cassioo RN

Latest Activity

1. Admission during labor

   cassioo replied to short1978's topic in Ob/Gyn

   I got sent home with my 1st one because I was closed after my mom took me in because I complained of a back ache all day (doc had told me 2 days prior oh at least 2 more weeks and I was right at 38 wks then) the husband got off work and drove me home...

2. Ugh! Delivered Baby On My Own The Other Day...

   cassioo replied to jenrninmi's topic in Ob/Gyn

   I don't know there are "rules" it's a just do it thing maybe faster if you have to get the baby to the bed for resusitation but otherwise there is time to reach for clamps and scissors.

3. Epidurals & Foleys

   cassioo replied to RNBelle's topic in Ob/Gyn

   It depends on who is doing it and what the initial does is but most everybody goes on a ropivicaine drip at 8-14 usually it's 12 ml/hr which gets turned of at delivery. We used to use a bolus injection but don't often do that anymore. The hospital...

4. Epidurals & Foleys

   cassioo replied to RNBelle's topic in Ob/Gyn

   Ours couldn't get up if they tried or they'd be sitting on the floor their epidurals are so heavy...some can't get up for a couple of hours after delivery when you check a fundus after delivery you can just push out urine and they can't even tell or ...

5. Smoking during pregnancy

   cassioo replied to st4304's topic in Ob/Gyn

   I like the smokers, drug users, alcoholics who come in and don't want mag or terb because they don't like how it makes them feel or better yet "will it hurt the baby" um not as much as the stuff you've been doing.

6. staffing in ob triage

   cassioo replied to emmborn2trek's topic in Ob/Gyn

7. Smoking during pregnancy

   cassioo replied to st4304's topic in Ob/Gyn

   I had a patient tell me she smoked before coming for NSTs she did it because it was a stimulant...told her no wonder the baby is nonreactive for an hour stop it (she was also a long time drug user) I had one 37 weeker I was going through the admissio...

8. Do your docs bring baby to sterile warmer in c/s?

   cassioo replied to zinker35861's topic in Ob/Gyn

   We have either the doc or the assist (sometimes another doc sometimes ARNP sometimes CST take baby to warmer which is set up with sterile drape and sterile blanket on warmer. The equipment is under the drape. As far as slipping anybody could slip w...

9. time frame ob back up

   cassioo replied to janeob's topic in Ob/Gyn

   Sometimes 30 minutes isn't close enough. Do you have a protocol for when to call in the 2nd nurse? Is the house supervisor or somebody able to come and help if needed? If you have 1 in labor and another shows up do you call as soon as you determin...

10. staffing in ob triage

    cassioo replied to emmborn2trek's topic in Ob/Gyn

    We're kind of in the same boat. We do have central monitoring from the desk but not from each patients room which is also bad for labor if you have 2 patients and you're in a room. My question is do you often have a long wait for those 4 rooms you h...

11. Admission during labor

    cassioo replied to short1978's topic in Ob/Gyn

    We don't have any policy on admission it's a case by case thing. If they come in thinking they are SROM and we deicde they are we admit, if they think they are in labor we watch a little while if they are due and dialated and the doc feels like it he...

12. Epidurals & Foleys

    cassioo replied to RNBelle's topic in Ob/Gyn

    Where I work we put in a foley after the epidural and take it out when ready to push. where I was per diem it was I&O sometimes multiple times. Have a travel job starting next week 600 miles away so we'll see what they do there

13. Advice for doing vaginal exams

    cassioo replied to smithtip's topic in Ob/Gyn

    I only saw that box once at an AWHONN monitoring class that we used to place FSE's there was a little baby model inside and you opened the box to see where you placed the lead...no fair if they put the baby in there breech :) Checking just takes prac...

14. Can OB's override hospital protocols?

    cassioo replied to JentheRN2007's topic in Ob/Gyn

    yes it only works for a very short time.

15. Can OB's override hospital protocols?

    cassioo replied to JentheRN2007's topic in Ob/Gyn

    We're lucky to get ours to write anything at all because they are busy and we aren't as busy as they are we play lots of babysit the doctors that's why our really do let us do about anything but as long as you've documented all along what was going o...