I have my review in a few days and at the facility I work for we are required to submit goals each year to be included in our review the following year. They must be measureable and fit under one of our five pillars which are quality, finance, growt...
Our CRNAs will do an epidural on a patient with a tattoo only if they can place it without going through the inked areas. Their reasoning is that some tattoos are done with ink that contains lead and this can be released into the system if punctured...
sweetcheekers replied to romesrn00's topic in Safety
I don't know about legal, but we're worse off than that where I work. The other night I was scheduled with another labor nurse but since we only had a mother who had a fetal demise the day before, and a cytotec induction that night, the plan was tha...
sweetcheekers replied to shortstuff31117's topic in Ob/Gyn
30-60 is what we consider normal in our OB unit. Not everyone though, is going to fit into the cookie cutter numbers that are laid out for us. Look at your patient and if he/she seems okay recheck in an hour. You'll probably get something closer t...
sweetcheekers replied to GingerSue's topic in General Nursing
I've never seen the actual numbers used to determine the result, but we get a result listed as immune, equivocal, or non-immune. We vaccinate the equivocal and non-immune patients in our OB department before discharge.
sweetcheekers replied to nursejohio's topic in Ob/Gyn
If you believe in God, then know that what we do or don't do, or what we cannot get others to do when we know what needs done are irrelevant in the big scheme of things. I witnessed a stillborn birth a year ago in which we lost heart tones only a fe...
I'm orienting to L & D and have taken a class in fetal monitoring. I've been working with a L & D nurse in our unit taking care of labor patients for the past couple of weeks. The problem is that yesterday I had a decel at the end of my s...
I began orientation to L & D this week after being a mom/babe nurse for the last 15 months. I was reluctant to learn this new role because I work in a small hospital on night shift which usually has only two nurses in OB, one L&D RN and one ...
Our OB unit has recently begun giving the hep B vaccine to our newborns prior to discharge if the parents elect to have it. We recently discovered that we are not all administering it with the same size needle. What do you feel is appropriate for a...
We were taught that the "old school" of thought was to clamp at 1000ml of output, but no one could justify why so it was not considered to be knowledge based practice so we did not abide by it. I don't see the issue with it. If a person were to sit...
sweetcheekers replied to sweetcheekers's topic in General Nursing
GREAT NEWS! The baby in my post had open heart surgery yesterday and did well. He may only need one more surgery instead of two more like they originally were thinking and he goes home this coming week if all goes well. (To wait for his next proced...
Holy cow! What a night. I'm a newer nurse working in OB. I earned my RN license last October and have learned a lot since then, but I work in a small hospital so even in the time I've been there have not seen what many see in only a few weeks in lar...
sweetcheekers replied to Marie_LPN, RN's topic in Ob/Gyn
I love the name Sawyer for a little boy or Kaden. If there are any more little girls in my future I plan to use Karson or Kamden. I have two daughters Kaitlyn and Kennedy.