ldcmw1

ldcmw1

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About ldcmw1

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  1. Check out Grantham University $265.00 a credit hour and if you or your spouse is prior military they give you a discount.
  2. Cervidil Question

    Our policy is wait one hour but I have never seen it done. We usually try something different after that. ldcmw
  3. How about suggesting the cook catheter to the MD if you guys supply it on your unit.
  4. Stick to your guns you are at the bedside. Pt was in good pattern so who cares how many mu of pitocin the patient is on!!! Have him read Cervical Ripening and Induction of Labor written By AWHONN. It is a wonderful article and it states that 90% of...
  5. What would you have done in my situatio

    Sorry for no paragraphs! I just kept typing away in frustration! Will do better next time. I will be writing up a QI on this and I will be taking this up with the Chief OB. Mom delivered about a hour after I went home. Baby went to regular nursery a...
  6. Prioritizing Patients - Please Help!

    Mrs. Ortiz - Where is the pain? Is she bleeding. Obviously she is not going to get up to ambulate yet. The dry mouth has me stumped but I thought I remember it could possibly be a side effect of having a morphine PCA. O2 Sat is still 96% and there ...
  7. What would you have done in my situatio

    Thanks guys for all the positive feedback!!! I'm just so frustrated!
  8. I worked a 12 hour shift yesterday and did c/s's until 3 pm when I picked up a patient from another nurse I was upset after getting report. The patient was a frequent flyer. 26 yrs old g5 p4 at 35 6/7 weeks admitted many times for low back pain and p...
  9. Prioritizing Patients - Please Help!

    Smith sounds like she should be a one on one!!! She is sick, sick, sick!!!! Teen 1st pregnancy!!! High Risk for pre-clampsia and with blood pressure's that high she could stroke out!! Nothing is said about her lab results on admission? I have rar...
  10. Interesting case!!! I'm curious to know what became of mom and baby and sounds like the baby had an arrythmia. I just had this happen to me a few weeks ago. We knew the baby had an arrythmia and she came up to our unit from the perinatal center to...
  11. High-risk long-term antepartum patients, what do you do?

    My question to you would be why is she on continious monitoring? Evidence based research doesn't seem to support this? I do feel sorry for her and she needs to be treated with respect and not be shuffled all over the place! At my facility once they g...
  12. HTN assciated with preclampsia

    Where I work to use Labetalol IV they have to be hooked up to a cardiac monitor. Not the case with hydralazine. Yes, the hypertension is a symptom of the problem but it still needs to be treated! Do you want your patient to stroke out. I'm guessing a...
  13. Magnesium sulfate infusion

    I was taught the same way Pitocin on the closest port. You should always always have all your fluids on a pump when running Mag Sulfate. Especially if they are on Mag for PIH! I've never worked anywhere that it hasn't been the case.
  14. Thank!!!!
  15. Help!! I'm orienting a nurse to our labor and delivery unit who has about 6 months of experience in this area. I'm having many problems with her. She is slow, doesn't prioritize properly and seems to lack intiative. I'm constantly reminding her to ...