NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Do you allow patients to take home their placentas if desired? more

    NurseNora replied to mitchsmom's topic in Ob/Gyn

    The last two places I've worked don't sell placentas, but the first hospital I worked sold the placentas. Some said it was to a cosmetics company, but it was really to a company that used it to...

  2. Wanted- tips on bathing stillborns, etc....

    NurseNora replied to LDRN697's topic in Ob/Gyn

    nowilaymedowntosleep.org is a site that is about an organization of professional photographers who take beautiful pictures of stillborn babies and their parents. Have a tissue handy if you visit the...

  3. L and D Job Concerns

    NurseNora replied to zahryia's topic in Ob/Gyn

    If L&D is what you think you want--go for it. I've been doing it for almost 40 years and wouldn't want to ever do anything else. I no longer work in big city teaching hospitals with over 500...

  4. Abduction !!

    NurseNora replied to magz53's topic in Ob/Gyn

    Have you had any close calls at all? Either with babies or with security issues? I live in a rural area where there are lots of meth labs and therefore lots of meth users. We had a very obnoxious and...

  5. LOW patient satisfaction scores...

    NurseNora replied to MalgaBSN's topic in Ob/Gyn

    :lol2:I just went to Amazon to look for the Disney book mentioned above. In light of the comments about how there are some people who are just impossible to please, there were several reader reviews...

  6. What would you do in this situation?

    NurseNora replied to camay1221_RN's topic in Ob/Gyn

    I work in an LDRP unit so there is no where where babies can't be heard crying. We offer our patients with demise the choice of staying there or going to Med/Surg. We also offer the M/S nurses support...

  7. Is it like this everywhere? Ratios and such

    NurseNora replied to cherokeesummer's topic in Ob/Gyn

    Check out the thread: AWHONN Staffing Guidelines. It lists what your professional organization considers safe staffing. You's is beyond these guidelines. If your hospital consistently staffs beyond...

  8. PostPartum C/S and Pitocin

    NurseNora replied to Jrh59's topic in Ob/Gyn

    Orders are individualized for each patient, but most often we run 1000cc LR w/ 20 U Pit at 125cc/hr, then follow with LR @ 125cc/hr. We may saline lock at any time when the patient is taking adequate...

  9. What to do now?? (long)

    NurseNora replied to Athena1970's topic in General Nursing

    You could involve your Human Resources department in this. Ask for someone from that department to be present at any future meetings with your Manager to act as mediator. Document future situations...

  10. nurse abuse

    NurseNora replied to mickeygirl's topic in General Nursing

    Talk to your coworkers and supervisors about this. Look at the situation as calmly as you can. What could you have done differently to have avoided this situation? What other options did you have for...

  11. What is the right thing to say?

    NurseNora replied to missnurse1's topic in General Nursing

    As nurses, we want to fix things and make people feel better. Unfortunately, there are some things that can't be fixed and only time can aid. The willingness to sit with someone in her pain and...

  12. Let's hear your best birthing stories!

    NurseNora replied to micmac's topic in Ob/Gyn

    A 45ish year old obese primigravida delivered unexpectedly at home. She had primary infertility, not responding to whatever treatments were available 30 some years ago. She and her husband had given...

  13. Going up against a doc...

    NurseNora replied to MalgaBSN's topic in Ob/Gyn

    I really like your use of the SBAR. You gave a very clear example of how to use this tool in communicating effectively with your provider. I still hear nurses hinting vaguely to the MD what they would...

  14. Postpartum care questions...

    NurseNora replied to shortstuff31117's topic in Ob/Gyn

    After the recovery period (q15 X4, q30 X2) we check these things in 4 hours, then q 8 h. To be perfectly honest, I don't do a really good perineal exam more than once a shift, unless there seems to be...

  15. What does your hospital do post-c-section?

    NurseNora replied to justme1972's topic in Ob/Gyn

    When I started nursing, it was not uncommon to keep a patient on tea and tap water for 3 days. (Ice, straws, and sodas are said to increase gas). Now the order is to advance diet as tolerated. I don't...

  16. Move from small hospital to large hospital

    NurseNora replied to ADreamersWife's topic in Ob/Gyn

    I agree with LiverpoolJane about knowing more than you think. I spent most of my career working in very large Level III teaching units. Then I moved to a small, rural town. From 600 deliveries a month...

  17. Pretend you are my Preceptor in L&D

    NurseNora replied to neeniebean's topic in Ob/Gyn

    You're starting out with the right attitude: you want to learn. It's good that you're reviewing your notes. You need to know the basic anatomy and physiology of pregnancy, labor and birth. What is the...

  18. I never imagined...

    NurseNora replied to CrunchyLaborRN's topic in Ob/Gyn

    I agree with the previous posters who suggest that you stick it out a while longer. Some things that may help you to do that: 1. Journal. Write about what happened; what exactly is it that upset you...

  19. Newborn nursery Log

    NurseNora replied to broncopooh's topic in Ob/Gyn

    We do about 1100 deliveries a year and we do have a nursery log. It has most of the same information as the delivery log, only in a different order and also includes infant blood type, ID band #, Hep...

  20. Name that part. Words patients use for their own anatomy.

    NurseNora replied to JEHORAPHA's topic in General Nursing

    Several years ago we had to write down in the patient's (or parent's) own words to describe the procedure they were signing consent for. So, on a Circumcision consent, I had to write "cut the extra...

  21. What are the worst reasons to get into nursing?

    NurseNora replied to mayana's topic in General Nursing

    A surprizingly large amount of nursing is teaching. You'll fit right in. I've never regretted becoming a nurse and I've been accepted for every job I've ever applied for. Being able to find employment...

  22. balancing charting and pt care

    NurseNora replied to snwflknurse's topic in Ob/Gyn

    Ah, the nurse's age old problem: finding the time to both do the nursing care and to chart the nursing care. You'll get better with practice. You'll develop your own formula for expressing yourself....

  23. Please tell me about on-call time

    NurseNora replied to future L&Dnurse's topic in Ob/Gyn

    At a previous hospital, mandatory on call was 24 hr a pay period, which could be taken in 6 hour blocks. Pay was $2/hr on call and time and a half if called in. Now working in a smaller, less busy...

  24. DIC experience?

    NurseNora replied to MICKEYnHANNAHsMOM's topic in Ob/Gyn

    It sounds as though she had PIH (pregnancy induced hypertension) also called preeclampsia. The symptoms include high blood pressure, swelling and protein in the urine. Blurry vision may be a symptom...

  25. Hi all! New to the Specialty!!- Long Read

    NurseNora replied to Chloe'sinNYNow's topic in Ob/Gyn

    Communicate with your preceptor. As you go through your orientation period, make sure you get feedback from her. Also give her your feedback: what you are feeling comfortable with, what you just...