ischialspines

ischialspines

L&D

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About ischialspines

ischialspines specializes in L&D.


Latest Activity

  1. Bad day. :(

    I had a horrible weak the other week and felt like a bumbling idiot. And then last night I successfully managed a critical pt with emergent needs and thought "wow, I feel like a real nurse". I go back and forth and do a lot of crying in between. But ...
  2. L&D Nurses: What's in your pockets?

    well I use an iphone and have an OB Wheel, EFM reference, GBS reference & spanish phrases I use a lot on it, so it has come in quite handy on more than one occasion
  3. L&D Nurses: What's in your pockets?

    Alcohol prep pads, guaze pads, my stamper, chapstick, stethoscope (in a pocket. I can't stand it around my neck), pens, dry erase pen, Dr's numbers, PPH pocket sheet, work phone, my phone, hemostats with a roll of tape, bandage scissors, "good" tourn...
  4. pushing c pts - tips and techniques

    let's share things that work for second stage with our mamas! -LABOR DOWN if mama has an epidural, especially if she's a prime :) Make sure to get her in a good position (L Sims is my favorite most of the time) while laboring down, to promote OA babi...
  5. Good OB books to read.....

    all of the above, especially if you need to learn more about physiology. For practical day to day inormation, I love the labor progress handbook for positioning, etc. we keep a copy on the unit now especially when we're just running out of ideas.
  6. New nurse in Labor and Delivery

    I cried a few times. It was overwhelming becoming a new nurse and also all of the L&D charting... I wondered how I was ever going to have time to care for my pts. Ask questions. Be easy on yourself. You're not going to get everything right. You'l...
  7. Delivery Pitocin

    We use 30 units pit in 500 ml NS wide open at delivery of the placenta (pharmacy mixes, this is the same bag we use for labor, just pull the tubing out of the pump, if it has been running through labor we run the remainder of the bag). Then we hang a...
  8. when to call for delivery, active management & patience

    oh yes, and, related to #1 - I really wish docs had different days for seeing pts in clinic than being on call. That would make things easier.
  9. So this is really a bunch of random stuff related to policies and procedures and patients and adjusting to the 'hospital way' of L&D (physiological/expectant mgmt vs active mgmt). But I didn't want to make a bunch of separate posts. Bear with me....
  10. Who does the cord blood gases

    The ob techs at my hospital usually draw the cord blood / gases if indicated (only a couple of docs draw gases routinely). But if we don't have a tech the RN will. If baby needs resusc we have called NICU in and they come running. If there is somethi...
  11. L&D - advocating for patients

    I don't like the idea of pitting an unripe cervix without an apparent medical reason (even though we now wait til 39 weeks), but by the time the pt has come to me, her decision has been made and she has made the plan with her doctor and showed up for...
  12. FHR monitoring

    continuous EFM is all about lawsuits. In 18 years, they'll be a monitor strip to prove the nuances that you did/didn't see. Also, docs like being able to watch their pts from the office now --- a tad frustrating for the nurses sometimes :) Our polic...
  13. Shoulder dystocia

    We have shoulder dystocia drills at our facility. Everything mentioned above is in it. Also - using the CPR latch to quickly drop the HOB for McRoberts, and don't forget to call for extra hands!
  14. Certain about midwifery, uncertain about nursing

    just going to chime in here - I worked with homebirth midwives for years off and on as I was pursuing CPM licensure before going to nursing school (I was about complete with that route when family issues meant I needed to go back to work full time). ...
  15. Beta Strep

    If they are intact, not that important. Right?