babies_r_us RN

Latest Activity

1. Documenting contraction patterns.....

   babies_r_us replied to babies_r_us's topic in Ob/Gyn

   When you identify these contractions as biphasic and triphasic are you including the duration of the contraction as the entire length? And then is that considered tachysystole at your institution? (any contraction lasting greater than 120 seconds i...

2. Documenting contraction patterns.....

   babies_r_us posted a topic in Ob/Gyn

   Hello, We have been experiencing so many changes with our documentation in labor that all of us 20 year veterans feel like we no longer know what we are doing!! My question is how do you chart your contraction pattern when you have coupling or tr...

3. charting vacuum assisted deliveries

   babies_r_us replied to babies_r_us's topic in Ob/Gyn

   Thanks for all your responses. It sounds like everyone is charting something. Several of my co-workers want to chart "per MD" in all the spaces on computerized charting and I don't think that is enough. We are still responsible to chart how long i...

4. charting vacuum assisted deliveries

   babies_r_us posted a topic in Ob/Gyn

   Can anyone tell me what their policy is on charting for vacuum assisted deliveries? We are going to computerized charting and there is a place to chart # attempts, amount of suction, time of suction etc. Some feel this is the Dr.'s responsibility t...

5. Pitocin Calculation

   babies_r_us replied to babies_r_us's topic in Ob/Gyn

   OK, I think with the help of your figures, I have it. However, when we add 20units to 1000 ml, 3ml/hr=1 mu/min. (Your calculation came up with 2). We USED to add only 10 units to 1000ml and then each 1mu/min = 6 ml's/hr....so here is where I am getti...

6. Pitocin Calculation

   babies_r_us posted a topic in Ob/Gyn

   OK, fellow RN's, I need your help. I have been running pitocin for 18 years and now when I try to calculate it, I can't find the right formula to make it work. So please show me how to show the math for 10 units or 20 units pitocin added to 1000 ml L...

7. What do patients say that irks you?

   babies_r_us replied to NurseforPreggers's topic in Ob/Gyn

   This response was just a humerous one that shows some patients will tell us anything.......on admission we ask all the normal questions including when they ate or drank last in case we have to go to a c/s. Anyway, this particular nurse asked "When w...

8. When did you take off for maternity leave

   babies_r_us replied to MSMCnurse2004's topic in Ob/Gyn

   I like to work up to the due date as much as possible. I think the activity is good for you and baby, as long as you are having a healthy pregnancy. However, with you being due around the holidays, it would be nice to be home during that time also....

9. aortic dissecting aneurysm and coumadin

   babies_r_us replied to babies_r_us's topic in CCU

   WE don't meet with the cardiologist until December so we will find out then. I still haven't found any research on this online. Our Dr's have received the recommendations from the vascular surgeons and cardiologists at our regional hospital and wil...

10. aortic dissecting aneurysm and coumadin

    babies_r_us posted a topic in CCU

    Hello, I work in Obstetrics and typically post on that site, but have a personal question for all the ICU nurses. My dad has an aortic dissecting aneurysm and also is in atrial fib. We have some Dr.'s that are recommending that he take coumadin for...

11. Duramorph/astromorph for C/S

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    My patient never had any itching and did actually receive good pain relief. The other problem I ran in to was if she had needed other pain meds, the anestesiologist refused to order since "he wasn't the primary" and the primary physician refused to ...

12. Duramorph/astromorph for C/S

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    My patient never had any itching and did actually receive good pain relief. The other problem I ran in to was if she had needed other pain meds, the anestesiologist refused to order since "he wasn't the primary" and the primary physician refused to ...

13. Duramorph/astromorph for C/S

    babies_r_us posted a topic in Ob/Gyn

    We have a new group of anestesiologists that are starting to use Astromorph or duramorph for our C/S. Does anyone have a policy regarding care of these patients post-op?? We are looking for information regarding frequency of vitals, need for pulse ...

14. Does your staff do C/S's or does OR team??

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    Thanks everyone for all your input.....it sounds like the larger hospitals are doing them because they have the staff for that and the smaller hospitals are still utilizing an OR staff. I am sure this will be an ongoing argument til the end of time...

15. Does your staff do C/S's or does OR team??

    babies_r_us posted a topic in Ob/Gyn

    We are a small rural unit that does approximately 45 deliveries a month on average. Of course, we have crazy months that we do 65 and really slow months that we only do 35, but on average about 40-45. Anyway, we are constantly bombarded by the OR c...