JAHJF

Latest Activity

1. Does your facility do VBAC's?

   JAHJF replied to HappyNurse2005's topic in Ob/Gyn

   My hospital allows them, if the primary ob (or on call doc) is in house once active labor, and we have 24hr anesthesia coverage, we have ob residents in house 24hrs to assist and we have 3 or's on our unit. However, very few of the area doc's "allow"...

2. Nurse ratios & comfort with high risk meds

   JAHJF replied to kathiecnm's topic in Ob/Gyn

   We do Labetalol gtt on L&D, we have one special room w/cardiac monitor available and if by chance two pt's need a gtt we have another portable monitor. vs are q5min during bolus and q15min while gtt runs. We try our hardest for these pt's to be 1...

3. "Nurses are not professionals"

   JAHJF replied to wannabesedated's topic in General Nursing

   My license reads Professional Nurse and that I have complied w/all things needed in order to practice as such

4. PP mag patients-go to PP floor, or stay on L&D?

   JAHJF replied to HappyNurse2005's topic in Ob/Gyn

   We are 2 units combined LDR and HRPU (high risk perinatal unit) and we keep all Mag pts till it is finished then they go to MBU until discharge.

5. montevideo units

   JAHJF replied to hoping to be an rn's topic in Ob/Gyn

   Most nights one pt on pitocin and another pt of some sort (pp mag/pre-e, ptl on mag, induction w/cervidil, svd or c/s-recovery, just depends), a good night just that one pit pt, a bad night, 2 pit pt's

6. help about CABG

   JAHJF replied to tcwmntcwtdod's topic in General Nursing

   Can't help w/# of drapes, but when I worked Step-down we always called the leg incisions - vasoviews?

7. montevideo units

   JAHJF replied to hoping to be an rn's topic in Ob/Gyn

   I calculate like Envy's post describes. At my hospital 180-240 is adequate. As for charting, if pt is on pit they get an exam page done q15min (including fhr and iupc/mvu).

8. C-section Personnel

   JAHJF replied to NativeButterfly's topic in Ob/Gyn

   We have an RN and a RRT that are NRP trained (both work in NICU) and a NNP or Neonatologist at every c/s delivery, of course they all come to the high-risk births and an RN and RRT come to all other deliveries. Also-all of our L&D RN's are NRP tr...

9. Where do you keep your nurses notes?

   JAHJF replied to SouthernLPN2RN's topic in General Nursing

   We have computerized charting and then when a pt is transferred from L&D to the MBU all the notes, etc are printed out and placed on the chart.

10. Soap Suds Enema in L&D - do you still use?

    JAHJF replied to StatRNNJ97's topic in Ob/Gyn

    We have one OB who orders a shave and enema prep on every pt of his that is admitted for labor or induction, many refuse but some who have had several babies with him over the years are actually ok w/it b/c it is what they are used to having happen w...

11. Share Your Saying

    JAHJF replied to angelique777's topic in Humor

    Courage is grace under pressure - Ernest Hemingway Within every adversity lies a slumbering possibility - Robert Schuller Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful exec...

12. What do patients say that irks you?

    JAHJF replied to NurseforPreggers's topic in Ob/Gyn

    Hate to say it but my husband did go through labor and birth both times I did, he just didn't do the physical, but he was there at my side and emotionally (both of which can be exhausting d/t length of labor or emergency situations), I've never seen ...

13. Post-op pain!

    JAHJF replied to epiphany's topic in Ob/Gyn

    Our CRNA's always remove the epidural catheters before leaving the OR and have "post epidural/spinal anesthesia orders" that they can check off, usually allowing for IV morphine, something for nausea, something for itching and toradol if the morphine...

14. Age when you had your first child?

    JAHJF replied to sugabuga's topic in Ob/Gyn

    #1 @ 20 #2 @ 24

15. Consents for newborn procedures...

    JAHJF replied to CEG's topic in Ob/Gyn

    I work in TN and the admission/registration papers cover labwork, vit K, eye ointment, hearing screen, once on the postpartum unit mom's sign a separate consent for HepB and circumcision.