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Found 13 results

  1. Healthy newborn ... Read in entirety: Partially Vaccinated Mom Passed Antibodies to Baby
  2. kat1822

    Help - Should I Work or Wait?

    I’m currently pregnant expecting my fourth child. I would like to work PRN at a local hospital (if they have a position that works for me). However, I know that I will not want to work postpartum- indefinitely. Raising babies is hard and important work! My concerns are that 1) They won’t hire me since I’m pregnant and might not return after maternity leave (is that discrimination?) and 2) a short few-months long of working will look bad on my future resume. I worked for that hospital for 3 months last year but left in good standing for other personal reasons. It’s so hard to work consistently with a family. I’m afraid if I don’t work now while I feel good I won’t work again for a couple of years. I love nursing. Any thoughts? Thank you ☺️
  3. I was just informed about a Covid outbreak in my psych unit. Half of the pts are positive. I work part time and am scheduled to work a couple of days this week. I really want to ask for time off. I didn't get vaccinated yet because there's no data on effects on my baby, but I heard most staff already got vaccinated starting last Thursday at my hospital Do you know if pregnant nurses are assigned with Covid pts in your hospital? We don't have a policy at my hospital
  4. Pregnant women with Covid-19 face higher risk of severe illness and death, study say
  5. At your hospital are pregnant nurses exempt from taking care of covid patients or patients that do not have a confirmed negative result? I work in a small OR and we have two pregnant nurses that have doctors notes saying they can't take care of patients that do not have a negative covid test. A lot of our on-call cases are patients that have results pending and they are saying they can't take call because of this. It is a small OR and having 2 nurses out of the call schedule is taking a toll. We test our scheduled surgical patients 48 hours in advance, which means they do have a window of opportunity to catch covid before surgery.
  6. Racer1986

    What are you doing at home?

    I know everyone has their own unique situations...mine is that my wife is 8 months pregnant and has asthma, although mild. I work on an orthopedic med surg floor and have been taking care of COVID rule outs intermittently since we stopped elective procedures. Yesterday I was pulled to our hospital’s COVID unit as half of our unit is now shut down indefinitely. I know this is going to be happening much more frequently and I’m now going to work expecting to care for positive COVIDs. My wife has an acquaintance who has offered us the use of her family’s travel trailer for me to isolate myself. Currently, we have a fairly good system going in our house where we are basically living apart under the same roof. I am limiting myself to a bedroom and bathroom and she has the rest of the house. We don’t currently have any children, so that helps. The RV would come with some headaches, as we would have to have it pumped every couple of weeks and I’d still have to either do laundry in the house or go to a laundromat. But obviously it would add another layer of separation. We are not sure what the right choice is. Anyone else facing similar issues? What are you doing to isolate from those with whom you live and do you feel like it is enough to keep them safe? God bless us all! Thanks for any insight.
  7. AlyssaJean

    ER RN- 26 Weeks Pregnant

    Hello all, I'm just wondering if anyone has any insight regarding navigating caring for known or rule out COVID patients while pregnant. Up until this point, our census had been very low and I had not been required to go in any of these rooms. Now with census rebounding, I was taken into the office today to discuss how I cannot refuse to care for known or suspected COVID patients. The policy we have in place at my establishment supports you avoiding caring for these patient populations once you reach 36 weeks. While many studies suggest the virus can't be transmitted to the fetus, some articles I read state that some newborns were tested merely moments after birth and they were positive. So that instills doubt for me. I am also concerned because pregnancy can negatively effect your immune system and pregnant woman are at increased risk of respiratory illness at baseline, even in a non pandemic world. Even if the baby doesn't get COVID, but I do, there are negative implications upon the baby from things like fever and poor oxygenation in the mother. I also read there's a clear link to preterm labor with pregnant women who are diagnosed with COVID. I expressed to my boss that I am uncomfortable with caring for these patients because of potential risks to my child and myself. This was met with statistical reassurances of why it is low risk and there is no data that suggests it will be harmful to my baby. While some may find me to be rigid and unreasonable in my refusal to care for COVID patients- I feel that this advice and conclusion has been drawn based on an absence of evidence, rather than an absence of risk. This virus is too new for any real data to be obtained and conclusions to be drawn. Without any real clinical reassurance of safety, I am not willing for my unborn child to become an experiment. I am very stressed about working directly with these patients where I am exposed and they can potential quarantine my own baby from me for 14 days after birth if there's concerns I've been exposed or have symptoms. Does anyone know what my rights would be in a situation like this? Can I be fired for refusal to expose myself and my baby? Or would that be discrimination because I am only refusing due to concerns related to my pregnancy? Any other pregnant nurses or know anyone who is dealing with similar situations and how they are handling it? I would appreciate any insight or recommendations, I am kind of at a loss for how to proceed. They said they are going to help me try to find another area of the hospital to work in until maternity leave. But that may take time and I am curious about what I should do in the interim. I still have 3 1/2 months left to work. A.
  8. BlueJsMomma

