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Topics About 'Obstetrics'.

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  1. When I was a freshmen in high school, my friend’s mom was a Labor and Delivery nurse. She talked about her job often, and I always found her stories fascinating. I would ask tons of questions, and she noticed I was super interested in OB nursing so she invited me, her daughter, and a group of students from our class, to come to the hospital and show us around. She took us to a class room and talked to us about her job. Showed us different instruments used during labor, and described the process. She even showed us real placenta. Everyone found it gross and uninteresting, but honestly I loved every minute of it. I knew that’s what I wanted to do when I grew up. No other career excited me in any way. Well I graduated high school, went to college and got into nursing school. Once I was in nursing school, I realized that half the nursing students in my cohort wanted OB. I was shocked and disappointed that area was so popular. There are only 3 delivery hospital areas in my area, so obviously not all of us could work there. I also looked online and found out how popular this specialty was, and how extremely difficult it is to get into. My heart sunk. All this work for a pipe dream, when I thought it was a realistic plan. During my clinical rotation I met a nurse that told me she applied to OB several times in the last ten years and couldn't get in. From what I saw she was an excellent nurse, so if she can’t get in, how can I. I was an average student. I absolutely loved learning and my clinical rotations, but nothing about me stands out as an excellent nurse. Other students in my cohort were much smarter, and far more gifted. I’m just OK. I feel like I wasted my life. Other areas of nursing are fine, but not anywhere near as exciting and special to me. I had one day in clinical at the labor and delivery unit, and I thought, this is it! I’ll never work here, but at least I had one day to live my dream. Best day of nursing school ever, even cried after. I graduated nursing school and never took the NCLEX. Every time I sat down to study I got depressed. I feel sick when I think about nursing, and now don’t know what to do. My family is extremely disappointed in me not taking the NCLEX, and just having a minimum wage job. I’m thinking about taking the NCLEX and getting a normal floor job, even though it doesn’t have a strong appeal to me. I feel like an idiot, and wish I could back in time an punch myself. Why did I think it would be so easy? I also had a clinical in the OR and loved it. I looked it up and found out that was hard to get into also but not impossible. from what I understand the hospitals only accept pari-op once a year and there is no guarantee of getting a seat. Any advice would help.
  2. nurse2bguy555

