Jump to content
PeepnBiscuitsRN

PeepnBiscuitsRN

Well, I'm on a nursing forum, so obviously I'm a
advertisement

Activity Wall

  • PeepnBiscuitsRN last visited:
  • 419

    Content

  • 0

    Articles

  • 7,616

    Visitors

  • 0

    Followers

  • 0

    Points

  1. PeepnBiscuitsRN

    Baby Friendly- getting a tad over the top

    My whole thing is that we serve many cultures who, no matter how many times you try to convince them that they DO have milk, and the baby is getting colostrum, too, they refuse to believe it. Even if you teach them to hand express they don't beleive it's enough and baby will starve. Grandma is standing by with a bottle and in some of these cultures- grandma is the wise woman you don't argue with- and they don't want to argue either. Secondly, many of these mom's are on baby number 5-6 (7,8,9) and what happens is dad brings the siblings in to meet the new baby (and often the next youngest is no more than 15 months old or so) and drops them off....buh bye. OR the siblings and the WHOLE DANG FAMILY, all 24 of them come at once to visit. Dad hangs out with the other men, outside the room. I frankly don't begrudge mom for bringing baby to the nursery so she can sleep because once she gets home she's going to have a zoo on her hands (and many times those are the kids we- the crabby old nurses are scolding to not run screaming down the hallways and climb on chairs and pound on computers and run into other people's rooms.) I agree that breast milk is better for baby- unless you're like our second biggest population, the kids who decide it's fine to drink and smoke THC while pregnant with no intention of stopping, or using Meth. I'm just saying we're so big on kissing fannies, we're going to tork off a lot of people.
  2. PeepnBiscuitsRN

    Baby Friendly- getting a tad over the top

    My hospital is working toward becoming baby friendly. This entails that we promote rooming-in and breastfeeding, which I have no problem at all with- what I do have a problem with is how we are being presented with it- and how we must now interact with our patients. Our patients come from a very diverse spectrum of cultures who are set in their ways and I guess I don't really feel it's my place to be like "well welcome to America- this is how we do it, too bad so sad." We have been ordered to move all formula, nipples and pacifiers to the back room of the nursery (which has also undergone a name change to make it less accessible and friendly sounding) so that NOBODY sees it, patients or family. We don't want them to think we promote formula or artificial nipples. We are instructed now to council every mother who has chosen to formula feed, or do breast/bottle combo on the "dangers of feeding formula to your baby". Yes, these very words were uttered and in writing. There's serious talk of making the mother sign an informed consent before giving the baby any formula- acknowledging that she is aware that she is causing harm to her baby by giving him/her formula, and that they understand that breast milk is superior to formula. We must extensively chart WHY mom is choosing formula. We have to now keep all the shades in the nursery down so that people don't look in, and THINK it's a nursery and again to make it an in-accessible place. This really seems out of hand to me. I love where I work, I love the field but boy, we are in for some troubles when a mom from another culture other than white-upper class wants to put their baby in the nursery so they can sleep, or can go for a walk, or wants to formula feed and then gets a 20 minute lecture implying that they're a bad mom for choosing this method. Is this true of any other hospitals out there that are baby friendly or are in the process? I feel like they're trying to brainwash us, or like it's becoming a cult-like atmosphere!
  3. PeepnBiscuitsRN

    Tired of discrimination

    You're in MN? I'm in MN and where I'm at is a VERY racially and culturally diverse place. We have on the unit I work at: Hispanic nurses, Hmong Nurses, Somail Nurses Ethiopian Nurses, African Nurses, African American nurses and we're all treated the same regardless. You don't get promoted unless you have some experience under your belt, and if the gal who did get promoted-who had the same amount of experience as you did, then unfortunately she knows someone who knows someone. That's how it works in that case. It may be the facility you're at- muscle through it, get your one year of experience and move on to somewhere better. I'll tell you though, at the hosptial I work at, it's true- white middle-class/upper class nurses are becoming the minority and the nurses who get the special treatment are the ones who have worked at said facility since 1976 and they've earned it. I have no doubt you're picking up hostile vibes- but mind that you're not putting them out there too. That just spirals and nobody is happy.
  4. PeepnBiscuitsRN

