Guest guest Posted July 15, 1999 Report Share Posted July 15, 1999 In a message dated 7/15/99 8:15:49 AM Eastern Daylight Time, TEACHNRN@... writes: << Ask the group if they think they're addicted to the adrenaline rush--I know I am! >> I certainly am addicted to the adrenaline rush. As for the most stressful part of my job It is not being busy. I am so much better organized when it is busy, because I have to be. When it is slow I tend to take my time and draw out any tasks, esp paperwork. If another pt comes in that precips, I know I can get caught up again soon Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 1999 Report Share Posted July 15, 1999 Dear Darlene, I don't find my job particularily stressful, but then I'm not working full time on labour suite, I work as a community midwife in the UK, but the most adreneline rush is when you get a call from a woman having a home birth to say she's in labour, you just pray everything will be OK cos basically you are on your own, labour suite is only at the end of the phone but seems like miles away, still love it though, Love Diane PS Please keep all your fingers crossed for me cos I have a home birth due any time after the 18th of this month. [OBnurses] Question for you Hi all! Thank you all so much for your warm welcome and words of encouragement! I am happy to be part of this list and share a bit of each of your lives....and in the meanwhile getting a little second-hand experience as well! I have a question for you all now...what do you consider to be the most stressful part of your job? Of course, I have a few guesses as to what the answers may be! But at any rate, the question is a good conversation starter...right? Darlene Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 1999 Report Share Posted July 15, 1999 Darlene wrote: I have a question for you all now...what do you consider to be the most stressful part of your job? Of course, I have a few guesses as to what the answers may be! But at any rate, the question is a good conversation starter...right? Stress????Who, me???? <g> Good question, Darlene! I think that depends on individual personality and type of facility. For me, being bored and inactive is the most stress, so I like to be busy, whether I am working in home care like I do now, or in the hospital. I would rather be in a facility that has constant activity. For my job now in maternal/child care in home care, my biggest stress is having a crisis situation, without available resources. Such as--as has happened---a premature and high-risk pregnancy (32 weeks and severe PIH with placental insufficiency and failing kidneys) with a fetal heart in the 90's. And I am in the patient's home, in an area where the rescue squad brings the pt to a local hospital where they absolutely have NO business doing *anything* with high risk pregnancy, Spanish speaking, home alone with her 2 yr old and her 10 month old. What do you do? No IV's, no monitor, no ability for Trendelenburg, and 45 minutes away from the high risk facility. I literally was lying on the floor holding the doppler on the FHR with her lying on the couch in LLP, and on the phone with the high risk center. She ended up going to the hospital in her car as soon as her husband was able to rush home from work--lying in LLP in the reclining seat of their car. According to the docs, the baby would have died if it had taken any longer, or if we hadn't done the best we could under the lousy circumstances..... --------Jeanine At the source of every error which is blamed on the computer, you will find at least two human errors, including the error of blaming it on the computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 1999 Report Share Posted July 16, 1999 ..your unit sounds a lot like mine. We do about 110 deliveries a month on a 14 bed unit. 10 rooms are set up for labor/antepartum and 4 beds for post partum (we try not to move pts after delivery..LOL!) and we have 4 more swing beds outside on the next unit we can use for overflow, which lately has been daily. We have had an excess of antepartums also..5 on Monday night, and more triages than I care for. Our antepartum unit at the Level 3 downtown was overflowing this week also..they tried to send us our pts back after stabilizing!!! Anyone else full of pretermers? ..do you do LDRP or couplet care? We are designed for LDRP but don't have enough staff crosstrained , so we split it up...and have on nights 1 RN for nursery, one RN for mother baby (2 if more than 4 couplets) and 3 LDR RN's. Lori in Fla. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 1999 Report Share Posted July 18, 1999 Lori~ At this point in time we move our patients from the LDR to a double room on post partum. We have a Nursery (6:1) and the post partum nurse also does 6:1. When we open our new unti (they say Aug 15..LOL) we will change to couplet care. We've tried this before but the Peds flip out!!! Not very " couplet nurse friendly " . I just read the post from ...sounds like everyone is having a boom in their pre-term deliveries or antepartum admissions. Funny thing is there doesn't seem to be any particular diagnoses. More of a little bit of everything. We have had an increase in GDM especially insulin dependent. I also teach prepared childbirth classes and in this month's class of 6 couples 2 are IDGDM! What about the rest of you...anything weird going on in your facility? Apple Valley, CA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 1999 Report Share Posted July 18, 1999 Most of our peds had a stroke when we went to couplet care (so did many of the nurses) but our management left us no choice and left them no choice. I'm not sure if that was good or bad but that's what happened. TEACHNRN@... wrote: > From: TEACHNRN@... > > Lori~ > At this point in time we move our patients from the LDR to a double room on > post partum. We have a Nursery (6:1) and the post partum nurse also does > 6:1. When we open our new unti (they say Aug 15..LOL) we will change to > couplet care. We've tried this before but the Peds flip out!!! Not very > " couplet nurse friendly " . > I just read the post from ...sounds like everyone is having a boom in > their pre-term deliveries or antepartum admissions. Funny thing is there > doesn't seem to be any particular diagnoses. More of a little bit of > everything. > We have had an increase in GDM especially insulin dependent. I also teach > prepared childbirth classes and in this month's class of 6 couples 2 are > IDGDM! > > What about the rest of you...anything weird going on in your facility? > > Apple Valley, CA > > --------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 1999 Report Share Posted July 19, 1999 ..we have started doing couplet care on day shift....our peds hate it also, because they can never find the nurse who has the baby...the other problem we have is the couplet nurses are not really nursery background..and they forget that septic work up labs have to be followed up, accuchecks need to be continued if needed, and they hate to go in for those circs. On nights we have the nursery nurse take report on all babies, so she can keep a finger on what's going on, and then she gives report to the couplets about the babies..and in the am they report back to her by 5am, as our FP residents start rounding at 6. On days they are soooo focused on their own job that the nursery nurse won't even take report on any babies unless it's a sick baby in the nursery or a boarder baby...so lots of things get missed from the couplet nurses and who gets yelled at by the peds? the nursery nurse who discovers missing things at night when we have time to do chart checks....you'd think that by the number of incident reports written by the night nurses that someone might get the clue that days isn't doing such a good job pulling it together (babies not getting ac accuchecks when needed, not feeding for more than 5 hrs, abn. labs not phoned to MD, or my favorite..a +GBS mom who was not treated in labor and nobody called the peds on days to tell them..baby ended up on abx with a wbc of 35k..and a positive blood cx, and days got upset because we wrote an incident report..everybody assumed someone else had done it) Maybe they will get a clue before something bad really happens. We have on average 6-8 babies on the unit at any time, so it's not a question of numbers..just getting people to know what to look out for. Hopefully our new Clin. Spec. will address these problems. In the meantime, I am making a nursery Kardex that may help the couplet nurses track babies better. Lori Quote Link to comment Share on other sites More sharing options...
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