    OB Unit for Male Student

    Hi. I'm a male nursing student about to start OB Clinicals. Since I'm a male, most hospitals would not let me do clinicals. My instructor could only find one hospital to accept me, but the problem is that the hospital is an hour and a half from my house. I'd have to leave super early in the morning and go back home late at night. The clinical rotation is over a month and I would be using almost half a tank of gas a day. My instructor said this is the only place she could find. Does anyone have ideas of how I could get a site closer, like maybe call a nearby hospital and ask if I can do clinicals there, like as long as a woman is in the room with me, or if they just approve in general? Thanks.
  3. I made my way into my downtown Philadelphia office, pouring my first cup of coffee before I sat down to browse my patient schedule for the upcoming day. As my co-workers began to trickle in, I listened to several voicemails from the prior evening. One patient had spent the night in the ER for what she thought was possible pre-term labor -- I made a note to have the front desk schedule her for a follow-up visit. Another patient complained that at two weeks postpartum, she hadn't yet received her breast pump from Medicaid. I then opened my inbox, where I found labs waiting to be reviewed. A patient had failed her three hour glucose test, so I made a quick note to schedule her for a gestational diabetes consultation with our educator. My day was off to a running start before the clock had even struck 8AM. As a busy OB/GYN RN and Health Educator, I chose to work with underserved populations well before I entered nursing school. I specifically attended the University of Pennsylvania because of the opportunities available to work with diverse urban populations and truly make a difference in their care. When I graduated and was offered a position to work at a low income clinic in downtown Philadelphia, I was ecstatic at the opportunity to provide unbiased, top quality care to one of our country's most vulnerable populations. Many of my patients came from extreme poverty and had several children before they turned 20. Many had experienced a life of pain and abuse, and most wondered how they would be able to support themselves and their unborn children. Sometimes when my patients would enter my office, I could almost feel the weight on their shoulders and see the visible defeat in their eyes. It was then that would let them in on a little secret -- I had been there. My Story It was 2004, and I had just turned 17 years old. I should have been celebrating with friends, planning college visits, or registering for SATs. Instead, I was staring down at two tiny blue lines, numb with fear about how my life was going to change. I still had over a year left of high school -- how was I going to finish? I had no idea how I'd be able to afford childcare or diapers, let alone a college education. My love of nursing and healthcare essentially began before I even delivered my daughter. I saw a Nurse Practitioner throughout my prenatal care, and she never once shamed me for being a pregnant teen. When I learned that she would not be the one delivering my baby, I was devastated. When I was in labor on Christmas Day, the nurses at the hospital worked shorter shifts. Because of this, I met quite a few of them as they rotated through at various points of my labor and delivery. It was a Nurse Anesthetist that gave me an almost painless epidural, and a kindhearted nurse that stayed a couple hours past her shift -- despite the fact that she had children of her own at home -- because she wanted to help deliver my daughter. It was also the nurses who took my brand new baby to the nursery the following night when I was exhausted and defeated, and nurses who gave me my discharge instructions with the goal of empowerment instead of judgement. As my daughter grew, so did my love for learning and healthcare. I worked hard to graduate high school early and attend college with my class -- followed by graduate school -- and spent much of my time volunteering and mentoring other young moms. I fell in love with the emotional and physiological changes of pregnancy and childbirth, fondly remembering my own experiences with my daughter and how amazing that time was in my life, despite the stigma surrounding my young age. Throughout college and beyond, I jumped at the opportunity to work with new and expecting moms -- I helped organize retreats, edited resumes at a women's shelter in downtown Boston, and spoke at conferences around the United States on behalf of young pregnant and parenting women who were in need of specific resources to succeed in higher education. I exposed my very raw and vulnerable background to young parents, board members, and trustees around the country in order to fight for the improvement of access to services for such vulnerable populations. When I graduated nursing school, I always knew that I wanted to work in obstetrics, specifically with underprivileged populations. As a teen parent, I had faced so much adversity as I put myself through college while raising my daughter. I had navigated the world of Medicaid, WIC, and SNAP -- I will never forget the sense of pride I felt as I cut up my EBT card the evening we signed our first apartment lease when I graduated with my Bachelor's Degree. I wanted to spend my life empowering new and expecting moms to know that their pregnancies do not define them or their capabilities. Children should fuel our fire, not extinguish the flames One of the most beautiful aspects of the nursing profession is the way we care for our patients. We choose the profession knowing that we are our patient's greatest advocate and the liaison between the patient and the doctor. This comes with great joy and great responsibility as we harbor the weight of patient outcomes on our shoulders. Sometimes our personal backgrounds and experiences also shape us to gravitate towards a certain area of nursing where we can flourish, not only as an educator or clinician, but as someone who has walked the very path of our patients. There's only so much a textbook can teach, and sharing my own experiences and exposing my vulnerability instilled a sense of peace and trust in my expecting moms. Allowing them to open up to me meant better care for them, too, because I was truly able to assess their needs to help make their pregnancy outcomes safe and healthy. I am deeply passionate about obstetrical nursing -- even though I've left the profession for the time being, not a day goes by where I don't think fondly of my patients and of my experiences as an obstetrical nurse. I was so grateful for the kindness and unbiased care shown to me as a pregnant teen -- it quite literally sparked a desire to pass the torch and show my patients their own worth under even the direst circumstances. I view my background and experiences as a privilege because they have shaped me into a caring, intelligent, and passionate clinician that will never stop fighting for my patients. I challenge you to look at your own path and what led you to choose nursing, specifically the area you are passionate about -- what brought you to the profession, and what keeps you going each day?
  4. Nurses are teachers. We are always answering questions for our patients, no matter how strange they are. We do it in a professional manner, and never make the patient feel stupid. That being said, there are questions we receive in our daily work that make us wonder, "how is this person getting through life?" Or, in my labor and delivery case, "How is she going to be a mother, if she doesn't know X." See which you relate to, which make you laugh, and feel free to comment and add to the growing list. Funny Questions Patients Asked OB Nurse... #1 "Which hole do I pee out of?" This is an unfortunately way too common question I get from patients. I work in labor and delivery, so it is an all-female population. I cannot believe how many women do not know their own bodies. I have had women in tears because they don't understand why they are bleeding vaginally and not when they void. They think that if they go to the bathroom and void that they are also pushing their babies out. Overall, a very confusing question I get and every time I stop myself from trying to give a look of "really?" #2 I'm sorry, did I wake you? (on nights) I worked night shift for over ten years. I hated every moment. I didn't hate my coworkers, or the job, just the feeling my body had working twelve hour nights. I did night shift pregnant, nursing, and raising two boys. I was lucky, like many mothers on nights, to get 4 hours of sleep between shifts. Anyway, there were many nights that patients would apologize for putting their call lights on to ask for something because they thought they were waking me. I'm pretty sure that's grounds for firing, but thanks patient for thinking I sleep all night. #3 When they call me doctor Ok, this isn't a question, it's just something that makes me roll my eyes. It is usually a comment from the most undereducated patient or patient's relative. They do not understand the difference between nurses and doctors, nor do they understand the educational difference between the two. "Honey, just ask the doctor your question." I usually look behind me thinking the doctor is in the room. My answer: "I am not the doctor, X is your doctor, remember seeing him/her throughout the pregnancy? They are the doctor." I end up correcting them several times during my shift, and usually end up giving it up after the third time or so. #4 How big is the needle in my arm? I get this question at least once a week. Patients think that the IV needle stays inside their arm. My answer: "Well, the IV needle does not stay in you, it is a thin, flexible catheter that will deliver the fluids and medicine to you." It boggles my mind that a patient really thinks a needle stays in their skin the entire time. I remember thinking that when I was very young...but never as an adult, and definitely not as a laboring mother. #5 So will you be the one delivering the baby? This is a weird question for me because ideally, they have been to the OBGYN over 20 times during the pregnancy. Now, they meet me for 5 minutes and think I will be delivering their child. This also goes back to them calling me a doctor. I'm not a doctor, and I wouldn't want to be a doctor, and no I don't deliver babies, I will do everything to get the patient to that point, but not actually do the delivery. My Answer: "You don't want me delivering your baby. I didn't go to school for that, specifically. I went to school to help you get through labor and the delivery. The doctor will deliver the baby Now, if for some reason you progressed quickly, I know how to deliver a baby, but ideally, I would rather not." There you have it. Five of the weirdest questions I get from patients in labor and delivery. I am sure I could add and add to this list, as could you, so please do. What are some weird questions your patients have asked you? How did you react?
  5. madwife2002