    Worst Medication Error of my life

    I found that the one time I had a student with me, I felt totally discombobulated. I forgot stuff, I fumbled with stuff- and I work on an OB floor so we're not passing a lot of hard core stuff too often. I don't know, maybe you've oriented people before but as another poster said, you've shown your orientee that even experienced nurses are human and make errors. You're showing the right attitude- you're not being defensive or denying it. Sounds like you had your peer-review and it went fine. I don't know, I look at passing meds like driving. I don't care how hard you're tailing me- I'm going to go the speed limit on the freeway when it's snowing. I'd rather make you irked than die. So- what I mean is yes, sometimes time is of the essence with getting a medication, but always remember that no matter how hard a doctor taps his/her toe and taps their watch, you're going to keep that patient from further damage. The docs seem to have so many safety nets and get out of jail free cards whereas nurses don't.
  5. PeepnBiscuitsRN

    Patient types on postpartum units

    We're a closed unit, but we have an overflow unit that's on cardiac- a wing of that unit is reserved for low-risk vaginal birth patients only. At first I was a little skeptical, especially since this was the unit I came from and we saw a lot of stuff there, including people withdrawing from everything under the sun, to dementia patients who would scream and yell all night long. Then they said we were going to be a closed-off separate wing. As for bringing med-surg to your floor- I'm thinking about how that would look on our floor with 21 beds and I'm thinking no. We encourage mom's to walk in the halls- especially after a c/s. We also encourage mom's and dad's to walk the halls with the babies in their little crib-buggy things. Not to mention all the people in transit from room to nursery and back. Add to it that we have a high volume of visitors- many with other kids who tend to wander out of their rooms. We allow visitors past the visiting hours time just because nobody is sick on the floor and often the visitors are very helpful for mom. To have a new mom/baby in a room adjacent to a dementia patient screaming all night would be horrible for both parties involved. I think the crying babies would become a problem as would the screaming. And as for male patients...well, even though women tend to stay in their respective rooms, there's still a lot of lady bits...especially with us being so pro-breastfeeding now.
  6. PeepnBiscuitsRN

    Ever have a patient complain about you?

    I had a patient recently probably complain about me. Why? Well, see she was nice as could be all shift long but at 11:20pm she put her light on. Where was I? In report, talking to the night nurse who would be taking care of her next. Well...I get out of report and another nurse tells me rather smugly "oh you'd better get into 5, and bring a new cover for the bili bed because her baby had a blowout." So I did that. I walk in and what do I see but this mom crying. She right away unloads on me "HOW LONG DOES IT TAKE FOR SOMEONE TO ANSWER MY (BLEEP) LIGHT?! My baby had to LAY THERE in her own (BLEEP) and pee and my (BLEEP) back hurts! (boo hoo hooooo)" Babydaddy is holding said baby in a blanket staring off into space, baby is naked. I am apologizing to her, explaining that I was in report. Patient continues to whimper. "Now my baby needs a bath because I didn't have no wipes or NOTHING!!!" "I'm so sorry. Lets make it right, ok? I'm cleaning up the bed and we'll get baby all cleaned up ok? I'm so sorry..." Lets pause now and hear from nurse Peep's inner running dialogue: "Oh. Your baby pooped? What a rarity. Had a blow out? GET USED TO IT!! My daughter had mega blow outs every stinking time we went out to eat that required complete outfit changes and sometimes a sponge bath right there in the bathroom! Now, you're not post section. You're going home tomorrow. Your legs worked enough to waddle up to the front desk and rant and rave about nobody answering your light after 15 seconds- why couldn't you just change your baby? Was it too icky? You didn't have no wipes or nothin'? Well I'm sorry but just as nobody is going to correct your grammar, nobody outside the hospital is going to remind you to get wipes. Oi. That was a FANTASTIC way to end the night.
  7. PeepnBiscuitsRN

