bbnurse

bbnurse

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About bbnurse

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  1. Meditech & OB TraceVue Interface

    We have both meditech and OBTV. HP has a cable developed for Columbia/HCA but it is not available for other places...THIS is info' from the IS person where I work. It is a LTP? I believe. It was said to be bi-directional. Iatrix also is working to...
  2. Who mixes pitocin and mag?

    Hey everyone!! Thanks for the insight and the answers. I wasn't sure how other places did their meds. I don't like other people mixing my meds either so I know it's the control thing. I understand that it isn't the same level of care if I don't mix...
  3. Who mixes pitocin and mag?

    We just started using Pyxis and a recent survey we were told that nurses in LD should not be mixing pitocin, nor mag. We should use standard premixed bags of these meds. What mixture of pitocin do you use? Is it standardized? What strength of M...
  4. How many went from new grad to L&D?

    I went directly into Maternal Child many years ago and have NEVER regretted it at all. I firmly believe that most OB nurses are "born"...that we know from the first that we love it and will always find a place to work that allows us that expression ...
  5. Our nursery has been routinely performing a blood glucose test upon admission and in 2 hours. The majority of peds and GPs agree that this will diagnose and prompt intervention for the asymptomatic infants and prevent brain damage by quick treatmen...
  6. What type of pain med in labor used?

    So WHAT did the Pain seminar suggest as the best analgesia meds for active labors??? We use Stadol and Phenergan combo and epidurals or intrathecals with fentanyl. Did you answer this thought or did I just flat miss it? Thanks.
  7. acog/aap staffing guidelines

    Stable, to us, means not in active labor, in crisis for whatever the admission dx was or near term. May include controlled gestational diabetic, arrested preterm labor, pregnant with a medical or surgical problem or things of this nature. Unstable i...
  8. Harmful effects of Brethine

    We use fetal fibronectin but it has not been 100% accurate either. We start with Brethine and move into Mag if not successful. Our biggest issue is poor compliance by the patients when they go home. "I didn't like how it made me feel". Maybe the...
  9. Pitocin before placenta?

    We use pitocin in the IV fluid rather than straight IVP, and bolus for about 500cc. The PDR and ACOG does not recommend straight IVP of pitocin. And it is after the placenta.
  10. "Schedules"

    We do self scheduling and use a sign up sheet with only slots for the number of staff required for that day. No one else can work those days when it is filled in. We have fulltime people fill in first, then the part time , then the prn people. It ...
  11. The yogurt remedy is supposed to be with the "LIVE" yogurt so the ones displayed on the wonderful full page colored ad, just won't make the grade.... So that makes it really ineffective with the "fruit". Viva the difference!!!!!
  12. Staffing and acuity

    use your AWHONN Guidelines for staffing to support the correct staffing ratio for acuity. Even if the state requires less, the national standard is what the lawyers will use. good luck
  13. Pissed Off!!!

    Age is irrelevant and rudeness calls for patience. Not that I think the question was appropriate but I wonder why she would ask it. My first instinct was to say that sort of confrontation was very childish on everyone's part. However, one must de...
  14. case mix index for L&D

    Well, nurses don't do this type of "coding" or "classification". This is the physician's role to indicate the diagnosis. Nurse's record in the medical record the observations and measurements on the laboring/delivering pt., but do not make that type...
  15. This week I personally delivered one in 8 minutes flat. Even had an IV and I was wearing gloves......Cord clamped, placenta presenting when everyone else arrived... Not a personal best but it made for good conversation in the unit.