jennf83

Latest Activity

1. Jaundice help!

   jennf83 posted a topic in Pediatric

   I am usually good at knowing if a newborn has jaundice of the face, but I'm having a hard time with the body. I'm a home health nurse and now have to use my judgment about drawing bilirubins and I'm not sure when exactly to draw one, anyone have any...

2. Pumping to induce labor??

   jennf83 replied to Schmoo1022's topic in Ob/Gyn

   We actually just got a midwife recently that wrote a protocol on nipple stimulation. Of all the inductions I've seen that have used like cervidil/cooks foley balloon, nipple stimulation was enough for them to jump start labor and deliver, no pitocin ...

3. Pitocin and Decels

   jennf83 replied to jennf83's topic in Ob/Gyn

   So even in doubt when you arent sure what kind of decels are going on, or arent sure if you're picking up moms heart rate, its better to turn pit off the same time you are trying position changes? I mean, we were gonna turn the pit off, it wasnt a ma...

4. Pitocin and Decels

   jennf83 replied to jennf83's topic in Ob/Gyn

   Well thats what we thought too, to try position changes first. The docs will get upset if you turn pit off with every decel you see, and we werent even sure if we had a true decel to begin or we were picking up mom until we got the scalp electrode. ...

5. Pitocin and Decels

   jennf83 replied to jennf83's topic in Ob/Gyn

   Yeah, she did have fluids wide open and a pulse ox on (we always have them on with epi's) and at times it was hard to tell if it was mom or babies. Before all this had happened it was me and another nurse already in the room, so as soon as the other ...

6. Pitocin and Decels

   jennf83 replied to jennf83's topic in Ob/Gyn

   Yeah, we ended up getting a lot of extra hands, but when it was just me and her, it took both of us to turn her because of her epidural, so in between all of that both of us kinda forgot that she was even on pitocin, prob not the smartest thing, but ...

7. Pitocin and Decels

   jennf83 posted a topic in Ob/Gyn

   I am in need of an opinion. I'm sure some people have differnet reasonings/philosophies on this, so I would love to hear it. Pt was on low dose pit, ctx every 3 minutes. After epidural placement (blood pressures fine) baby starts deceling down to ...

8. pitocin and oxygen

   jennf83 replied to Valerie RN, BSN's topic in Ob/Gyn

   I've seen pitocin used and never cause the baby stress at all, the babies will look perfectly happy (as we call it). Oxygen use is a resuscitative measure. Even if my patient starts having decels, we change positions first, we dont necessarily go fo...

9. pitocin and oxygen

   jennf83 replied to Valerie RN, BSN's topic in Ob/Gyn

   We only use oxygen when a patient's condition warrants it, regardless if you have pitocin running or not. For example, if a pt is having recurrent late decels we'll give some o2.

10. When a baby is born....what does your hospital do?

    jennf83 replied to DutchgirlRN's topic in Ob/Gyn

    We play a lullaby to everytime a baby is born unless we have a mom that lost a baby on our floor or if our fetal loss group is meeting, then we dont play it. Parents seem to really enjoy their baby's lullaby they hear.

11. Confused about Variability & Decelerations

    jennf83 replied to luv2shopp85's topic in Ob/Gyn

    Can you explain the variability vs variable deceleration to me, because sometimes what I would think would be a variable, someone said its just variability.

12. Confused about Variability & Decelerations

    jennf83 replied to luv2shopp85's topic in Ob/Gyn

    In a previous post, they said not to confuse variability with variable decels, how do you distinguish between them then?

13. help a new scrub nurse

    jennf83 replied to JadeRN7's topic in Ob/Gyn

    Would you send me this guide? I pm'd you, hopefully it went through.

14. Late decel?

    jennf83 posted a topic in Ob/Gyn

    Hello We had a patient the other day that me and another nurse thought was having late decels. They started out looking like subtle lates and then a few minutes later looked like obvious lates. We questioned the seasoned nurse and she said that s...

15. Intrapartum vaginal bleeding

    jennf83 replied to jennf83's topic in Ob/Gyn

    Yeah, thats what I thought...or maybe she was 3 cm, I dont remember, I know she was around there!