    O how I long to be a L&D nurse :(

    It could work in your favor to work in a hospital first, because you could then transfer from whatever unit you start on to OB. That said, it might take more time for you to get hired in OB, firstly because if you got hired on say, cardiac or ortho or something it would be expected, or at least it would be classy to stick around for a year or so before zipping off to another unit or another hospital. In fact, a lot of managers would probably frown on someone who worked on their respected unit for 6 months and then split. Secondly, you'd have to wait for an opening at the right time. What I would suggest, whatever route you go is to think about why you want to be an L&D nurse. I'm not saying it as a challenge or anything, I'm just saying that recalling my interview for postpartum, the manager didn't want to hear "fluff" like "oh I just love babies!" (Well DUH!) Or "I want to be able to hold a mother's hand through labor..." yes of COURSE! But pay more attention to the hospital itself and the clientele it serves- an example: my hospital is inner-city. 85% or more of our patients are living in poverty, many are from broken homes, many are teens, and a large population are either Hispanic, Hmong or Somali (bi-lingual skills are naturally a huge plus). I find people fascinating, and I find the diversity of child birthing practices really interesting. I have a soft spot for teen-mothers, I feel like if I as a nurse can make a mom feel safe in the hospital and reassure her that her "babydaddy" isn't going to get past the front doors, then good. I like to feel useful to someone. That wasn't meant to sound like a "yay for me" sermon, but you get the idea. My manager was real upfront that people think they want to go into L&D because it's going to be just like "A Baby Story" or some other TLC show. So I'd say if you have a specific hospital in mind, research it. Know why you want to work in L&D (also be willing to start in Postpartum or Special Care Nursery). I agree with joining AWHONN. It looks good on a resume. It shows that you are willing to learn about this specialty on your own. Becoming an IBCLC is a pricey investment but if you have the resources then I'd suggest doing it. Don't bother with getting certifications- they'll train you and odds are you won't pay a dime whereas on your own you might pay...several dimes... plus, some certifications require that you've already worked in the field for X number of hours. I got my foot in the door where I'm at because I had both my kids at this hospital- the nurse manager was working the floor one day and was wheeling me down to the special care nursery to see my baby. I remembered her name. I came back a few days after discharge with a resume (and another thank you ). They weren't hiring at that time, so in the meantime I got a job on the cardiac floor, floated all over the place for a year and then applied to a special care nursery job, the recruiter called me and said that I wouldn't be considered for that because I had no experience, HOWEVER- there's a postpartum job that's not posted yet that I fit many of the qualifications for and my cover letter sounded like I'd do well there. So...I applied, interviewed and got hired. Right place, right time...
  8. PeepnBiscuitsRN

    Advice for L&D? - Male student.

    It is weird that someone would turn down a male student but not a male OB doc. I think culture would play a big part- I had a male student shadow me one day and we have a pretty diverse cultural spread- there are a couple of particular groups where it was just a no-brainier: no way- no males except the husband or brother are allowed in the room. Other folks were pretty indifferent as long as they got the idea that he was professional and not acting grossed out or being too visibly uncomfortable. That's the thing, if you act really uncomfortable, like you really super don't wanna be there, they're going to pick up on that and it will make them feel weird too. Personally I wouldn't have cared if I had a male nurse- just as long as you're letting me bleed to death or letting my baby get too cold.
  9. PeepnBiscuitsRN

    Specializing as a new nurse??

    I'm glad for the year or so I had in cardiac and med surg- taught me the fine art of time management and really broke me in. That said, however, I'd have taken a position in L&D or Mom/Baby in a heartbeat if it were offered right out of the gate. I can tell you that sometimes (playing devil's advocate here) what we think we want to do isn't really what we expect- I wanted to work in peds, had my heart set on it. Had a taste of it in clinical and in lecture and in reality in having my own children and realized that I couldn't hack it. Thought cardiac would be awesome, and while it was very good experience (I like being able to read and interpret an EKG strip) that too wasn't what I wanted to do. I'm only saying the upside to taking the med surg path is that you would have some skills unique to that field that are valuable that you wouldn't have in OB. I've lost a lot of my med-surgy skills since working in OB. If I wanted to suddenly switch and work in say, surgery, or ER or something like that, I'd have a hard time with skills specific to one area and it would be suggested that I get some time in med-surg. But once again- if you seriously want to work in L&D, I'd say grab it. It is hard to get in as it is, even with experience, so this is a pretty rare opportunity.
  10. PeepnBiscuitsRN

    Termination, reflection, and moving forward

    The otoscope thing sounds just silly. When I was an LPN I looked in ears and in throats and noses with an otoscope! The NP I worked under expected me to take the initiative and do those things. As for ambulating high fall risk patients? Happens every time at work when we get those new moms out of bed after a section! My orientation in cardiac a couple of years ago (I don't work there anymore) was a lot like yours. I had a different preceptor all the time, I was supposed to work nights, but they had me orient on days, and then KABOOM, night shift. First night shift, my preceptor was very nice. Very patient. Second night- my preceptor floated to a totally different unit- so I floated with her and then the whole "hey you're supposed to be sleeping right now, it's 1:30am thing kicked in". Later, out of the blue, I got chewed out by my educator- apparently my preceptors couldn't tell me I sucked, but they could tell her to tell me. And she sure did. I hope things work out better for you!
  11. PeepnBiscuitsRN

    Is an OB/GYN RN for me?

