AZBlueBell

AZBlueBell

Labor and Delivery

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All Content by AZBlueBell

  1. Newly Graduated Nurse, Cannot get a job

    AZBlueBell replied to aspirenursetobe1231's topic in Arizona Nursing

    Hang in there! The only people I know who had a job “locked down” prior to passing the NCLEX were ones working as CNAs/techs. After you have a license to put in the applications, you’re...

  2. Tele Nurse now in Postpartum my "dream job"...and I'm not liking it.

    AZBlueBell replied to Sophie2318's topic in Ob/Gyn

    Ok I’m going to be honest and prime my response with this: I read it all halfway through, and then skimmed. So take it as you will! I think based on what you said you miss from tele (apart from the...

  3. Cesarean section ,skin to skin

    AZBlueBell replied to Dformola's topic in Ob/Gyn

    Skin to skin in the OR is great! But it is, and should be, the responsibility of the baby nurse to oversee that skin to skin time. As circulator, we have enough we have to do and physically are unable...

  4. Postpartum Assessment: clonus, reflexes, PreE screening

    AZBlueBell replied to obrnco's topic in Ob/Gyn

    I check for all that if there is cause for it. If their BP is normal and no risk factors with their pregnancy, I don’t. I do check clonus with every pt/assessment. My preceptor did too and now...

  5. Banner New Grad Experience

    AZBlueBell replied to bex3's topic in Arizona Nursing

    I was not offered on the spot. I think they called me a few days later to offer me the

  6. The Newborn Bath

    AZBlueBell replied to PinkNBlue's topic in Ob/Gyn

    This is an issue at our work place too (ie dayshift feeling baths are dumped on them). However, our techs are pretty good about checking back with patients around 0600 if they had refused a middle of...

  7. Skin to skin after delivery

    AZBlueBell replied to Kldrn9963's topic in Ob/Gyn

    Pretty much the same for our facility as well, except we do q30min vitals on baby. No specific timeline for baby staying skin to skin. We encourage at least until the first feed or first hour, but...

  8. Breech protocol

    AZBlueBell replied to XXXX5's topic in Ob/Gyn

    Same for us. OP, our hospital has no actual policy for it. Everything is left up to the provider. Protocol is that when pt is complete they are moved to the OR for pushing and delivery in case a...

  9. Postpartum assessments

    AZBlueBell replied to Babycatcher87's topic in Ob/Gyn

    We do head to toe 2x per shift regardless. Our section mama’s also get a head to toe immediately in PACU along with frequent vitals until the 4 hour mark. Then it’s q4hr til they hit 24 hrs PP,...

  10. Bloody Urine in Foley Catheter Postpartum?

    AZBlueBell replied to Hope888's topic in Ob/Gyn

    Our c-section mama’s are the only ones who transfer to PP with a foley. Our lady partsl deliveries, if they have a foley in for delivery, will have it DC’d at some point in the 2 hour recovery...

  11. Transitional Care Nursery! Help!

    AZBlueBell replied to djohnston28's topic in Ob/Gyn

    1. We have a “transition Nurse” role assigned each shift. This is typically a NICU Nurse, but if NICU is full and they can’t spare a Nurse then an L&D Nurse can take this role as well....

  12. Insulin drips patients on L&D

    AZBlueBell replied to Upgrading_Status's topic in Ob/Gyn

    What?! I have never even heard of this! More than 2 active labor patients?? I feel as though my facility is not as strict as others in terms of “high risk” being 1:1 but I have never had more than...

  13. New Grad Jobs in AZ

    AZBlueBell replied to aasmahasann's topic in Arizona Nursing

    Banner will, but usually you have to know the manager/director for the unit to get into one of those. PCH will hire new grads to NICU. I have heard Honorhealth absolutely will not hire this units...

  14. Banner Health New Grad RN Program

    AZBlueBell replied to AZRN09's topic in Arizona Nursing

    1. The first few days will be all corporate type stuff, policies and starting your online learning modules. There will be skills and sim days to teach you general skills and equipment (IV pumps, IV...

  15. 39 IOL

    AZBlueBell replied to Surfandnurse's topic in Ob/Gyn

    Sorry for the typo, we allow cervical ripening at 39w1d....is that considered against

  16. 39 IOL

    AZBlueBell replied to Surfandnurse's topic in Ob/Gyn

    I’m sorry, that was a typo! Elective IOL allowed at 40 weeks, and cervical ripening allowed at 39w1day (not 38!). To be honest, we only have a cervical ripening probably once or twice every few...

  17. For anyone who went straight into Mother-Baby/L&D as a new grad, do you have any regrets?

    AZBlueBell replied to lexxa25's topic in Ob/Gyn

    Absolutely no regrets! I always knew L&D was my goal, but I thought PP was where I wanted to start out. Ended up with L&D right out of school, not gonna lie I was a little intimidated at...

  18. L&D brain sheet or organizational tool

    AZBlueBell replied to Kimmiexo_'s topic in Ob/Gyn

    My brain sheet likely wouldn’t work for you as it is specific to what I need to chart each shift per policy. On one sheet of paper I have 4 brains (will last me two shifts). So basically 1 pt per...

  19. Maternal mandatory drug screening

    AZBlueBell replied to Kldrn9963's topic in Ob/Gyn

    I would look up your policy again if I were you...we have a similar policy but it explicitly states WITH

  20. 39 IOL

    AZBlueBell replied to Surfandnurse's topic in Ob/Gyn

    My facility allows elective IOL at 40wk only. At 38wk1day they are allowed to try a cervical ripening. Basically they are admitted as an observation pt, they get PO cytotec (up to 2 doses) but if no...

  21. stethoscope question

    AZBlueBell replied to Emmypenguin's topic in Ob/Gyn

    I have a Littman (I forget which series) but it has both Mom and infant on it, I just turn it and flip to the large or small size depending on if I’m listening to Mom or

  22. Job Hunting Prior to Graduation/NCLEX?

    AZBlueBell replied to MiladyMalarkey's topic in Arizona Nursing

    I started applying the month I was set to graduate, but several hospitals in the valley require a RN license number for the application to go through. Banner being the exception I believe. But even...

  23. Baby Nurse Responsibilities

    AZBlueBell replied to Grayson18's topic in Ob/Gyn

    Ours is very similar to this. Our NICU RN's are typically assigned to be the baby nurse, but L&D nurses can if needed for staffing. So baby nurse is responsible for apgars, resuscitation if...

  24. Calling L&D Nurses - Tips and Tricks?

    AZBlueBell replied to itslindahuynh's topic in Ob/Gyn

    Hi, I'm a new grad in L&D (8 months in) so here's some tips from my perspective: For SVE's...crawling the fingers helps, if it's very posterior you can have them pull their legs back (pushing...

  25. OB Education??

    AZBlueBell replied to emily1984's topic in Ob/Gyn

    As a new grad with limited experience I think the following would be helpful in addition to the ones already listed: drills for placing blood orders (in the few I've been involved in it has always...