Comments on: How to Survive the Big House http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/ Get a Second Opinion Wed, 10 Mar 2010 03:46:29 +0000 http://wordpress.com/ hourly 1 By: realityrounds http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-3044 realityrounds Thu, 16 Jul 2009 01:34:37 +0000 http://realityrounds.com/?p=2280#comment-3044 Awesome! You must let me know how it is going. Awesome! You must let me know how it is going.

]]> By: Christina http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-3042 Christina Thu, 16 Jul 2009 01:27:55 +0000 http://realityrounds.com/?p=2280#comment-3042 I'll be working on a labor/delivery/postpartum floor in a small county hospital. I wanted to either work L&D or NICU, so I'm thrilled to be starting where I wanted to be! I’ll be working on a labor/delivery/postpartum floor in a small county hospital. I wanted to either work L&D or NICU, so I’m thrilled to be starting where I wanted to be!

]]> By: realityrounds http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2955 realityrounds Sat, 11 Jul 2009 23:22:24 +0000 http://realityrounds.com/?p=2280#comment-2955 Congrats on your new job! What kind of unit will you be working on? That is a good idea for a post. How to survive as a new nurse. Good luck and enjoy yourself. Congrats on your new job! What kind of unit will you be working on? That is a good idea for a post. How to survive as a new nurse.
Good luck and enjoy yourself.

]]> By: Christina http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2954 Christina Sat, 11 Jul 2009 22:52:48 +0000 http://realityrounds.com/?p=2280#comment-2954 LOL - so true! I learned in clinicals that the unit secretary was the person who could get you anything or answer any routine question. Now can you write one of these guides for us poor new nurses just starting our careers? I'll admit to being a little nervous about my first job. LOL – so true! I learned in clinicals that the unit secretary was the person who could get you anything or answer any routine question.

Now can you write one of these guides for us poor new nurses just starting our careers? I’ll admit to being a little nervous about my first job.

]]> By: man-nurse http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2824 man-nurse Wed, 01 Jul 2009 21:16:29 +0000 http://realityrounds.com/?p=2280#comment-2824 That's too right about the unit secretary! Everything passes through the unit secretary. I always tried to be nice to new residents as a unit secretary, but I know most UC's require a fair amount of self-abasement to get on their good side! That’s too right about the unit secretary! Everything passes through the unit secretary. I always tried to be nice to new residents as a unit secretary, but I know most UC’s require a fair amount of self-abasement to get on their good side!

]]> By: man-nurse http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2823 man-nurse Wed, 01 Jul 2009 21:13:42 +0000 http://realityrounds.com/?p=2280#comment-2823 What is the ratio of GBS colonization to GBS sepsis? That's what I was wondering in my OB class, but nobody seemed to have any data. I imagine many more babies are colonized than become infected. I wonder if we could swab and PCR babies instead of giving prophylactic abx (especially to all the moms with unknown GBS status or who refuse testing). I think the reason we don't do this now is not so much the cost (after all, we're now doing routine MRSA swabs by the thousands) but the idea that abx are simple to administer and cause no real adverse effects; or rather, that normal skin and gut flora doesn't really do anything and therefore is not something we need to bother preserving. What is the ratio of GBS colonization to GBS sepsis? That’s what I was wondering in my OB class, but nobody seemed to have any data. I imagine many more babies are colonized than become infected.

I wonder if we could swab and PCR babies instead of giving prophylactic abx (especially to all the moms with unknown GBS status or who refuse testing). I think the reason we don’t do this now is not so much the cost (after all, we’re now doing routine MRSA swabs by the thousands) but the idea that abx are simple to administer and cause no real adverse effects; or rather, that normal skin and gut flora doesn’t really do anything and therefore is not something we need to bother preserving.

]]> By: Frosty http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2817 Frosty Wed, 01 Jul 2009 17:14:35 +0000 http://realityrounds.com/?p=2280#comment-2817 Truer words never spoken, especially on unit secretaries and on bribery! A timely, wise post. Truer words never spoken, especially on unit secretaries and on bribery! A timely, wise post.

