texas-rn-fnp

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1. How does your facility utilize pitocin for post-3rd stage?

   texas-rn-fnp replied to klone's topic in Ob/Gyn

   I have also seen an obstetrician that use 1,000mcg cytotec PR on every patient. Otherwise, the 20units Pit in 1L LR is routine. more if situation warrants

2. 16,000 deliveries a year? Really?

   texas-rn-fnp replied to HappyNurse2005's topic in Ob/Gyn

   Methodist at the medical center in San Antonio does 1,000+ per month with 40 LDRs. On the other side I have worked at a place that onyl did 30 deliveries a month but was very disorganized and inefficient. Those 30 seemed like a lot. It is not wha...

3. How safe are IUD's?

   texas-rn-fnp replied to eng_nurse's topic in Ob/Gyn

   Depo Provera is a good option especially for the teenage patients that are not good are remembering to take oral contraceptives. Of course, Depo-Provera does not protect from sexually transmitted infections, so a barrier method should be used in con...

4. Do you have Male Nurses in your OB Unit

   texas-rn-fnp replied to Annointed_RNStudent's topic in Ob/Gyn

   I am a male OB nurse and it has never bothered me that I was male... :-> All joking aside...I think the professional demeanor, knowledge and experience are far more important than gender. The few patients that have said they prefer not to have ma...

5. Largest baby

   texas-rn-fnp replied to MemphisOBRNC's topic in Ob/Gyn

   I was on shift last year (but not my patient) for a 14 pounder vaginally. 4th degree lac, fractured clavicles. Mom was about 300+ pounds. I don't recall but probably diabetic along with other comorbidities.

6. Nurse Delivery

   texas-rn-fnp replied to tinyscrafts's topic in Ob/Gyn

   Thanks for the support. When you are lucky they just fall out. What do you do when the baby comes precip then stops after the head is out? (shoulder dystocia) or hemorrage or multiple tight nuchals or tight nuchal breaks or prevents baby from descen...

7. Specialty Pay for Ob Nurses

   texas-rn-fnp replied to shebbie's topic in Ob/Gyn

   When I moonlight through agencies I get a preferred rate that is significantly better than med/surg. This is similar for other jobs that are considered critical care. There is a world of difference in pay from one location to another, from one typ...

8. Doctoral degree to become an NP???

   texas-rn-fnp replied to VickyRN's topic in Doctoral

   It appears the doctors are uncomfortable with the new NP degrees because it may infringe more on their turf. Are they worried that the NP will take all their business away and the poor doctors will not have any work and not be able to feed their fam...

9. Nurse Delivery

   texas-rn-fnp replied to tinyscrafts's topic in Ob/Gyn

   Depending on the hospital situation that you are in, it may be very common and frequent that nurses do deliveries. I have moonlighted in places that were downtown in large cities, where the hospitals were well secured after hours. The obstetricians...

10. FNP....in hospitals.....in L&D?

    texas-rn-fnp replied to HeartsOpenWide's topic in NP

    In the Army, FNP can deliver depending on the hospital location and scope of practice. They also admit and follow inpatients. Supports the philosophy of "Army of One." Of course this is when they are not living in Iraq.

11. Emergency Equipment (Couplet Care)

    texas-rn-fnp replied to RNmommy's topic in Ob/Gyn

    Good catch. I didn't pick up on the couplet care part. Yes, I agree with the above. On couplet care (aka mother baby or postpartum) I have not seen any medical equipment in the rooms. on my previousl ost I was referring to L/D.

12. Emergency Equipment (Couplet Care)

    texas-rn-fnp replied to RNmommy's topic in Ob/Gyn

    This is the correct procedure. The equipment for NRP should be immediately available at the warmer. There is no time to waste getting it from somewhere else. Check the NRP guidelines on what you should be doing immediately, at 30 seconds, one mi...

13. midwives and doulas

    texas-rn-fnp replied to Jayla's topic in Ob/Gyn

    The doula will hang out day and night to do those touchy feely personal attendant chores, whereas the midwife will function more like a doctor but more sensitive.

14. Complete patient and breech

    texas-rn-fnp replied to mugwump's topic in Ob/Gyn

    On admission, if I can't feel suture lines then I will pull out the ultrasound. We have had more than one patient that was an induction and then later discovered to be breech. It is a good learning experience. If you can't feel sutures because of c...

15. Nuchal cord x4!

    texas-rn-fnp posted a topic in Ob/Gyn

    One of my coleagues had a had a pt deliver by c/s yesterday with a nuchal cord x4! The mom cam in for a labor check, 5cm, ctx q5 min, FHR 165, no accels, decreased variabliity, repetative lates. FP plan with OB consult, get IV access, secure epidur...