    Pregnant RN in Covid MICU

    The 2 other pregnant nurses I work with in ICU have taken personal leaves, as our unit is covid territory. I also float to the ED, but even feel safer there somehow, because I'm not "submerged" or saturated in these patients rooms for 12 hours suffocating (I know this is in my head). A personal leave would mean no pay and I'm the only income to support my 2 year old at home. It's also said that on a personal leave management can call you back whenever they want to, which will be our peak here pretty soon. My OB said he can't write for FMLA, because there's not been enough evidence to warrant it, but he would write for a personal leave or a letter recommending a lesser risk position. I work for the Cleveland Clinic, I don't doubt they are trying to keep us safe, but now it's been implemented we will float without warning to any other hospital in the enterprise and what if that unit isn't taking it's best precaution. My biggest fear is getting sick enough to require the intervention my patients do. My baby, any fetus, would not survive excessive intubation, pronation, or paralyzation. I know the chances are slim, but I've seen younger and healthier than me get there and is it worth the chance? I've never been scared of much when it comes to work, but I'm downright terrified going in now.
  9. Halfway through my program, nursing school has thus far, for various reasons, ranged from being disappointing to discouraging to despairing. I've been disappointed in the quality of the school and of the clinical experience. I've been discouraged about not being inspired by my experiences in the hospital (although I've really enjoyed the occasions when I was able to get to know my patients). And I've felt despair at the prospect of my experience never changing, that I would never become passionate about nursing. And then I saw my first birth. For those who have witnessed this miracle, you know that words cannot do it justice. I've tried to describe it to friends, but it's been like trying to describe God or Goddess or maybe even chocolate. One is appropriately humbled by the attempt to get one's mind around birth, the human manifestation of creation. Sure, we can come up with all sorts of polysyllabic words to help us think we understand what's going on here, but I think we're only fooling ourselves. It is not the understanding which inspires such awe in us, it is the feeling that comes with witnessing the phenomena of birth. It is this feeling that allows us to know that something amazing and incredible and beautiful has just happened. Beyond words. Beyond art. Perhaps it is our connection to the experience of birth, our most shared experience, that has kept us from really messing things up. Perhaps, conscious or unconscious, this connection is the real source of our hope. The power of birth isn't just about the new life of a child coming into the world. It's about the unbelievable strength and courage of the mother, bearing such pain as she has never known, and knowing the deepest of love. It's about a man learning what really matters. And it's about the love of friends and family, coming together to support this mother and welcome this baby. All of this is part of what has made my one weekend working in labor and delivery the only time I have been truly excited about becoming a nurse. The very first patient I was within L&D needed a cesarean section. They were clearly disappointed at this dramatic change in their birth plans, but also grateful for the technology that would be safely bringing them their baby. I worked with the Advanced Life Support (ALS) nurse, a woman passionate about her job and eager to teach me. The baby was immediately brought over to us, quickly cleaned and evaluated. The father of a child born via c-section gets to see the baby before the mother, and this dad was right there with us, speaking to his child. I was amazed that dad's voice immediately caused the child to stop crying and turn in the direction of his father. Newborns cannot see, yet this child seemed to be looking right at his father, his familiar deep voice a beacon of comfort amidst the noise and lights of the OR. Prior to starting this rotation, I had wondered if women would be comfortable having a male nursing student take part in their delivery. I remember thinking that at least I would be able to connect with the fathers. I couldn't have been more wrong. During both of the vaginal births I attended, the mothers and her family were completely welcoming and appreciative of my presence. When I left, they gave me lots of appreciation and compliments, telling me I was going to be a great nurse. But not the dads. They barely spoke to me, but I don't think it had much to do with me. They seemed to be in shock. But once that baby was in their arms, they lit up and even smiled at me. This past Sunday a few of us sat in on a class for expecting couples. All five of the couples were having their first child, full of excitement and questions. The nurse educator led the class in exercises to try out some of the possible positions for labor and we, the nursing students, were encouraged to work with the couples during the activity. I worked with two couples, and much to my surprise and delight was able to answer all of their questions. I felt completely comfortable and confident talking with them about the birth experience and left knowing that I had done my little part in supporting them. What makes all of these positive experiences even more meaningful is the fact that one weekend I had more excitement, enthusiasm. and inspiration than in the entirety of the program up until then. I am no longer discouraged about having chosen to pursue a career in nursing and am really looking forward to my upcoming weekends working in labor & delivery. I used to think that the only significant way to really "make a difference" was to save a rainforest or stop a war or reverse global warming. Who coulda known?