]]> By: realityrounds http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2794 realityrounds Wed, 01 Jul 2009 03:52:26 +0000 http://realityrounds.com/?p=2280#comment-2794 Thanks Diana, I love your blog also. I have a contact button if you want to post a direct email to me, but it is confusing. I need to re-work some of this blog. Thanks for clearing up the GBBS issue. I have seen some horrible outcomes of infants infected with GBBS and the AAP guidelines on treatment have been lifesaving. Health care in general has an over prescribed attitude for antibiotics. This is especially true in pediatrics. Prophylactic administration of penicillin for GBBS positive moms is not perfect, but it has certainly made a difference in neonatal mortality. Thanks Diana,
I love your blog also. I have a contact button if you want to post a direct email to me, but it is confusing. I need to re-work some of this blog. Thanks for clearing up the GBBS issue. I have seen some horrible outcomes of infants infected with GBBS and the AAP guidelines on treatment have been lifesaving. Health care in general has an over prescribed attitude for antibiotics. This is especially true in pediatrics. Prophylactic administration of penicillin for GBBS positive moms is not perfect, but it has certainly made a difference in neonatal mortality.

]]> By: Diana J. http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2793 Diana J. Wed, 01 Jul 2009 03:44:21 +0000 http://realityrounds.com/?p=2280#comment-2793 Hi, there! I can't find any way to reply to your comment except by posting a comment here.... I apologize if my post was unclear!! I was trying to write in the midst of a toddler-terror whirlwind. Anyhow, I definitely didn't mean that infant infection/colonization with GBS was beneficial! I meant only that antibiotic treatment for GBS results in a sterile vaginal environment so that the other beneficial bacteria that would otherwise be present could not colonize the baby. I've been doing a lot of reading lately (mostly in Midwifery Today, etc.) on the rising rates of diseases (like asthma, etc.) that have been correlated with the increase in GBS antibiotic administration. It's definitely a difficult issue, because no one wants GBS-infected babies either!! But I find the rates of antibiotic administration (I've heard numbers are around 40%) to be rather alarming. Again, I don't think that the human female is "broken" in that 40% of women need antibiotics to give birth safely. I'd love to hear your thoughts on it, being that you have WAY more knowledge and experience than I do!!! Cheers! Love the blog!! Hi, there! I can’t find any way to reply to your comment except by posting a comment here…. I apologize if my post was unclear!! I was trying to write in the midst of a toddler-terror whirlwind. Anyhow, I definitely didn’t mean that infant infection/colonization with GBS was beneficial! I meant only that antibiotic treatment for GBS results in a sterile vaginal environment so that the other beneficial bacteria that would otherwise be present could not colonize the baby. I’ve been doing a lot of reading lately (mostly in Midwifery Today, etc.) on the rising rates of diseases (like asthma, etc.) that have been correlated with the increase in GBS antibiotic administration. It’s definitely a difficult issue, because no one wants GBS-infected babies either!! But I find the rates of antibiotic administration (I’ve heard numbers are around 40%) to be rather alarming. Again, I don’t think that the human female is “broken” in that 40% of women need antibiotics to give birth safely. I’d love to hear your thoughts on it, being that you have WAY more knowledge and experience than I do!!!

Cheers! Love the blog!!

]]> By: R. May http://realityrounds.com/2009/06/30/how-to-survive-the-big-house/#comment-2792 R. May Tue, 30 Jun 2009 19:40:19 +0000 http://realityrounds.com/?p=2280#comment-2792 lol - I have to agree with you on the unit secretary. (I'm an administrative assistant). I always tell my friends to be nice to admin people - they know a bit of everything - usually more then their boss - and can make your like pleasant or hell. I don't do this for the money - I love my job for it's power : ) lol – I have to agree with you on the unit secretary. (I’m an administrative assistant).

I always tell my friends to be nice to admin people – they know a bit of everything – usually more then their boss – and can make your like pleasant or hell.

I don’t do this for the money – I love my job for it’s power : )

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