nursejohio

nursejohio ASN, RN

NA, Stepdown, L&D, Trauma ICU, ER

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All Content by nursejohio

  1. Would love to start working in L&D or mother/baby

    I would start by getting involved in all things related to L&D. When I was in nursing school, I already knew that's all I wanted to do. I figured I could up my chances by being more educated than the standard new grad, so I went through DONAs do...
  2. Modifying tasks when pregnant. My boss says "no".

    Not knowing what's going on with the OP, I won't jump on the "you're just pregnant" bandwagon. However, working triage in L&D for only a couple hours will let you see how many women DO try to abuse the fact that they're carrying a child. I've had...
  3. Electric fetal monitoring...and how to master the art

    if i'm having trouble, i'll get mom to roll onto her back, take both belts off, slide an extra one under mom and use lots of gel on the belly. i'll move the u/s around until i get the good strong sound, then strap on. i've been known to use washcloth...
  4. Mandatory prenatal HIV testing

    Maybe I'm a paternalistic type of girl, but I just can't see the problem with mandatory STD testing in pregnancy. Aside from the obvious benefit of getting mom treated and cleared of the sterility inducing gc/chlamydia, the systemic effects of syphyl...
  5. Pt./Family Comments that Leave You Speechless

    :roll I sincerely hope she got the exact same "exaggerated patience" tone in response. I just can't help it with some people. Treat an educated professional like an idiot and expect to have your "House MD" watching behind treated in kind:devil:
  6. Survey about Cytotec

    How many births do you do per year or per month? About 5000/year How many OB/gyns do you have on staff? We've always got a 4 resident team, plus their attending in house. Some nights staff is running the whole board, other times we'll have a decen...
  7. Of Kittens and Computers

    Aww... that made me cry! My furbabies mean the world to me, I can only hope someone would do the same thing for me if need be. Nothing will make me hop on my soap box faster than irresponsible owners. I've been known to call the humane society (repe...
  8. ob patients being evaluated in er

    Glad everyone is ok! As rare as precipitous deliveries are in primips, they do happen. We've had a couple moms sent home from triage and come back in complete or postpartum.... She comes in with contractions, we'll check her cervix, send her walking ...
  9. ob patients being evaluated in er

    We triage our own pts at my facility. Under 16 weeks goes to the ER, unless she gives us a reason to think she's gonna deliver. Traumas and other serious stuff go directly to the ER, we'll send a nurse over there for monitoring and whatnot if necessa...
  10. Cheat sheets

    I have one I can send you. It's actually an excel spreadsheet, tailored to fit onto 4x6 index cards. I just print off a stack every month or so. I adjusted it from the one I used when I worked step-down, so I can still use it for our PICU moms on mag...
  11. not a nursing-related question, but not sure who else to ask

    Clarify with your OB where she/he has priviliges. Some docs prefer to go to one hospital, but can practice at another as well. Most of them will deliver their patient wherever she ends up in that case, some grumble about the longer drive, some basica...
  12. Nurses working harder than doctors?

    Um, actually i've heard that "trained monkeys could do their job" from one of the old school attendings. Really, you want a monkey responsbile for interpreting the monitor and calling you for decels? I've also heard "you're just like a little kid, ru...
  13. Nurses working harder than doctors?

    I don't know that there's a lot of "defending" going on, merely giving our opinions. As someone who had the option to go in that direction, I got to see the whole picture of nursing vs. medicine. I chose nursing because it was the best path for me. I...
  14. Nurses working harder than doctors?

    Exactly! When I was still a lowly NA, taking my prereqs for nursing, I kicked around the idea of going the pre-med BSN route. If I decided to end up in medicine, I'd already have my bases covered. Researched it a bit, and there's not enough money in ...
  15. Ugh, and I thought it was gross when we had a skinny little baby daddy volunteer the info that to *ahem* reach his g/f's nether regions, they had a broom at the bedside for the same purpose
  16. Lasik mistake??

    Did you definately have Lasik (not PRK) in both eyes? Both of my eyes were bad, really bad. I think I was at like a -6.25, and -6.50 or something equally horrible. I couldn't even see the big E on the eye chart, just that there was an area of the wal...
  17. "Rooming in" on Mother/Baby - not one size fits all

    Has anyone else noticed that TPTB are actually trending away from patient wishes while fussing about Press Gainey and whatnot? Our hospital is HUGE on "family centered care", and they say we should be putting all babies skin to skin right after deliv...
  18. Just a *long* vent about our newest intern to rotate through... I feel like I'm going to explode. Management is aware, as are the upper residents, she's driving us all crazy! The latest meltdown was over a patient in triage. All the classic c/o UTI, ...
  19. She really said that? Yep, it's gonna be a LOOOONG residency

    Actually, except for a few notable residents, I love where I work. We are the ones who manage the private docs patients, until they come grace us with their presence for delivery. Sometimes we manage treatment of the staffs too, at least when we have...
  20. She really said that? Yep, it's gonna be a LOOOONG residency

    Oh, we do thank them every time we see it in action, but they aren't getting through to her... at least not yet. The other residents have been known to prank an intern or 2, and I'm thinking she is in desperate need of it- whether it's them or us beh...
  21. Medical termination of pregnancy.

  22. Medical termination of pregnancy.

    We only do medical terminations on my unit. None of the "oops, I forgot to take my pill" or, "wow, I really don't think I want to be pregnant anymore" crap or anything. We'll offer inductions to moms who rupture membranes below 24 weeks (because even...
  23. jewelry in the labor suite?

    But our perinatal mortality rate is one of the worst when ranked with other developed nations, we're actually worse than some of the places you'd expect to find the "less than sanitary conditions".
  24. Electronic medical records?

    I'll pray you're going to something better than the Epic we're using. It's a nightmare
  25. That is a fabulous idea! The hubby of a nurse I work with did the same sorta thing, waking her up all the time by either just being noisy around the house or coming in with stupid questions. Starting around 1am, she stomped around the house for a cou...