  10. Medications in Pregnancy and Lactation The issue of medication use during pregnancy is of concern because the physiology of pregnancy affects the pharmokinetics of medications used, and certain medications can reach the fetus and cause harm. studying medication safety in pregnancy and lactation is challenging; thus, the U.S. food and drug administration (FDA) categories of medication risk in pregnancy are limited, especially for the lactating mother. A better understanding of the role of physiologic changes in pregnancy, placental function, effects of medication on the fetus, and the mechanisms of drug transfer into breast milk can help nurses teach their patients both preconceptionally and during pregnancy and lactation. This article provides a review of current literature so nurses can become more aware of the basic principles involved in medication use for pregnant and lactating women. Therapeutic Choices for the Discomforts of Labor Health care providers including nurses and childbirth educators are crucial resources for childbearing families for accurate and current information regarding nonpharmacologic and pharmacologic interventions available for pain management in labor. All medications that are administered to laboring women have maternal and fetal effects. In order to assist women in the decision for relief of labor discomforts, health care professionals must be knowledgeable of the chemical actions and adverse effects of all medications offered to women in labor. This article discusses various types of therapeutic options used for pain management for the relief of labor discomfort. Learning the Essentials of Epidural Anesthesia Find out how this technique manages pain and make sure you know your patient-care responsibilities before and after catheter insertion. How to Implement Complementary Therapies for Laboring Women Complementary therapies have been a part of nursing practice for centuries and are supported today as a part of nursing practice by many state boards of nursing. Some of these modalities can be used by nurses as a part of their comprehensive plan of labor support for women during the childbirth experience. This article describes five complementary therapies (aromatherapy, massage, use of birth balls, music therapy, and hydrotherapy), and how one large midwestern hospital system implemented an educational program for nurses that helped them integrate complementary therapies into their nursing care for laboring women. Gestational Diabetes Management: Guidelines to a Healthy Pregnancy Gestational Diabetes Mellitus is not uncommon, affecting 7% of pregnant women annually (200,000 cases are diagnosed each year). Gestational diabetes is defined as any degree of glucose intolerance with onset or initial recognition during pregnancy. It can have negative effects on the development and health of the fetus, including metabolic abnormalities, such as hypoglycemia, and injuries during birth, such as damage to the shoulders caused by macrosomia (abnormally large body). There are noticeable long-term effects of the intrauterine environment in the offspring of women with gestational diabetes. While insulin has been the accepted treatment for gestational diabetes when diet and exercise are not effective at controlling blood glucose, attention is now being given to the safety and effectiveness of oral agents. There are various treatments available for the mother and modalities for the prevention of type 2 diabetes in children born to mothers with gestational diabetes. Depression in Pregnancy: Drug Safety and Nursing Management Women who are already predisposed to depression are at increased risks during pregnancy because of endocrine changes; untreated depression in pregnant women might lead to adverse effects for both mothers and infants. This article examines outcomes associated with the use of antidepressants during pregnancy and identifies how nurses can help depressed pregnant women. Herb Use in Pregnancy: What Nurses Should Know During the last decade, there has been a dramatic rise in the availability and use of medicinal herbal preparations. Childbearing women are among those who are asking nurses about herbal use, and therefore nurses need to learn more about this topic. One of the most important points to understand is that in the united states herbs are classified as dietary supplements (not drugs), and manufacturers are therefore not required to provide proof of efficacy or safety before selling these substances. Few studies about effects of herbs have been conducted in the general population, and fewer still have been published about pregnancy use. Because the perinatal nurse has two patients to consider when caring for a pregnant woman, he or she has two equally important mandates: to help the mother without harming the fetus. This article provides an overview of key concepts underlying herbal use in general and also safety in pregnancy. Common herbs that can be safely be used in pregnancy are presented in detail to enable the nurse to better care for the pregnant woman who is considering herbal use. HIV and Pregnancy: Considerations for Nursing Practice This article describes current nursing practice for pregnant women with HIV. In the united states, the number of new cases of HIV continues to rise in women of childbearing age. Women often learn of their HIV status when a pregnancy involves them in the healthcare delivery system. Since the manifestation of the disease in 1981, there have been significant advances in treatment, and now, among pregnant women testing positive for HIV, the risk of perinatal transmission can be decreased to 1% with pharmacologic intervention. Yet, HIV disease poses many new challenges to the woman testing positive who is considering pregnancy or who is already pregnant. The progression of the symptoms of aids is similar to the common symptoms of pregnancy; the HIV medications may also cause these symptoms. Adherence to the HIV medication regime is necessary for ongoing viral suppression, for missed doses can initiate drug resistance and the whole categories of antiretroviral drugs may become ineffective. Additionally, the HIV stigma continues to impact those infected and interferes with the access to healthcare. HIV poses a major challenge for the nurse caring for the childbearing woman. Preventing Adverse Drug Events Simply put, an adverse drug event (ADE) is an injury or other undesirable response to a drug administered for a therapeutic effect. This includes not only adverse drug reactions but also adverse outcomes associated with omissions in therapy, such as the failure to administer a drug as ordered. Medication errors are a common cause of ADEs, but allergic or immunologic responses and other adverse reactions, including toxicity and drug interactions, are also considered ADEs, even when not related to an error. Although some ADEs are little more than minor annoyances, others are life-threatening. The cost of ADEs in patient suffering and added health care expense is enormous. According to one estimate, ADEs increase the cost of hospitalization by $2,200 to $3,200 per stay and prolong hospital stays by 2 days on average. As part of its 100,000 lives initiative, the institute for healthcare improvement is campaigning to prevent ADEs and save lives through medication reconciliation. For details on this initiative, see “best-practice interventions: how medication reconciliation saves lives” on page 63. In this article, I'll discuss why various types of ADEs occur and how you can help promote a culture of medication safety in your facility. Resource Lippincott NursingCenter
  11. SP1019