    OB/GYN Nursing

    An OB/GYN staff nurse is a registered nurse who provides direct care to women. OB-GYN nurses may work in hospital labor and delivery and post-partum units, as well as at birthing centers and maternity or outpatient clinics. Their duties include admitting patients, taking medical histories and assisting physicians during procedures. They may administer medications, apply fetal monitoring devices or perform ultrasounds. They may also lead childbirth preparation classes or educate women individually about sexually transmitted diseases, birth control or prenatal care. Gynecology/Obstetrics Nurses care for women from puberty to menopause. Not only do they help women during pregnancy, labor and childbirth, they can work with women who have health issues with their reproductive system. They may also lead childbirth preparation classes or educate women individually about sexually transmitted diseases, birth control or prenatal care. Work Environment OB/GYN nurses can work in a doctors office, pre or postnatal floor, OR and the labor ward. Many nurses who want to work in labor and delivery will often start off on the pre/postnatal floor, then move to L and D once an opportunity arises. It is normally expected that you will cross train, to enable you to work in all areas. This is a huge specialty and for the purpose of this article, it is impossible to touch on all areas where an OB/GYN nurse has the potential to work. Opportunities You do not have to have nursing experience to work as an OB/GYN nurse, jobs can be few and far between for inexperienced nurses, and some facilities can require previous nursing experience. Many facilities will offer 6 - 12 months orientation for the inexperienced nurse. There will be extensive on the job training for new OB/GYN nurses. There can be lots of opportunities for advancement for nurses with L & D background, including lactation specialist, Certification as a Nurse Midwife, NP in women's health. Education and Requirements Depending on department Registered Nurse LPN BLS/NALS/PALs/NRP Fetal monitoring Experience in Lab/Delivery Analytical Ability Visual, hearing and sensory touch acuity Responsibilities can include but is not limited to Care of the laboring woman Antenatal care Post natal care Monitoring FHR Monitoring contractions Support Pain management Cervical exams Induction of labor IV infusion therapy Documentation Education for the new parent Contraception Breast feeding education Scrubbing for C/Section Care of the newborn Sexual health education Salaries L&D RN salaries are on a par with other nursing specialties with a median salary of $64,690 as reported by the Bureau of Labor Statistics Occupational Outlook Handbook. RN salaries may be as low as about $44,000 and as high as $95,000 depending on several factors including work experience, state, employer, and specific nursing role Association of Women's Health, Obstetric and Neonatal Nurses Staff Nurse - RN - Obstetrics Salary | Salary.com
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