RNBelle

Latest Activity

1. one of my biggest fear happened.. in need of some words of wisdom

   RNBelle replied to mctina_20's topic in Ob/Gyn

   No worries. I have done the opposite. Kept women who I thought were in labor only to leave work and return to find out they weren't in labor and the MD induced them just cause they were in the unit. GRRR!

2. OB Rapid response team

   RNBelle replied to momsdabom's topic in Ob/Gyn

   I work in a 5 bed LDR unit with 11 PP beds. We staff 2 RNs and 2 LVNs at night. That would be the emergency response team. No one else in the hospital wants to come near our floor. We are very good at working together in bad situations. We do not h...

3. Pit Inductions---How much do you increase?

   RNBelle replied to LDR-RN's topic in Ob/Gyn

   Our orders are 3mus q 15-20 mins but I follow the national recommended standards of starting at 1-2mu's and increasing 1-2 q 30 mins. If you have access to any perinatal journals you will find articles stating that. Remember you are the one playing...

4. Narcan administration in newborns

   RNBelle replied to jennf83's topic in Ob/Gyn

   Did mom get a narcotic within an hour prior to delivery? If she did and your baby is kind of "poopy" then you can rationalize that it is from the narcotic and you can give him the narcan. Now if mom has had a completely natural childbirth with no m...

5. Increasing maternal death rates - news story

   RNBelle replied to TXcatcher's topic in Ob/Gyn

   Rarely does a c/s where I work have SCDs, no TEDS on either. Drives me bonkers.

6. Finding the right words...

   RNBelle replied to lmc512's topic in Ob/Gyn

   P.S. parents are going to do what they want to do with their kid. Sometimes there is nothing you can say or do to educate them regardless of their decision. I just know what my own opinions are and keep it to myself. And if the baby ends up in the N...

7. Finding the right words...

   RNBelle replied to lmc512's topic in Ob/Gyn

   Nothing allowed but breastfeeding for that baby. PT ed consisted of all the normal stuff, of the couple of nurses working we would take turns going in to assess mom and baby and see if she wanted a bottle, etc. But nope. It all ended ok though with b...

8. Do you have a baby nurse at delivery?

   RNBelle posted a topic in Ob/Gyn

   Just curious as to how other hospitals staff their deliveries? Do you always have a pedi present? NICU staff? Where I work we just have another RN or LVN run in to catch the baby and do the initial weight, vs, etc. We are a very small unit. I have b...

9. Hello! New here....

   RNBelle replied to dennysgirl84's topic in Ob/Gyn

   Welcome!

10. Finding the right words...

    RNBelle replied to lmc512's topic in Ob/Gyn

    I had a mom who let her baby scream for 15hrs straight because he wouldn't latch and she wanted to breastfeed only. I really wanted to run in there and shove a bottle in his mouth but I just sat at the desk (after pt education of course). Our pedis d...

11. oral fluids in labor

    RNBelle replied to kouklakis's topic in Ob/Gyn

    only 30 ml?! geez. But we allow only ice chips. As longs as your pts have iv's and are getting iv fluids that should hydrate them even though they might be craving something to drink.

12. Vaginal Breech

    RNBelle replied to mamafeliz's topic in Ob/Gyn

    Only our old school docs know how to delivery breech and will only do so if we can't get them back in time for a c/s.

13. Curious about PP Methergine use

    RNBelle replied to JaneyW's topic in Ob/Gyn

    We have a very old school doc who schedules it for all his vag deliveries, I can't remember if he writes for 3 doses or 6 total. I usually do not give it to my pts, I discuss it with them, assess their bleeding and let them tell me they don't want it...

14. L&D charge nurses required to have patients

    RNBelle replied to NM_Nurse's topic in Ob/Gyn

    Where I work we do about 80-90 deliveries a month. Charge always has a pt load. Espcially because they usually only schedule 2 RNs at night.

15. Cervical exam/bimanual exam question

    RNBelle replied to Woman_in_love's topic in Ob/Gyn

    For lack of better terms. The cervical opening (when closed) feels like a nub.