    Where are pregnant women working?

    just wondering what the terms are for pregnant healthcare workers at your current facilities? Are they putting them on covid units, switching them to telemedicine where possible, or keep them in clean units? Just genuinely wondering.
  12. My dream job that I’ve been waiting for for a year at a brand spanking new hospital has finally opened up. It’s right by my house and the facility is gorgeous. I’m an RN and the job is days in ICU. I’m currently four and a half weeks pregnant with a five month old and older kids at home. I absolutely hate my current job and they are ignoring safety regulations required to take on covid patients so I may end up at risk for exposure to it anyway. Being a stay at home mom is not an option as I am the primary breadwinner of the family. This new job would likely pay me about $7 more an hour. Thoughts?
  13. Brenda F. Johnson

    Prenatal Care Practices: An Era Gone By

    "Open wide Mrs. Smith, I need to check your teeth. I don't see any pus but two of your teeth need to be pulled. We can arrange that later. Today we will be doing a blood test called the Wassermann test(a test for syphilis that could also detect TB or lupus). Now that you are pregnant, you may not wear a corset or binder because it causes low birth weight in newborns. I know many young women who have tried to hide their pregnancy by wearing a corset but it is detrimental to the newborn. It needs room to grow. Now I want you to start bathing regularly and try to walk every day. The fresh air and exercise will be good for you and the baby. Um, any history of epilepsy, alcoholism or rheumatism? No? Well, then my nurse will be in directly to take the blood and answer any questions." This may have been what a prenatal visit would have sounded like in the 1920s. The Health Care of the Baby by Louis Fischer M.D. seventeenth edition published in 1929 reveals some captivating facts about prenatal care in the early 1900s. Fischer talks about the importance of looking at the teeth of pregnant women for pus. In our world, oral hygiene is a part of everyday life (or should be). To think that brushing teeth did not become important until post World War II, about 1945, is hard to imagine. The soldiers brought the practice of routine teeth brushing home after the war. I'm so glad they did! Prenatal care did not become common practice until the early 1900s so preventative care was a lone venture. Hygiene and hereditary disease were just beginning to make their appearance on the questionnaire for newly pregnant mothers. In the twenty years preceding, nursing was just beginning to gain the professionalism it deserved with the formation of the ANA (American Nurses Association) in 1911. Among the professionals was Mary D. Osborne, known for promoting maternal and prenatal care in this era which paved the way for the medical field to increase standards for pregnant women. With the focus on prenatal care evolving and the increased involvement of nurses, the expectant mother received better health care and therefore decreased infant mortality. Prenatal care can start before a woman is pregnant nowadays. She may begin taking prenatal vitamins, stop smoking, begin exercising, or change her diet to make sure she is in the best shape possible for her baby. She can take a test at home and find out very early that she is indeed pregnant. Maternity clothes have changed from loose pleated blouses/dresses to form fitting shirts that proudly display the blossoming belly. Societal views of pregnancy have changed over the last hundred years; unwed mothers are as common as nude pregnancy photos. Looking back on historical medical practices gives us insight into what patients went through and allows us to reflect on how far we have come. This is the beginning of a series of "An Era Gone By." Future articles will educate and entertain with the following topics: care of infants, treatment of medical conditions and diseases, public and personal health. These articles will come directly from books of the past meant to educate nurses of that time. Series Update: Nursemaids and Common Medical Conditions: An Era Gone By Disease Transmission and Treatment: An Era Gone By References Fischer, Louis, M.D. The Health-Care Of the Baby. 17th ED. Funk & Wagnalls Company: New York, 1929. Print. Judd, Deborah M. Nursing in the United States From 1900s to the Early 1920s. Web. 30 Dec. 2014.