RaeT,RN

Ok, so they've "cut the cord" from my preceptor (though she is still my resource person over the next several days, until I go to nights Mon after Thanksgiving.) I am scared out of my mind.:uhoh21: Yesterday, I was "kind of" on my own (busy, so I h...

The thread about the Lotus Birth got me thinking: When a pt requests that the MD delay cord clamping until after it has stopped pulsating, how do you respond? I'm sure there has been another thread about this before, but I am interested in your resp...

I guess I should add that our Pitocin bags are mixed BY PHARMACY (10 units in 500cc D5LR) and stored in our Pyxis. We do not mix our own Pit for induction; following delivery is different. With a doc's order we will put Pit in the IV fluids (LR or ...

Our Pitocin protocols are either "Standard" (begin at 1mu and increase by 2mu q 30 min for a max of 20mu/min) or "San Antonio" (begin at 2mu and increase q 40 min as follows: to 4mu, 8mu, 12mu, 16mu, 20mu.) 20mu is our max without a doc's order. My...

I'm bumping this thread because I'm wondering if anyone has some more info for me. I am currently an RN with my associate's degree. I have one year L&D experience. I have decided to go back to school and believe that CNS is the way to go for m...

Ok, so I have a question. We have this new doc on our unit, fresh out of residency, who does some strange things. For instance, she puts "preeclamptic" pt's with 130/70 bp's, trace proteinuria, normal reflexes, no visual disturbances, no HA, etc on ...

That's why I was baffled too - I couldn't see why she would not give her some Terb at least to see if it would quit the cramping. She really seemed like she was writing the pt off to me, that's why I was upset by the whole thing. I just thought may...

Ok, so I've been missing from the forum for a while. . . just caught up in some things here and there. . . computer on the fritz for a while. . . forgive me for being MIA for so long, and I absolutely must vent. Now, the experience I had the other ni...

Thanks so much for all your input! I definately agree that it is a control thing; especially with ending up with a c/s the first time, not at all how she wanted things to go. . . not sure if they were scientologists or not. . . The more I think abo...

This is exactly where my anxiety about the whole situation stems from. Trying to do right by her, but in doing so potentially doing the wrong thing for the baby and paying for it later. I like the idea of a "debriefing" with the pt afterwards. Than...

Yes, this doc WAS the pt's primary MD. She told me that she had been hoping she was not on call when the pt came in in labor. The pt had actually been referred to this MD by a midwife in a Birthing Center, for obvious reasons. To hear the MD talk...

We always have kits in the OR ready to open up for emergent cases. As part of our orientation in L&D we have a week of scrubbing . . . not that that means we are completely comfortable doing it if we ever have to. We always have a scrub tech in...

Wow, (to the OP) way to be right on the ball. I know that generally VBACs are perfectly safe, but they make me very nervous for this reason. The epidurals scare me the most with these pt's - will they still feel the rupture if they have a heavy bl...

I am also a new grad. I have not had children yet, either, but I work with several women who have been doing this for many years and never given birth themselves, either and are incredible nurses. Nights are not that bad. Just take some getting use...

It was the sheer amazement of the whole process for me - and, to be a positive part of such a huge moment for women and their families. I absolutely LOVE my job and really believe that I am where I am supposed to be. I must say, though: I am a new g...

As always, Deb, well said. There has got to be a trusting relationship between the healthcare team and the pt. I don't have a lot of experience with doulas, but the whole feeling some have that the doula must "protect" our pt's from us bothers me. ...

I can only imagine what you must be going through right now. Anything you do will be very much appreciated by every nurse that took care of you - whether it is a card or some other kind of gift. I'll be keeping you in my thoughts.

I definately agree: DON'T BE SO HARD ON YOURSELF. Give yourself time to learn. No one expects you to learn how to be an L&D nurse overnight. From what I can tell so far, there is no one model for L&D nursing. Just think about each precept...

I thought of one: ADVOCATE FOR THE PATIENT. It is ultimately her delivery.

I'm also a new grad; started in August. REMEMBER: always ask questions. Have patience with yourself. They tell me it takes a year to feel comfortable in L&D. Some days are better than others; everyday it gets a little bit easier - the more I...

Had a very sad situation the other night: My pt was a G1P0 14YO girl that I assumed care of as she was complete. Her PGM had legal custody of her; her mother (who I really think was on drugs - very erratic behavior) had been allowed to visit the chi...

I do feel at some disadvantage in caring for my pt's because I've yet to have a baby. BUT there are several nurses that I work with that are wonderful and have been doing this for years and they've never had kids.

We have one doctor that orders tap water enemas until clear (much more messy than a Fleets) for all his pt's. He also instructs them to take a laxative before they come in for induction. He is getting ready to retire. We have Fleets enemas ordered ...

Congratulations on realizing your dream!

I have to say that I have seen many hispanic pt's be very stoic, but I have also seen many that are borderline out of control. Ya just never know; I really hate not being able to speak fluent spanish. It kills me to not be able to communicate with ...