debbiernbsn

debbiernbsn has 15 years experience and specializes in ER/MIU/L&D.

Latest Activity

1. IV gauge

   debbiernbsn posted a topic in Ob/Gyn

   At both L&Ds I've worked at the practice was to place an 18 gauge cath. This was requested mainly by anesthesia. Is everyone else doing this too as standard practice? If not, do you have any evidence to show that it's not necessary to have that b...

2. Rhogam eval draw time

   debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

   Thank you that would be great!

3. Rhogam eval draw time

   debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

   Thank you. Do you know what reference they used to make that policy?

4. Rhogam eval draw time

   debbiernbsn posted a topic in Ob/Gyn

   When do you draw the blood for a rhogam work up after delivery? Our facility states that it must be within an hour but I'm having a hard time finding evidence for that. Thanks for any help!

5. On call requirements

   debbiernbsn replied to mombabyRN96's topic in Ob/Gyn

   In both OB jobs that I have had there has been a call requirement. I worked 40 hours a week & took 5 8 hr calls in a 4 week period. Now I work 30 hours a week & take 3 8 hour calls in 6 weeks. It seems to be usual to have to take call with th...

6. L&D nurse at my wit's end....

   debbiernbsn replied to clb6885's topic in Ob/Gyn

   I think L&D is inherently a very difficult area to work in for several different reasons. 1) if you are a new grad then not only do you have to learn L&D info, but also basic med-surg skills and time-management. 2) we are worrying about not o...

7. May be silly questions...

   debbiernbsn replied to mommybess's topic in Ob/Gyn

   I have found that these duties are usually snuck in your hospital's nurse job description under the little phrase "job duties as assigned!" LOL

8. Bicitra in labor?

   debbiernbsn replied to CEG's topic in Ob/Gyn

   Yep, we give this before an epidural. We also give IV pepcid & reglan, the same exact meds we give for all of the c/sections also. Seems like overkill for an epidural to me.

9. Need help with my students on rotation

   debbiernbsn replied to Midwifemama5's topic in Ob/Gyn

   I am also a nursing instructor and work on the unit where I have students. If the student is truly shadowing the nurse, following her and watching everything she does, then they should not miss anything. It is frustrating for me to check on my studen...

10. L&D triage staffing/hours

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    Thank you for your input. Our minimum staffing for L&D is 2 RNs, so I feel that we cannot keep the triage open 24/7 because we can't have 1 RN in L&D and 1 RN clear on the other end in triage. That leads me to think that there should be desig...

11. L&D triage staffing/hours

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    A little more info on the new triage area, it will have to be staffed separately from L&D because it is physically separated from it by a long hallway. Thanks for any and all input!

12. L&D triage staffing/hours

    debbiernbsn posted a topic in Ob/Gyn

    I work L&D/PP in a hospital that currently does approximately 1200-1300 deliveries a year. We are about to open a new unit with a 5 bed L&D triage area, which we had not had before. I would love input as to how those of you with L&D triag...

13. IUPC scope of practice

    debbiernbsn replied to obgoddess's topic in Ob/Gyn

    I have worked in two different hospital's L&D's in Ohio and we could not place IUPCs in either one.

14. Magnesium sulfate and procardia

    debbiernbsn replied to theamberdawns's topic in Ob/Gyn

    Procardia, when used with magnesium sulfate infusion, can cause a neuromuscular blockade (paralysis). I have heard it explained simply, that you don't use procardia when the patient is on magsulfate because the procardia is a calcium channel blocker,...

15. "discovered" an IUFD the other day :(

    debbiernbsn replied to HappyNurse2005's topic in Ob/Gyn

    I'm so sorry that you and the patient had to go through that. There are very few things harder than telling someone that their baby is gone. I have been through a similar situation years ago, twins, found one heartbeat, having a terrible time finding...