nocturnalnurse

nocturnalnurse

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About nocturnalnurse

nocturnalnurse has 11 years experience.


Latest Activity

  1. What do NICU nurses consider "viability"?

    I was looking at the website mentioned for outcomes calculation, and I think I have seen it before, but it appears the data was based off of evidence collected between 1998-2003? Not the most up to date, do you know of any source for calculations tha...
  2. Halo sleep sacks

    Our hospital started participating in the Halo Sleep Sack (SIDS prevention) program. We purchase Halos for hospital use and then, at discharge, provide a new unused unopened halo sack for families to take home. (Obviously we also provide SIDS preve...
  3. Why do epidurals fail?

    not a CRNA, just a nurse who asked "why aren't these epidurals working?!" and found a great anesthesiologist to explain it all. Better educated nurses=better educated patients=happier patients!
  4. Why do epidurals fail?

    Epidurals can fail for many reasons. Sometimes technique or circumstance causes a poor placement of the catheter. Sometimes patients anatomy can cause problems with how the medication travels in the epidural space. Asymetrical blocks or "patchy" bl...
  5. Do I still need the AWHONN course if I already have my C-EFM?

    C-EFM should prove suficient competency in fetal monitoring. Congrats on passing, by the way! I would think the course, therefore, would be irrelevant. My institution requires the certification and doesn't really care if you take any prep courses or ...
  6. Abdominal binder question

    I have only had a very rare complaint about a binder causing incision irritation. It has been easily fixed by placing a pad (without the sticky side) on top of the incision before placing the binder on (we usually do this anyway once the dressing is ...
  7. Low Heart rate after epidural?

    Both bradycardia and tachycardia are known possible side effects of epidural anesthesia. I have seen both. epidural placement particularily at the L2-L3 location block sympethetic outflow to nerves that effect vasomotor nerve fibers that can effect...
  8. How long until day shift on your unit?

    You mean people WANT day shift? *shudders* all those people. doctors wanting to DO things with patients, management and other weirdos from the hospital milling about, phones ringing... lol jk I'll probably go to the grave working night shift, happil...
  9. The most ridiculous birth plans you've had the pleasure of reading

    Ok, in my defense I love the Doulas in our area because of the wonderful support they provide to our patients and I'm not against birth plans at all...HOWEVER...I've heard some weirld things, especially recently, and have seen things taken to the poi...
  10. Becoming Fearful

    I am very proud of our orientation for new L&D nurses. Sometimes it seems a bit excessive especially considering we, technically, don't do high risk and don't deliver (on purpose) below 34 weeks. Then that 32 weeker post MVA in severe respirato...
  11. What baby catches you every time?

    I have a thing for those babies that had nothing wrong until a perinatal event....abruption, uterine rupture, shoulder dystocia.... We almost never get to keep them which is fine, I like the stabilization period awaiting the transfer team then helpin...
  12. Terbutaline protocol

    We use terb. Not near as much as we used to not as many doses and only as sub q shots, no longer pumps or iv. We don't have a policy and are expected to know the drug we are administering just like any other drug. If you know it, it's risks, it's co...
  13. Personal fertility issues a detriment in OB Nursing?

    We have multiple nurses and a few obstetricians who never had children if their own, some by choice some not, and all are excellent at their job. Everyone, even those who have kids, sometimes get frustrated with certain situations like the ones you d...
  14. Salary?

    Midwest here...a new grad gets paid approx 21/hr. Our shift diff is only 1.25. We get paid the same as normal nurses at my hospital but ate required to be certified and hold current on NRP, BCLS, STABLES, ACLS,ALSO and CEfM and a few of us like me ke...
  15. H & H

    We have mom's up and running around the unit at 4-5hgb and are juststarted on iron and others who are super symptomatic and getting transfused at 8... it's really individualized. We do, however, give blood before counts drop on severe postpartum blee...