Kdavisobrn

Our facility doesn't currently put pts on bedrest, had one of our section pts get up before I got there, then I got some dirty looks this morning when I didn't have her ambulatory after my shift. They fed her regular food all day long as well, and while I agree that there are situations where it seems appropriate to let them eat, hers wasn't one of them. Any body have an opinion?

I was wondering, what does your hospital policy say about some specifics of mag sulfate for treatment and management of preeclampsia/ eclampsia? 1. What is the activity order? 2. What is the diet order? 3. PO fluid restrictions? 4. Are mag levels serially drawn for all mag pts or just if pt is symptomatic?

I don't get pulled to postpartum, I keep my labor and still do postpartum. It's the same unit. I keep my labor, and triage someone. Or keep my labor and catch a baby. There is no changing assignments, just adding more assignments. Lol. I do agree that I don't feel it safe to do so, thus the job change.

I am L&D trained. You did not read what I wrote, I guess.

I might also add that by travel, I mean to a hospital an hour from me. Really just like a short term contract.

The units I have worked in are small, around 400 deliveries per year. The opportunity just isn't there, I am often left with only couplets, or a labor and couplets, or labor and catch the babies of other labor pts. Have you ever worked in a small unit where you are possibly expected to labor a pt, have two couplets, take a triage or two, and catch a couple babies, all in the same night? That's where I come from. Our assignments are fluid.

I have a year of experience in PP and catching babies, and was then trained to include labor and delivery. I have been doing LDRP for two years in addition to my PP experience. I am strongly considering a labor and delivery only unit, but have some apprehensions. 1. I have only had to labor one patient at a time, or have 1-4 PP pts and do triage, or have a labor and a triage etc. I know I will have to handle 2 labor pts if I am strictly L&D, and I want to know how to handle that. What if they get active at the same time, or one starts having recurrent decels, or BOTH start circling the drain? Am I over thinking this? 2. Is my experience enough to be a travel L&D nurse or should I learn to labor two patients first?