rUmad2

rUmad2 has 30 years experience and specializes in OB, newborn, gyne.

Latest Activity

1. Nurse to patient law

   rUmad2 replied to Mirth's topic in Illinois

   You expressed my concerns perfectly....

2. Nurse to patient law

   rUmad2 replied to Mirth's topic in Illinois

   Thank you! This is exactly the type of information I was hoping to find. I do not know if we are a Critical Access Facility..but now I know to find out. Again, thanks! Bet

3. Nurse to patient law

   rUmad2 replied to Mirth's topic in Illinois

   I work at a small rural hospital. Our census on the med-surg floor can fluctuate anywhere from 8 to 30 patients. Our OB department can go from zero to 4 mom/babies and a couple antepartums in nothing flat. Am I in favor of this patient law? Of cour...

4. Ephedrine IV push

   rUmad2 replied to rUmad2's topic in Ob/Gyn

   Thank you all for your great advice!! I think for our small unit, the policy of having anesthesia mixing/labeling it and writing the order is what will be best! Thanks again! Beth

5. Ephedrine IV push

   rUmad2 posted a topic in Ob/Gyn

   I work in a small rural hospital where anesthesia can become unavailable due to unexpected situations. Although rare, there have been times when a mother experiences hypotension from a labor epidural and needs ephedrine but anesthesia has become tied...

6. Insulin and diabetic in labor

   rUmad2 replied to rUmad2's topic in Ob/Gyn

   Thanks for the response! We have had GREAT control with subq....we have diabetic educators who have good intentions but are trying to make IV insulin our "standard" and insist we use is it all IDDM patients in labor--in good control or not. Thanks ...

7. Insulin and diabetic in labor

   rUmad2 replied to rUmad2's topic in Ob/Gyn

   How many automatically run IV insulin and dextrose on diabetics (on insulin) in labor? I have read the ACOG guidelines but after surveying hospitals in my area, it seems many still give insulin subq, check capillary glucose frequently and have dextr...

8. Insulin and diabetic in labor

   rUmad2 posted a topic in Ob/Gyn

   How many automatically run IV insulin and dextrose on diabetics (on insulin) in labor? I have read the ACOG guidelines but after surveying hospitals in my area, it seems many still give insulin subq, check capillary glucose frequently and have dextr...

9. Does this make sense?

   rUmad2 replied to KK7724's topic in Ob/Gyn

   If you are willing and able to keep up all the competencies required to work in the nursery, there shouldn't be a problem. We have nurses who work full-time for our hospital then work the minimum number of shifts at another hospital for the big buck...

10. Does this make sense?

    rUmad2 replied to KK7724's topic in Ob/Gyn

    If you are willing and able to keep up all the competencies required to work in the nursery, there shouldn't be a problem. We have nurses who work full-time for our hospital then work the minimum number of shifts at another hospital for the big buck...

11. How Has "Reality TV" (A Baby Story, etc) Affected Your Work?

    rUmad2 replied to BabyRN2Be's topic in Ob/Gyn

    We are fortunate to have a wonderful childbirth educator who tells her classes, "Childbirth is NOT a spectator sport." And, the oddest experience I have ever had with the "Baby Story" was the mom who insisted it be on while she was pushing. Of cour...

12. Couplets and nurse:patient ratios

    rUmad2 replied to NICU_Nurse's topic in Ob/Gyn

    The 6:1 AWHONN guidelines pertains to well babies, only..I think? Couplets are 4:1.

13. Mother-Infant Coupling

    rUmad2 replied to niquern's topic in Ob/Gyn

    I believe "Guidelines for Perinatal" states a ratio of 6:1 for well-baby:nurse. From the units that are completely "mother-baby" I have a question, please. What are your patient satisfaction comments? I do believe the key here is not only educatin...

14. Mother-Infant Coupling

    rUmad2 replied to niquern's topic in Ob/Gyn

    I work in one of those "old-fashioned and outdated" facilities. Our moms are encouraged to keep their babies with them as much as possible but as a rule, most of them return to the nursery at night. Are your rooms arranged so nurses can be frequent...

15. Cervical dilitation

    rUmad2 replied to AmAnRN's topic in Ob/Gyn

    Hang in there! I remember asking an OB-gyne about effacement. She told me what really matters is that you can tell the cervix is getting thinner or if it all of a sudden begins to swell somewhere. She was a very down-to-earth person but hearing tha...