RNnL&D

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1. opinions about epidurals

   RNnL&D replied to Jayla's topic in Ob/Gyn

   i totally agree. :yeahthat: my last child was also born at home. by far, the awesomest of my births. (is that a word? ) but twins!!! way cool!

2. ACLS for Labor Nurses?

   RNnL&D replied to RAIZIE's topic in Ob/Gyn

   All of our L&D nurses are ACLS certified or become certified within their first year on the unit. The hospital offers a three day class that you are paid to attend, that includes a review EKG class. We recover our CS pts in our own RR. And, unfo...

3. Video cameras banned in L&D

   RNnL&D replied to rph3664's topic in Ob/Gyn

   I suppose the first time a video is entered as evidence in a case against the hospital, we will discontinue the practice as well. As far as I know, that hasn't happened. I have heard of cases, at other facilities, where the video aided in exonerating...

4. Video cameras banned in L&D

   RNnL&D replied to rph3664's topic in Ob/Gyn

   Wow! I'm surprised by the number of facilities that don't allow taping the birth. We allow videotaping of the entire birth from any angle they want, as long as the videographer isn't in the way. One of our many forms included in the admission packet ...

5. IV policy

   RNnL&D replied to 2curlygirls's topic in Ob/Gyn

   but wouldn't charting "discussed risks and benefits, pt refuses iv", have the same effect?

6. IV policy

   RNnL&D replied to 2curlygirls's topic in Ob/Gyn

   So the other 95% get one just because. Do you have alternative routes of admin for someone who doesn't have IV access? We have standing orders for Pit IM if no IV.

7. Ephedrine IV push

   RNnL&D replied to rUmad2's topic in Ob/Gyn

   See, that's how we do it. The come up, draw it up, dose the pt, on the unit. Which is why I assume we don't have a clear cut policy. It just says that the nurse may give a dose if anesthesia is busy with another epidural.

8. When do you open up your Pitocin?

   RNnL&D replied to ragingmomster's topic in Ob/Gyn

   That's alot f Pit. We use 10 units in a 500 cc bag, and generally only bolus one after delivery, if that. I imagine they must have some helatious cramps with that much Pit. And to lisamct, you say most women choose to have an actively managed third s...

9. Ephedrine IV push

   RNnL&D replied to rUmad2's topic in Ob/Gyn

   Funny, we just had this issue come up. We don't have a clear cut policy. Before, our anesthesia providers have always come up and dosed the pts themselves, if needed. The nurses have never pushed it. Interesting to see what other facilities do.

10. opinions about epidurals

    RNnL&D replied to Jayla's topic in Ob/Gyn

    Can I just point out how ironically funny this is? If I am reading this right, you basically said "I almost died, but it wasn't that bad. I would do it again." Hmmm, interesting. Pain......... death.... hard to decide. As far as opinions and persona...

11. When do you open up your Pitocin?

    RNnL&D replied to ragingmomster's topic in Ob/Gyn

    That is a really long time to bleed. Did you end up having a transfusion? I imagine your hgb must have been pretty low. Your doc is right and wrong. It's not that common but Uterine atony "just happens" sometimes. There are usually precluding factors...

12. When do you open up your Pitocin?

    RNnL&D replied to ragingmomster's topic in Ob/Gyn

    I'm surprised it's that high anyway. It doesn't seem like we see it that often. I understand what you meant, Becki. I just hate to see new studies that recommend even more intervention.

13. When do you open up your Pitocin?

    RNnL&D replied to ragingmomster's topic in Ob/Gyn

    You're right. There is a simpler way. Hopefully, someday, more hospitals can get back to that. Reading other's comments, I realize we are bit different from the norm. I am glad I work in a lower intervention unit. We do have the patients who get ever...

14. VBA2C w/ 1st at 25 weeks

    RNnL&D replied to sharirobinson's topic in Ob/Gyn

    I think what RNfrom MS meant was, the only reason that might preclude a woman from having a successful VBAC would be CPD, true CPD. I agree with those who suggested finding a midwife. Being aware of the risks, you have the right to refuse a CS. No do...

15. Case of the mistaken stat C/S or my mistake?

    RNnL&D replied to epiphany's topic in Ob/Gyn

    No, not usually. You are right, it generally looks like a progressive dip. Anytime the monitor loses contact, the FHR should be confirmed against mother's pulse, to be sure. You said the resident listened. Like stood there and listened to the monitor...