    I'd say keep your mind open to everything. Consider your clinicals like a buffet, sample each thing and expect to change your mind, even if you don't think you will. I went into RN school as an LPN working in pediatrics, convinced I'd be working in peds- by the time I was done, I was really interested in cardiac and OB was in the back of my head sort of just sitting there doing nothing. By about 3 months into cards, and 6-8 months after the birth of my daughter, suddenly OB was just sitting there. I asked around, in fact I think I even came here and said I want to work in OB, someone talk me out of it, tell me I'm still high on baby juice from having just had my daughter. I think some people told me straight up- but I still was interested. So here I am now. I researched it: what kind of birth center were we? Were we traditional? Baby friendly? (We're on the border, working toward Baby Friendly) and most importantly- who do we serve? So many come into OB thinking it's going to be a fairy tale out of "a baby story" where the nurse and the family bond and have such a great time and the nurse teaches the mom, and it's intimate and just a dreeeeeeaaam. Well, let me tell you, our hospital isn't so much "A Baby Story" as it is "Teen Mom" or "16 and Pregnant" meets any kind of daytime talk show. And the "Baby Story" type patients we get actually turn out to be very "educated" affluent jerks with 30 page birth plans and parents that stand 0.5 inches behind you when you do ANYTHING. "What do you think you're doing?!" "Well, sir...this here thing is called a stethoscope, and I'm listening to your baby's heartbea- "Is this really a necessary procedure?" "Well...I guess if I were the one who just had a baby I'd want to know if their heart rate was okay" *Hem...haw...grumble...*
  12. PeepnBiscuitsRN

    What is so special about working in postpartum???

    Whoops. Just saw you're already in the field. Awesome! Have fun with it!
  13. PeepnBiscuitsRN

    What is so special about working in postpartum???

    You already said it- there's very little turnover. I work with some nurses who have worked in the birth center for going on 36 years now. It's their niche too. Though I wonder- and please don't take this wrong, how one can say that any field is their niche until they've worked it? You like to teach, and yes, there is definitely teaching to be done in OB. But when I worked in cardiac, there was teaching too- different kind of teaching, but still there was a TON of stuff to teach. Many of the nurses who have worked in OB have said they get these new grads, or nurses with about one year of experience who say that OB is their dream job, that this is what they're meant to do- and a month or so later they quit because it's not the fairy tale they thought it was. I know you said that you're not about "babies are so cute" and all, and that's good because while OB is generally happy and good, there's a lot of ugly on that unit too- babies getting taken from mom from CPS, babies born to 16 year olds who dress them up 6 or 8 times an hour like a dolly and then whine that the baby is crying and they're trying to sleep/watch cartoons/talk on their phone and while I'm at it- change the baby's diaper. Or the uber rich people with 46 page birth plans that give you the death stare if you pick their baby up. It's a popular field, I hope you get your foot in the door. Persist and give the managers good reasons why you're interested in it.
  14. PeepnBiscuitsRN

    Vocera or Alternative?

    We have Vocera, and it's become a point of amusement to see how long it takes before the stupid "genie" recognizes our name so we can log in. The other night a gal with a pretty simple, common name had to try about 9 times before it recognized her! "Vocera" "Log Out" "I'm sorry, I didn't quite catch that. Vocera?" "LOG OUT" "I'm sorry, could you repeat that? Vocera?" "LOG OUUUT!!" "I'm sorry, I didn't understand. Vocera?" "*** YOU!!!" *Snide male voice* "I beg your pardon?"
  15. PeepnBiscuitsRN

    Family Members/Patients Who Write Down Your Name

    Yeah, I've had new parents who write down the name of each nurse they have for each shift of the days they spend there. It can be a good thing (when the few kindly souls write a thank you note and mention each nurse by name that they had) and then there's the stinky ones, the ones who think that since you're an employee of a hospital, you're out to violate their brand new bundle of joy with invasive torturous procedures. (You know us OB nurses...twirling our mustaches and rubbing our hands together diabolically!) Our badges have our photo, and our name with the initial of our last name. It's fun because on our unit there are 4 of us- myself included who have very similar sounding names...and at one point we all worked the night shift! Now two work the night, and the other two of us work evening.
×