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Rooming in with baby-Question
Oh yes. I do understand completely. My statement for the project is "In new mother's with uncomplicated births..." I kind of want to change the statement to promote hospitals getting Baby Friendly status. I still believe it is a mothers choice if she wants to breastfeed, I realize there are many obstacles that only they would understand. Jobs, travel, medical, or simply not wanting too. And all that is okay! Since breastfeeding is supposed to be the best way to feed your baby, isn't it our jobs to help mothers achieve that goal? If it is their desire of course. My local hospital does have Baby Friendly status. So honestly that is all I know, from experience and as a student on the floor. Mom and baby are not separated unless they must go to the NICU or if another emergency happens. I read on another forum about this. There was great concern in transitioning to rooming in with the nurses. There concerns were choking, aspiration and simply missing critical signs that there may be a problem. Things I suppose that would not be missed if they were in a nursery. I guess my real life question and not school related is should moms be given a choice as to whether or not they should room in? I know it really is not an option at my hospital. And how does it work in hospitals that do not room in. Is mom allowed to have her baby at all times? And if she is not does that impact her establishing breastfeeding?
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Rooming in with baby-Question
Thank you again! I certainly think this data will help my case! I am hoping to work on L&D when I graduate. It is my life's dream! My local hospital is Baby Friendly. Our experience having my sons was awesome. I had a C-section after 48 hrs but he was skin to skin and breastfeeding within 30 mins. My second was a successful VBAC and he was nursing at 15 min! I was really dedicated to breastfeeding though and the support was incredible. I can understand some of the controversy in women who do not want to breastfeed but I have a hard time understanding why someone would not want to room in. I understand the exhaustion, especially with my first, but I could not let him out of my sight. I know not everyone has the same experience but they are going home with the baby! I guess it's hard for me to see the controversy, not as a nurse, but as a mom. I loved my rotation on M/B. I got to help moms with BF and showed them tips and tricks I had learned, how to work the pump and help them with discomfort. I really feel it's where I am supposed to go! Thanks for helping me out! I greatly appreciate it!
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Rooming in with baby-Question
Thanks! Those are some of the sources I was using to get my statement together. My instructor first said that "everyone knows it is superior so I suggest finding a different topic". I explained that surprisingly a lot of hospitals do not room in. He then confirmed back to me that he found that I was correct. I am just curious as to how I would find the number that actually do room in and don't have "Baby Friendly" status. I have tried several different searches...is this information even out there? Or how do you go about searching for that?
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Rooming in with baby-Question
Hello everyone! I am working on a quality improvement project for school. I am having trouble finding information on the number of hospitals that actually have baby room in. I have found tons on Baby Friendly Hospitals, only 326 actually have the status. My question is do most hospitals room in? If anyone could guide me in the direction I need to go in that would be super awesome! Thanks in advance!
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Advice wanted, as an older RN student, what thing should I NOT do?
Being an LPN in a bridge program, I have learned to keep quiet. My fellow classmates know, it eventually comes out. It is valuable in clinical, like I don't stress giving medications like some of the other students do. I have to bite my tongue with some clinical instructors. One told me I needed a to be better organized...it was my first day on peds. I just said thank you and I will do better tomorrow. A nurse I was following, not a clinical instructor, asked me if I was a "good LPN or a bad LPN". I rolled my eyes on the inside....I asked him to explain. He said "do you brag about what you have done or constantly talk about being an LPN?" I said "no I am a student". There are students in the class who do not work as a CNA and they struggle getting patients on the bedside commode and doing bed baths. I heard one student arguing with a 90 year old lady about putting her O2 on. The patient requested it and the student said "you are yelling at me, you don't need O2".....I wanted so badly to pull her out of the room and yell at her. It wasn't my place. Just keep quiet, you are a student. If it comes out, just say you are here to learn, which you are! Seek out new and different tasks you don't get to do as an LPN. I have taken the opportunity as a student to ask questions, do new tasks and really go through charts. I have learned more about medications and honestly it gives you time not being the primary nurse to do all that! Just be kind and quiet, help your classmates when you can. Most importantly...do not act like you know everything!!!
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To medicate or not to medicate
Thanks for the info! I always felt like it was something like that but at the time there wasn't much information out there about that. Pysch is not my favorite but I appreciate that there people out there that love it!
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To medicate or not to medicate
Thanks for that! Luckily he had just ate supper. I don't have much experience with Geodon. Before I was a nurse I worked in group home with DD adults. I noticed then that alot of those folks had reactions to Geodon. Do you have any thoughts as to why that population would have so many reactions? Nobody at the time could answer that for me and I completely forgot about until now.
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To medicate or not to medicate
Wow! I did not expect this kind of response! It is awesome though, thanks everyone for your input! I will say I was only working3p-7p this day. This pt had ativan available as a PRN. It had not been given and I just gave the schedule Geodon. Pt was not anxious and was quite pleasant for me during these 4 hours that I was there. Did not show any sign of agitation. Oncoming shift was upset that I had not given it yet. I did not see the need for it, I just told oncoming that it was there if needed. What bothers me is that some oncoming people think I should give everything PRN for them but I do not feel that it is right or necessary. If they want it or need it, I give it. I do not withhold anything from them! I recognize my bias towards some medications but I would never not give or go against an order because of that.
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To medicate or not to medicate
So I generally work 3p-11p. I always scope out the PRN's to see if my patients like to take sleeping meds or anxiety before bed and always ask if they want them. I otherwise use my best judgement if I feel they need or don't need them. Basically I don't like to just give everything to get them to bed. It never fails though, as I am giving report to the next shift, I get chewed out for not giving all that is possible! I don't understand why you would just give everything possible...even if not needed. I like to always have something on hand if necessary and leave something available for the next nurse. I get told I should have already gave it or "wouldn't you rather them have a good-nights sleep?". I can recognize when someone needs it, I just don't like to over medicate. Am I wrong in this thinking?
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So Embarrassing
I have asked my patients before if they have "poopies"! Sometimes I really have to stop before I speak! Usually they just laugh and I explain I have a 3 yr old and a 10 month old.
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What kind of RN do you want to be?
Those are my interest too! who would thing babies and wound care?!!?
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Advice on transitioning to RN
Thanks! I believe what she was trying to say in not so many words was don't be cocky. I certainly will not be!
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Advice on transitioning to RN
Thanks! It's a 5 semester program and we join in the last three. I know there is only 12 of us joining in with the other 85. I will know a few people..I work with some of them as CNA's. The instructors just sent us an email saying we had to buy a HESI practice test with 1600 questions...so I guess I will be practicing that!
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Advice on transitioning to RN
No transition course. It is the same school I got my LPN so at least all their rules and system are not foreign. I will also have some familiar instructors and some of the same clinical sites. I guess my best options would be to read over my text book!
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Advice on transitioning to RN
I believe she was meaning for me to brush up on skills that I may not be using. During orientation she kept talking about how hard it was for LPN's to reset their thinking to that of an RN. I am starting with a group of students at the beginning of the 3rd semester. I am curious as to what topics they have covered and if I am going to be lost the first day...