Kimberlee1225

I believe the awon standard is 37 weeks for preeclampsia but that is the earliest induction I have seen/heard of.

I felt like I had made a huge mistake for months. I still have times where I think "what the hell am I doing here" but for every time I think that I have something happen that makes me remember why I wanted to get in this field in the first place. It's easier to remember the hard stuff or the sad stories, just try to keep hold of the good stuff once you get out there on your own. Also don't be afraid to ask for help. It gets better.

I currently work in a hospital in NH on the L&D floor. We use midwives here mostly. Often there is not an OB on the floor. They are able to access our EFM from home and they all are required to be within 30 mins away (most are much closer than that). They frequently monitor the strips at home, but they are rarely on the unit itself let alone in the hospital after clinic hours. Having been trained in bigger hospitals in MA this scared me to no end initially (we also do not have neonatologist and the pedi's play by the same rules as the OBs). As I've grown as a nurse however, I find it at times empowering. I feel as though I've learned so much more from the midwives and from having to be more independent. We don't have a NICU either. Obviously we do not take high risk pts but as we all know that's well and good to say but doesn't always happen. My assessment skills are stronger than they would have ever been staying in a bigger teaching hospital. I understanding that it can be scary though. As it is, we recently had a placental abruption that resulted in an emergency c/section at 28 weeks. Scariest day of my life, but in the end DART drove a breathing, crying very much viable 28 week newborn after we resuscitated her and stabilized her for over 2 hours. I guess this is just a long-winded answer to your question. There is at least one other hospital that operates like this, and yes it can be very scary at times. If you have a good team of nurses and providers and communication remains good it can be empowering. I too have about 3 years of experience in the field and feel as though I am much stronger having worked in a smaller hospital like this. Teaching hospitals are awesome and you will see things you don't typically see so if you are more comfortable with that then I think it would be a better choice for you. If you can work through the initial nerves and be confident in your skills and your team than a smaller place can be a good thing too. It has more to do with the individual dynamics of the unit, I think.

Hello, I'm looking for some advice. I am currently a BSN RN working in labor/delivery/postpartum and I am looking to expand on my education. We currently use Sorian and Obix, and we are trying to switch to Epic in some areas,and I just feel like the whole thing at this point is a mess. I'd really like to be able to try and fix this from the inside some day, so I was thinking informatics would be my best route. To be honest, I have limited experience on nursing informatics specifically. I know some technology information and have dabbled in simple coding but nothing fancy. My question is, should I start with a certificate program or do those with more experience find that it is best to just go straight for the MSN? Any advice on this subject would be most appreciated. Thank you!