strn96

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1. OB/L&D nurses, some input, please...

   strn96 replied to AngelfireRN's topic in Ob/Gyn

   When you're talking about possible preterm labor, it is always better to be safe than sorry. I'd much rather have a pt come in for a "false alarm" than have her stay home and come in dilated to 4-5 cm. It sounds like you just ended up with a nurse ...

2. Do foley bulbs work?

   strn96 replied to Double-Helix's topic in Ob/Gyn

   I have seen this done occasionally, and it sometimes works. I think if statistics were done, however, pts who had this procedure would have an incredibly high C/S rate because they tend to stop dilating again after the bulb falls out, even with other...

3. Current Practices/Hospitals using AmniSure

   strn96 replied to bevseven's topic in Ob/Gyn

   We use it on a limited basis at our hospital...typically for pretermers with questionable ROM. We have used it for a couple of years now, and had a couple of definite false negatives when we first started using them (not sure if this was due to user...

4. Bicitra

   strn96 replied to mugwump's topic in Ob/Gyn

   We give ours straight. I usually give a few ice chips to "chase it down", but our anesthesiologists would throw a fit if we diluted it.

5. Mag sulphate with preeclampsia

   strn96 replied to hmorgan's topic in Ob/Gyn

   The magnesium doesn't typically cause diuresis, but as mentioned above, closely monitoring UO is very important b/c both magnesium and preeclampsia affect kidney function. Typically, the eventual diuresis takes place after delivery and is a result o...

6. baby not keen on breast and jiterry..what to do

   strn96 replied to raynienatasha's topic in Ob/Gyn

   I've actually had "Breast only - no formula/glucose water/artifical nipples" moms complain b/c we brought their screaming hungry baby in for them to feed when it had only been an hour since the last feeding. These are the moms that I tell "you eithe...

7. GTPAL and Gravida Para need explanation?

   strn96 replied to studentnurse0221's topic in Ob/Gyn

   I have seen both ways of documenting parity for multiples. There is definite disagreement, both among textbooks & doctors. I have heard it explained both ways: that parity is the number of pregnancies delivered which in this case would be G3 T1...

8. Anyone start out med/surg?

   strn96 replied to sameasalways's topic in Ob/Gyn

   I worked Med/surg for about 1 1/2 years before transferring to OB (where I've been working for almost 8 yrs). OB is sometimes a tough field to break into, because directors typically give preference to applicants who have OB experience. Usually it ...

9. Anyone with only 1 OR??

   strn96 replied to shortstuff31117's topic in Ob/Gyn

   I work in a rural hospital that only has 2 ORs for the entire hospital. And a lot of days both of those are booked simultaneously with "non OB" surgeries, leaving no open OR in case of emergency. To date, we have been lucky enough not to have a bad...

10. Hospital Baby Blankets

    strn96 replied to michael79's topic in Ob/Gyn

    It is frustrating when people steal blankets, etc. At our hospital, staff nurses & volunteers buy sleepers, socks, mittens, etc at yard sales & thrift stores & donate them to the nursery (they are laundered by the hospital before being p...

11. "true knot"

    strn96 replied to LouisVRN's topic in Ob/Gyn

    I have seen several in the almost 8 yrs that I've worked OB, with varied results. Had one term delivery with a knot with no issues whatsoever. One 37 wk fetal demise with a knot and the cord around baby's neck. Another 39 wk demise with 3 knots in ...

12. Curious

    strn96 replied to tvccrn's topic in Ob/Gyn

    At our hospital, we consider the time that induction was started as the beginning of latent labor, but do not consider the pt to be in "active" labor until progressive cervical dilation starts. We often have our cytotec inductions come in at 2000. Th...

13. Patent Foramen Ovale

    strn96 replied to strn96's topic in NICU

    Sats were only going into 80s, and only with feeding, and NB had good recovery when feeding was paused. Sounded to me more like poor suck/swallow/breathe coordination than really a need for O2. This was a LGA term baby who would absolutely inhale her...

14. How do you feel about taking pictures with your patients?

    strn96 replied to nurse79's topic in Ob/Gyn

    I hate looking at pictures of myself (I'm also "cosmetically challenged"), but if my patients ask I don't mind posing with mom or baby, because I know that this is an occasion that they want to remember in detail. And besides, I won't ever have see m...

15. Patent Foramen Ovale

    strn96 replied to strn96's topic in NICU

    According to the echo report, no PDA and only other findings were slight regurgitation at atrial and tricuspid valves. Only symptoms NB had (after initially needing NC O2 which was weaned after a couple hours) was murmur and occasional desat - mostl...