RNmama05

Latest Activity

1. shortened cervix and length of stay

   RNmama05 replied to daulto's topic in Ob/Gyn

   If there is no sign of PTL, most of those with shortened cervical length go home and have weekly or semiweekly u/s scans to monitor the cervix. We do fFN too, so the results of that may factor into the decision to keep a patient or to send her home....

2. shortened cervix and length of stay

   RNmama05 replied to daulto's topic in Ob/Gyn

   A shortened cervix, diagnosed by transvaginal u/s, is treated with Indocin therapy which has been shown to "reconstitute" the cervix. The issue of a short cervix becomes less critical as the pregnancy progresses- by 34 weeks, it's pretty irrelevant...

3. Number of procedures scheduled per day?

   RNmama05 replied to L&Doldtimer's topic in Ob/Gyn

   Where I work (a relatively small unit) the number of procedures per day is limited by the amount the anesthesiologists feel like doing, not whether there is enough nursing staff. We frequently have two scheduled sections per day along with varying c...

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

   RNmama05 replied to jenrninmi's topic in Ob/Gyn

   If the attending wants the privilege of charging for the delivery the attending darned well should have been there at the patient's bedside. There is no reason at all for you to feel bad. Quick deliveries happen, and anyone with a day of OB experi...

5. Who assigns APGARs?

   RNmama05 replied to ruralnurs's topic in Ob/Gyn

   It has to be the person who is directly caring for the baby. Apgar scores are *real time* assessments of the status and level of care the baby needs *now*. They really aren't supposed to be assigned retrospectively.

6. Yelled At During A C-Section (Among Other Things)

   RNmama05 replied to RN1981's topic in Ob/Gyn

   Do Not Give Up. *Everyone* was new at one time. It's painful and sometimes humiliating to be the new kid on the block, but that's how everyone starts out. While no one deserves to be yelled at or humiliated, nothing is going to change that kind o...

7. L&D nurse is calling formula poison!!!

   RNmama05 replied to hotmama2be's topic in Ob/Gyn

   I think the fact that she is an L&D nurse is beside the point. She is an annoying, intrusive mother first and foremost.

8. venting: fetal demise

   RNmama05 replied to redhedgoddess's topic in Ob/Gyn

   post deleted

9. HELP!! Interview with peers for L&D

   RNmama05 replied to anyia's topic in Ob/Gyn

   Mention that though you expect to function fully independently, you look forward to working as a team.

10. Stirrups?

    RNmama05 replied to CEG's topic in Ob/Gyn

    Our OB residents use them, our midwives generally don't. I think it's about provider training and convenience more than anything- and fear of shoulder dystocia.

11. efm during an epidural placement ?

    RNmama05 replied to maxienurse's topic in Ob/Gyn

    We are *required* to monitor the babies during epidural placement. Sometimes that means requesting an ISE before the epidural, sometimes that means that another nurse has to come in and crouch down under the stand that the mom is leaning on so that ...

12. I do not think I can make it in L&D... devastated

    RNmama05 replied to RNKatrinaK's topic in Ob/Gyn

    Give it at least a year before you decide whether you really hate it or whether you just hate the new experience and being at the very bottom of the learning curve. Being a hospital L&D RN *is* very different from being a birth center RN or a dou...

13. Feel really stupid for asking this regarding dilation...

    RNmama05 replied to jenrninmi's topic in Ob/Gyn

    My first thought is: How do you know the resident was right and you were wrong? Vaginal exams are very highly subjective. Station (descent), dilation and effacement are related but independent processes. A baby can descend into the pelvis and pres...

14. What is the purpose/s of Pitocin?

    RNmama05 replied to JettaDP's topic in Ob/Gyn

    We're not allowed to give medical advice (or comment on the care someone is receiving which might be construed as medical advice), but a simple google search will give you a lot of information about Pitocin.

15. Sensitive Subject: D&E in OR

    RNmama05 replied to FlyOR's topic in Ob/Gyn

    At our hospital we do terminations for genetic reasons, even into the second trimester. We also get a lot of ruptured patients (previable) transported in from elsewhere, multiple gestations with some demises and others alive whose parents opt for te...