the cervix is thicker. I'm not sure what your preceptor is talking about. In the beginning , just focus on...

  16. Salary?

    OBERrural replied to __patiently_waiting's topic in Ob/Gyn

    I am also in the Midwest (iowa) and agree that new nurses start out at $21/hour. I have 8 years experience and don't make much more than that. Good

  17. Terbutaline protocol

    OBERrural replied to OBERrural's topic in Ob/Gyn

    Thanks everyone, I will let my manager know. I worked in large high risk hospitals for 8 years, but then took a 7 year break to stay home with the kids. Not using terbutaline is new to me. When I...

  18. New rule- must call MD before doing anything. How about at your hospital.

    OBERrural posted a topic in Ob/Gyn

    Our hospital just gave us a new rule that states we are no longer able to do ANYTHING with a patient until we speak to a doctor. We cannot put them on the monitor, check their cervix, or triage them...

  19. New rule- must call MD before doing anything. How about at your hospital.

    OBERrural replied to OBERrural's topic in Ob/Gyn

    We were told that it is part of "meaningful use" and must be done in order to get a grant they are applying for. We are a critical access hospital and get reimbursed differently than large hospitals,...

  20. Rural L&D struggling. Any advice?

    OBERrural posted a topic in Ob/Gyn

    I recently started working in a rural critical access hospital. We currently have 1-8 deliveries a month; however, we would like to increase that rate. The problem we are facing is that our hospital...

  21. Changing to a New Specialty

    OBERrural replied to xSoCaLRNx's topic in Ob/Gyn

    I think you'll love. Go for

  22. Rural L&D struggling. Any advice?

    OBERrural replied to OBERrural's topic in Ob/Gyn

    Thank you. I will look into that for

  23. Rural L&D struggling. Any advice?

    OBERrural replied to OBERrural's topic in Ob/Gyn

    Associate degree, are you serious about nitrous? I've never heard of that and I've worked in big and small

  24. Rural L&D struggling. Any advice?

    OBERrural replied to OBERrural's topic in Ob/Gyn

    Great advice. Thank

  25. Refresher course without clinical hours...is it worth it?!

    OBERrural replied to Elizabeth1's topic in Retired Nurses

    Thanks for the response. I forgot all about this post. Just an update, my husband is now out of the military. I had been out of nursing for 7 years. I took a refresher course, but decided to...