CarrieRNC

CarrieRNC has 12 years experience and specializes in High Risk OB.

Latest Activity

1. Advice on SVE

   CarrieRNC replied to im_an_honest_1's topic in Ob/Gyn

   It does take a lot of time and practice! I remember my first "ah ha" moment when I felt my first cervix! If your thinking it is going to be a difficult exam start off by having them make a fist and put them under their "butt" and make sure they are s...

2. staffing

   CarrieRNC replied to icunurse1955's topic in General Nursing

   I work high risk OB, 1:1 nursing care(hopefully!) Pt on MGSO4, Delivering Pt., PACU Pt., Pt getting an epidural and any critically ill pt requiring continuous fetal monitoring

3. Pitocin and Decels

   CarrieRNC replied to jennf83's topic in Ob/Gyn

   Absolutely agree with Smilingblueyes!! The theory of only needing 8-10mu/min of pitocin has proven sooo true in my practice! I tend to slow down in my advancement of pitocin around these units. There is an attending on my floor that has eluded to ...

4. Pitocin and Decels

   CarrieRNC replied to jennf83's topic in Ob/Gyn

   If she had just received an epidural, was this caused from the epidural(did she get a CSE?)? What was her BP? If it was low, this could have been decreased perfusion to the placenta which in turn could have caused the decel! In this case she really j...

5. Blood typing at birth?

   CarrieRNC replied to wonderbee's topic in Ob/Gyn

   We collect a "cord blood sample" from the cord after every delivery, a hold cord blood order is generated and the tube is sent to BB to be held if needed, not every infant born is typed. IE: if mom is RH neg or if the infant becomes jaundiced, at th...

6. New Report: Equipped for Efficiency: Improving Nursing Care Through Technology

   CarrieRNC replied to rninformatics's topic in Informatics

   Great article!! Ironically, we just had a meeting on our floor regarding RN dissatisfaction after a survey that was done earlier this year! A majority of the complaints come from having limited staff and spending too much time finding equipment/suppl...

7. Describing Decels

   CarrieRNC replied to Valerie RN, BSN's topic in Ob/Gyn

   This is a great article about the NICHD nomenclature. A Review of NICHD Standardized Nomenclature for Cardiotocography: The Importance of Speaking a Common Language When Describing Electronic Fetal Monitoring

8. Describing Decels

   CarrieRNC replied to Valerie RN, BSN's topic in Ob/Gyn

   Look up the NICHD guidelines, this is what EVERY OB nurse/MD/resident/CNM etc should be charting by and it is what AHWONN is supporting. For you, if you follow these guidelines you WILL be practicing "safe charting" and you will always have the backi...

9. Falsifying degree at work....

   CarrieRNC replied to Twinboys98's topic in General Nursing

   In my case it would be RNC-OB, this means that I took the certification in my area of specialty (in pt OB), reminded me of taking my boards:uhoh3: You do have to have 45 CEU's in 3yrs in that area of specialty to keep up your credentialing. The hospi...

10. Describing Decels

    CarrieRNC replied to Valerie RN, BSN's topic in Ob/Gyn

    Does your floor follow the NICHD guidelines? There are only four types of deceleration patterns....variable decel, prolonged decel, early decel and late decel. This is the safest way to chart. I agree, and we all tend to describe decels but what we r...

11. Falsifying degree at work....

    CarrieRNC replied to Twinboys98's topic in General Nursing

    I have a BS and an ASN, I would never sign BSN or have it on my tag(we do put our degrees on our tags). BUT I am proud of my BS in biochemistry, I worked hard for it, so I will put down BS RNC-OB if it is an email or letter. If I am signing my name I...

12. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    CarrieRNC replied to Fribblet's topic in Professionalism

    Does anyone chart electronically??? Have you ever heard of CPG's! (Clinical Practice Guidelines!) CPG's are care plans which drive our practice based on evidence based medicine, this is an interdisciplinary approach........Assessments/interventions, ...

13. Do Nurses Get Traffic Tickets?

    CarrieRNC replied to rachelita's topic in General Nursing

    I have been pulled over a FEW times in my 25yrs of driving!(i have a lead foot, sorry:)I have received warnings but only once have I received a ticket and that was just last month on my way to work AND it wasn't even for speeding! It was at 645am try...

14. Question for Electronic charting for Labor, Delivery and beyond

    CarrieRNC replied to CarrieRNC's topic in Ob/Gyn

    Thank you for all your input! Has anyone out there ever used KBC (knowledge based charting) for any electronic charting?

15. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    CarrieRNC replied to Fribblet's topic in Professionalism

    Remember highlandlass, a care plan is a guide, it is what drives best practice! and you don't have to get a new care plan every time your patient crashes, you individualize it. Something else to think about is the other ancillary depts that are invol...