mollyaqua

mollyaqua has 14 years experience and specializes in Perinatal only!.

Latest Activity

1. Doulas: love them or hate them.

   mollyaqua replied to Sixxer's topic in Ob/Gyn

   Ditto. My sentiments exactly. I'll try to do my own narrative later, but I've had very mixed interactions with doulas. Some good, some neutral and some I could have throttled.

2. Pre-eclamplsia: BP on left side?

   mollyaqua replied to obtech2nurse's topic in Ob/Gyn

   I agree with you if the patient has already been admitted. If the patient is here to rule out preeclampsia, then I let her move around in bed at will. (This is assuming that she is not an obvious, severe PIHer just waiting for confirmation). If ther...

3. Transportation of the deceased neonate

   mollyaqua replied to mollyaqua's topic in Ob/Gyn

   I thank you all for your quick responses. Good food for thought. Please continue to weigh in on this very sensitive issue, I would like to ascertain "best practices"from your input.

4. Transportation of the deceased neonate

   mollyaqua posted a topic in Ob/Gyn

   One of the sad truths of this job is that we are occasionally responsible for the transportation of fetal demises to the morgue. I would like to hear from you as to exactly how you do this. Is the baby wrapped in blankets? Chux? Do you carry the b...

5. Long-term Antepartum Care in the Hospital

   mollyaqua replied to Elvish's topic in NICU

   This thread is exactly what I was looking for when I logged in tonight. Our long term antepartum population has grown steadily over the last year, largely due to the now oft diagnosed "shortened cervix" and the greatly increased number of multiples...

6. Do birth plans grate on your nerves?

   mollyaqua replied to cradlecrewer's topic in Ob/Gyn

   Oh, honey, come work at my hospital! We encourage immediate skin to skin contact between new born and either parent. Bare chested men with sticky, vernix covered little ones all snugged into the chest hair is an everyday sight around my workplace....

7. Do birth plans grate on your nerves?

   mollyaqua replied to cradlecrewer's topic in Ob/Gyn

   No problem with a reasonable birth plan. However, I have read birth plans where the couple want to have intercourse in the delivery room to naturally induce labor. Ummm, no, I'm not comfortable with that. I understand from some of the birth plans t...

8. Vag Exams & Dilation

   mollyaqua replied to mslema's topic in Ob/Gyn

   Here's my two cents about cervical examinations for new nurses. When you are beginning your practice, focus first on just ballparking the cervical dilation. Is she three, seven or ten cms? Then go for finesse. In the end, it doesn't matter if I s...

9. What do patients say that irks you?

   mollyaqua replied to NurseforPreggers's topic in Ob/Gyn

   Just home from a 16 hour shift and one "nurse controlled delivery". It makes me grin from ear to ear to log and and read these responses. The only other people in the whole world who understand this life are other labor and delivery nursese. For s...

10. computer or paper charting? what program do you use?

    mollyaqua replied to HappyNurse2005's topic in Ob/Gyn

    We use Watchchild for strip interpretation and Meditech for everything else. The only paper charting we do is for the signed consents. Meditech is not, let me rephrase that, NOT, user friendly. We call it a "hostile program"and the installation pha...

11. What do patients say that irks you?

    mollyaqua replied to NurseforPreggers's topic in Ob/Gyn

    What irks me? I get irked when the patient's family asks me for the seventh time, isn't it time to call the doctor? "Um, no, the doctor does not want to sit here and wait for you to dilate from six to ten centimeters and then push for two hours" le...

12. Safe nurse to patient ratio? How do they do it at your hospital?

    mollyaqua replied to SierraN's topic in Ob/Gyn

    You day sounds very familiar. We do about 200 deliveries per month. Minimum staffing is five RNs, a unit secretary and a tech, but we are often missing the secretary or the tech. Staffing ratio should be 2:1 unless it's a preterm patient on magnes...

13. Do you continuously monitor pregnant surgery patients?

    mollyaqua replied to debbiernbsn's topic in Ob/Gyn

    Yep, we too are being asked to sit in the OR and continuously monitor fetal heart tones. Seems like some of the new young anesthesiologists are spearheading this change. So during a craniotomy what are we going to do with a big dip? It's a conundr...

14. What's the weirdest baby name?

    mollyaqua replied to teresab_2000's topic in Ob/Gyn

    How about twin boys Cosmo and Chaos? I kid you not.

15. Video cameras banned in L&D

    mollyaqua replied to rph3664's topic in Ob/Gyn

    I work in a labor and delivery unit that does not allow video taping of the birth. I have seen rare exceptions, usually for military families, when the dad is deployed. Our instructions to the family are that video cameras are to be turned off when ...