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"...
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...
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
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).
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...
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...
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...
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 ...
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...
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.