fourbirds4me

Latest Activity

1. Thoughts on entering travelling nursing for $$$$$

   fourbirds4me replied to Starkyss's topic in Travel

   http://www.goarmy.com/jag.html I agree Army is a great way for a new lawyer to go... nurses too for that matter. AND they have a great loan repayment plan

2. OB scrubs

   fourbirds4me replied to obosoon's topic in Ob/Gyn

   Our units use hospital laundered scrubs... (they are horrible... NO POCKETS!!) However, I believe recent studies have shown no difference in infection in the OB setting. That being said... I believe it is also recommended that common uniforms be wo...

3. Staffing ratio for this patient

   fourbirds4me replied to fourbirds4me's topic in Ob/Gyn

   Well... this is just another event in the long line of short staffing issues at my hospital. Sometimes I feel like I only post when everything just gets TOO overwhelming. Of course... I too, feel like this pt should have been at least 1:1 and shoul...

4. Position for taking BP in preecclamptics

   fourbirds4me replied to babynurse2001's topic in Ob/Gyn

   Both arms... sitting. Lateral positioning is an intervention to lower BP. I agree however that if while lateral if the BP is still elevated... it is more of an indication for delivery.

5. Staffing ratio for this patient

   fourbirds4me posted a topic in Ob/Gyn

   30 weeker, twin gestation, contracting q 2-3, dil. 1+,75,-2, BP's 145/85, +3 DTR's, On Mag.... 6gm load, 3gm/hr. When she was still contracting q 2-3... additional 2gm load and ^ to 3.5 gm per hour. Q 15min vitals. Q 2 hr mag levels. PIH labs. Q ...

6. What do you think?

   fourbirds4me replied to jarrn03's topic in Ob/Gyn

   I will push a primip pretty far. We have several docs who have no patience with waiting and will cut an epis with the baby still high and vacuum them out. So I will usually let them crown pretty far if they have an epidural and the doc is on the wa...

7. Do your Dr.s come for FD delivery?

   fourbirds4me replied to LizzyL&DRN's topic in Ob/Gyn

   It is very common for us to deliver a 16+ week demise. However, this is mostly due to circumstance. Since these moms tend to go from nothing to delivery in a very quick time. However, our docs always come in to deliver the placenta (which is usual...

8. Staffing question

   fourbirds4me replied to broncopooh's topic in Ob/Gyn

   What do you do when an emergency walks through the door. How do you handle stat sections... prolapsed cord... abruptions... precipitous deliveries etc...

9. Pitocin Induction

   fourbirds4me replied to bfusco's topic in Ob/Gyn

   Our protocol is usually 1:2. However we rarely have 2 pit pts. We usually will take outpts as needed. It is very hard to keep 2pts because they become 1:1 during epidural placement and during second stage. That leads to no continuity of care.

10. GBS Status: Unknown

    fourbirds4me replied to camay1221_RN's topic in Ob/Gyn

    We generally DO treat unknown GBBS... I guess most of our docs say beter safe than sorry. We use Amp because (as I understand it) it is more readily available. The CDC says "Penicillin remains the first-line agent for intrapartum antibiotic prophyl...

11. GBS Status: Unknown

    fourbirds4me replied to camay1221_RN's topic in Ob/Gyn

    Amp 2gm loading dose... then 1gm q 4h until delivery... You can view the CDC reccomendations here... http://www.cdc.gov/groupBstrep/gbs/hospitals_guidelines.htm

12. URETHRAL something.... does anyone know what my GYN was talking about?

    fourbirds4me replied to estrogen's topic in Ob/Gyn

    Kegels DO work... however if done incorrectly can do more harm than good... this article is good and instructions are at the bottom... make sure you allow relaxation of perineal muscles between Kegels... http://www.nlm.nih.gov/medlineplus/ency/articl...

13. I really need to talk about this! (long)

    fourbirds4me replied to NurseforPreggers's topic in Ob/Gyn

    You did the absolutely correct thing. I agree with the others who have posted... if the MD refuses to come in... it is not enough to document... It the situation warrants it is up to us to implement "chain of communication" to insure the pt is prope...

14. Non-viable baby, born alive -parent won't hold him, what do you do?

    fourbirds4me replied to enfermeraSG's topic in Ob/Gyn

    I've never had one live that long at a non viable gestation. The only one similar to what you describe ended up in a battle between the dr and nurse about whether or not to try to resuscitate/ use heroic measures... all the while the baby lay alone ...

15. Dysfunctional Unit or Thin-skinned nurse?

    fourbirds4me replied to cathyish's topic in Ob/Gyn

    OH... I also wanted to say... Don't be afraid to leave. You have to find a safe place to work. You have worked to hard for your license to jeopardize it. What is gonna look worse to a future employer.... that you left a job ofter 5 months because ...