NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Attachment issues

    NurseNora replied to abudde6's topic in Ob/Gyn

    In OB, your job is to promote maternal/infant attachment. If you're doing that, you getting too attached won't be a problem. Possibly I Peds Or

  2. GN on postpartum unit! Advice

    NurseNora replied to gatorgrad.'s topic in Ob/Gyn

    Read all the information you will be sending home with your patients. Watch all the videos required for them. In general, post Partum is about teaching: self care and infant care. So brush up on all...

  3. Labor and Delivery nurses: can you scrub?

    NurseNora replied to perfexion's topic in Ob/Gyn

    The first time I scrubbed, a patient came in with a prolapsed cord, we couldn't wait for the OR team to get there and my charge nurse pointed at me and said,"you, go scrub! Now!" It wasn't pretty, but...

  4. Tips for surviving working nights as an L&D nurse

    NurseNora replied to gelibean's topic in Ob/Gyn

    There are more nurses working night shift against their preference than nurses working days who would rather stay up all night. Some places pay a night shift differential, I've never heard of one...

  5. variable decels...Thoughts?

    NurseNora replied to BSNbeauty's topic in Ob/Gyn

    Especially with ruptured membranes. Decreased amniotic fluid volume makes it easier to compress the cord. Variable decelerations in this patient are not a surprise, but pre term babies will go...

  6. Fetal Monitor Risks

    NurseNora replied to bear14's topic in Ob/Gyn

    Once electronic monitoring is started, most patients are tied to the bed. Less now than in the past, but many younger nurses are not comfortable letting the patient up to walk, or even putting a...

  7. Want to be L&D rn but hate the OR?

    NurseNora replied to Julcary's topic in Ob/Gyn

    I happened to be part of a study to see if there was a statistically significant difference in the section rates between different nurses. There was and I was in the low section group. The researcher...

  8. New Grad scared to be in L&D

    NurseNora replied to Ndnrnbsn's topic in Ob/Gyn

    If you weren't feeling nervous, you'd be way overconfident. Remember that as a newby to L&D as well as a new grad, no one will expect you to know it all at first. Place yourself in as many...

  9. How to become a Lactation Consultant?

    NurseNora replied to ndobrydnik's topic in Ob/Gyn

    Even though you have to wait for someone to retire to get into OB in your hospital (I worked at one like that), there will still be new Moms who need more help than the staff can give. Enroll in the...

  10. Assigning Apgars....

    NurseNora replied to missyrad's topic in Ob/Gyn

    Since the L&D nurse was close enough to be stimulating him, I would have asked her for the Apgar. If you can't get to the baby, it's helpful to call out one and five min so the nurse who is with...

  11. Newly published protocol on hypoglycemia in neonates

    NurseNora replied to Marymoomoo's topic in Ob/Gyn

    If it's been a long time and you're really concerned, do a blood sugar. Usually it tells you the baby just isn't hungry yet. If it is low, then you can start doing the other

  12. I need confidence....

    NurseNora replied to missyrad's topic in Ob/Gyn

    Confidence comes with experience. Experience comes with time. One day you won't be the new kid on the block and people will be asking you how you became so calm and confident. Until then, be gentle...

  13. Let me pick your brains

    NurseNora replied to Lily putt's topic in Ob/Gyn

    Pit in the lowest port. We don't use Y tubing, so the Mag goes in the next one

  14. Anxious l&d

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

    In my experience, anxiety is normal for L&D newbies. Don't compare your insides to you coworkers outsides. Bet they're not as confident as you think. Remember that having a baby is a normal...

  15. OR Call Advice

    NurseNora replied to mickey1172's topic in Ob/Gyn

    When my unit started doing our own sections a few years ago, we started out with OR call, one 12 hour shift every 4 week schedule. Gradually the call became for all OB, not just for OR. My hospital is...

  16. New Grad going to L&D. Advice?

    NurseNora replied to pvnurse2014's topic in Ob/Gyn

    I've been a labor nurse for over 40 years, track Intermediate and Advanced Fetal Monitoring and I still ask others to look at my strips. Don't be afraid to ask questions--ever. Have daily or at least...

  17. Labor Support

    NurseNora replied to RNDani13's topic in Ob/Gyn

    The Labor Support Handbook by Penny Simpkin and the Nurturing Touch at Birth by Polly Perez are both very helpful. For breastfeeding, I agree with the recommendation for Jack Newman's book and also...

  18. Opening new unit

    NurseNora replied to Lamp Lady's topic in Ob/Gyn

    And peanut balls and rocking

  19. Opening new unit

    NurseNora replied to Lamp Lady's topic in Ob/Gyn

    If they're still building, ask for them to put in more electric outlets. I don't care how many they've planned, put in more. And put them in the middle of the wall, not just at floor

  20. Admitting newborn at the bedside

    NurseNora replied to PinkNBlue's topic in Ob/Gyn

    We have two L&D nurses at each delivery. We only call a nursery nurse if problems are anticipated. Because I like keeping mom and babe skin to skin, I'll usually send the second nurse away once we...

  21. Pre-eclampsia & Eclampsia Detection & Treatment 1950's

    NurseNora replied to DoGoodThenGo's topic in Ob/Gyn

    In the 60s we were giving IV MgSO4 for pre eclampsia and felt we were really on the cutting edge since many other hospitals were still giving it IM. Five grams in each buttock. A kind doctor would add...

  22. "true knot"

    NurseNora replied to LouisVRN's topic in Ob/Gyn

    I've seen many in my 45 years in OB. They rarely cause a problem. Picture a fire hose: it's limp and floppy until they run water thru it. Then the pressure of the water makes it stiff and difficult to...

  23. L&D not for me?

    NurseNora replied to RNmom7's topic in Ob/Gyn

    Nearing the end of orientation is a scary time for everyone. You will not suddenly be entirely on your own as you are probably imagining. Your coworkers will have your back. It's OK to ask for help,...

  24. I need confidence!!

    NurseNora replied to missyrad's topic in Ob/Gyn

    A baby's heart doesn't just stop without giving you warning. Remember that when the rate drops and you start doing what you need to do to get it back up (change position, fluid bolus, stop Pit, give...

  25. L&D Textbook

    NurseNora replied to thefmgirl's topic in Ob/Gyn

    Anything by Polly Perez or Penny Simpkon is really good for labor support. I also like Ina Mae Gaskon, author of Spiritual Midwifery among other things. She's a well known lay midwife and I think it's...