TRINI_RN

I have never heard an OB say that, but I have had a patient or two say that. They were older women, closer to menopause with surprise unplanned pregnancies.

I figured as much.

Funnywoman, Hi. I tried to PM you, but your inbox is full. I have a few questions If that's alright?

These types of questions are not my favorite because coming up with one specific example is sometimes hard. I just googled KSA's as suggested up thread and found literally pages of behavioral questions on VT's website. I'm attaching the document to this post. Good luck everyone! behavioral_questions.doc

This seems like a wonderful alternative to the current methods of pain control available. I wonder how many hospitals are looking into bringing it back. I also wonder if the anesthesia community will try to block it.

Our protocol for scheduled c/s is to put the scd's on in Preop. The Docs want the scd's running at least a 1/2 hour before surgery starts. Had a fluffy lady the other day with hx of DVT and PE for indux, she'd taken her last lovenox the night before. Had to ask the MD if he'd like to add SCD's to the admit orders

I'm so sorry to hear that, I truly am. I also have PCOS, and I can tell you that for most women it is very manageable. Also, the fact that you found out so early on is good because now you know what the problem is and can work toward correcting it. There are many great resources available on the net. Check out soulcysters.com. Good luck to you.

I'm sorry but as soon as she said the dad was asleep with baby on his lap while she was asleep there should have been some intervention. What if he had moved and the baby would have fell on the floor? Obviously the couple was to exhausted to care for the baby at that time. I feel the Nurse could have asked mom if she would like to pump so that the baby could be fed and the couple could get some rest. Rooming in is wonderful, but it shouldn't be forced. What if mom was bleeding/ still on mag/ pca pump etc., what provisions do they have in that instance??? There must have been SOME way for the baby to be looked after for a period of time for them to get some rest.

LOL, was just going to say that. This tip works!:bowingpur

We have had 2 days of training in class, and now we have to practice at work when there is down time. The training was ok, but I think it would have been a lot better if it was department focused instead of just directed to medsurg. I, as well as nurses in other departments (ICU, BTU, Pacu) had a lot of questions about how to apply the program to our specific department.

Oh boy, epic is EXACTLY what we are going to. :bugeyes:

LOL, I just passed my megacode today! The class was 2 days for me and not bad at all. Study EPI, amiodarone, atropine, vasopressin, adenosine, and lidocaine. Know when you give them and at what dose. Also know the stroke protocol, which rhythms you defib for, which you pace, and which you cardiovert. If you study the AHA book and do the pretest you will be all good. Good luck!

My hospital is going to a completely paperless electronic medical records system in a month or so. Are there any other L&D nurses out there using this type of system? I love the advantages this system will bring (being able to look up all past visits/notes/H&P's with one click) but I'm more than a little wary of how this transition will affect our unit. We currently use QS, and I'm told we will still use it for monitoring just not for charting. Any advice out there?

I haven't seen one since I've been on my unit. I asked a nurse who's been there for almost 5 years and she said she can only remember one. I personally oppose elective primary sections, it is after all still major abdominal surgery.

1 hour, and It's so hard to get everything done in that time. Pt cleaned up, 4 fundal assesments and vital signs, all charting done and batch printed, orders in etc. Meanwhile, I usually have another patient that I'm responsible for. I try to get rolling as soon as I can because where I work once you're past your 1 hour you're up for the next screener.

In nursing we all come across SOMETHING that gets to us. For me it's circumcisions, I've seen countless bloody deliveries, all kinds of surgeries, and nasty wounds, but I can't stand the sight of a circumcision:no:!!! It was the only time that I felt I was going to pass out, LOL. I totally agree with the poster that recommended the vicks, I've also heard that peppermint oil works wonders. Don't feel bad about it, your classmates will have their "moments" as well. Hopefully you will be kinder to them about it than your classmate has been to you.

The nurses that come to our L&D with a year or more of previous floor nursing experience get 4-4.5 months of orientation.

HI! I've found that some hospitals hire GN's and some don't, so its all about just looking around in your area. In regards to orientation ours is 7-7.5 months, this is on a high risk unit. We're expected to orient to labor, triage, pacu, circulating, and scrubbing (we rarely have to scrub though since we have an OR tech on each shift). I thought it was such a long time at first, but I'm six months in and a little nervous about being on my own :uhoh21: :chuckle:chuckle Good luck to you!

Our policy is q15 min x4, q 1hr x4, then q 8 hours. Of course if we have a patient that is not staying firm (even with an empty bladder), soaking her pads within an hour etc. we check here more frequently and document....alot!

I just started on a L&D floor and my orientation is 6 months, but I do know that on the Medsurg floors in my hospital orientation is 8-12 weeks and can be stretched out according to how you are doing. Many of my classmates did externships on these floors in our senior semester for 10 weeks and they still are getting the benefit of the full orientation. I think that you should really talk to your nurse manager or nurse educator about having a more comprehensive orientation. Good Luck!

Some people have no clue:no::no:

I was 25 when I started school. We had a wide range of ages from 19 to 48yo. Good luck!

I agree with llg. The hospitals around here started really taking applications in February/March. Are you doing an externship in your senior year? We did senior externships for our last 12 weeks of school and just about everyone accepted positions from that. Good luck to you!

A new nurse in my hospital starts out at 20.50 per hour. I don't know how much weekend diff is but night diff is $8.00 per hour.

The induration has to be 10mm or more in size, redness is not an indication of a positive test. Like the other poster said if you are still concerned contact your physician. Good luck!