Altalorraine

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1. Is it me, or am I being given unrealistic assignments in the NICU?

   Altalorraine replied to tmjwe3's topic in NICU

   It does sound heavy to me. After all Nicu is an *ICU* which should mean a limited patient load for each nurse.

2. How many " Pop offs" allowed during C-Section delivery

   Altalorraine replied to justm's topic in Ob/Gyn

   I agree with the previous poster. During a vacuum attempted *vaginal* delivery, everywhere I've worked allows three pop offs before proceeding to cesarean, but since cesarean is the ultimate procedure for delivery, as many pop offs as needed to deli...

3. PPROM In preterm patient

   Altalorraine posted a topic in Ob/Gyn

   When a preterm patient (not in labor) ruptures her membranes and fetal heart rate drops significantly and does not come back up after turning patient, what would you do (other than call for doctor to come to room, O2 and fluids open). AL

4. Breastfeeding Question for L&D nurses

   Altalorraine replied to Lovely_RN's topic in Ob/Gyn

   Let me start by saying that I have no idea who your CNAs were, but I've noticed something similar with a lot of older African-American women, including grandmas and great-aunts, who tend to be very concerned that the baby is "hungry" (including the u...

5. What would you do?

   Altalorraine replied to Nice2MeetU's topic in Ob/Gyn

   NOWHERE in my post did I say she has to do as I do. I have to wonder if you even read what I wrote. I said nothing about forced fertility. If she doesn't want a child, she shouldn't have one. Period. Words like "torture" are inappropriate here. ...

6. What would you do?

   Altalorraine replied to Nice2MeetU's topic in Ob/Gyn

   What are you seeking here? Advice on how you, as a grown woman, should handle your mother? That has nothing to do with OB nursing. I do not change my opinion that someone coming to this site to discuss how disgusting birth is (in general terms sinc...

7. transfer kit for laboring moms

   Altalorraine replied to canoehead's topic in Ob/Gyn

   I don't understand how you are not talking about treating. Where I work our docs will hold hour-long rounds to decide how to treat a PTL patient. I don't know what useful thing can be done in hurry other than BMZ (which I suggested) and perhaps ma...

8. What would you do?

   Altalorraine replied to Nice2MeetU's topic in Ob/Gyn

   I guess I'm trying not to be offended by your description of birth as bad and horrible and your wondering why women would want to go through it. Clearly you *don't* understand the mentality of women who do it. My four natural births were the most w...

9. transfer kit for laboring moms

   Altalorraine replied to canoehead's topic in Ob/Gyn

   I think what you really should have is a close working relationship with an OB care center so they can direct the care of patients from a distance. I don't think people not in an OB speciality should mess around with treating OB cases on their own; ...

10. Moms who want to feel absolutely NO pain

    Altalorraine replied to HappyNurse2005's topic in Ob/Gyn

    I had drug-free, epidural-free births four times. Each experience was very different. But what gets me is that people start listing the reasons that my births were easy and their births were so hard so of course they had to choose epidural. The r...

11. Moms who want to feel absolutely NO pain

    Altalorraine replied to HappyNurse2005's topic in Ob/Gyn

    I think the state of the cervix is usually how they judge who can get an epidural where I work. Having an epidural for a long time isn't good for you, and someone who is going to poke along at 1 cm for hours to a day like some inductions do is going...

12. why was Dr. so upset? (long)

    Altalorraine replied to RNinNWGA's topic in Ob/Gyn

    What you should do is take him aside and tell him privately never EVER speak to you that way again. Once you make that clear, you can indicate your willingness to work with him to establish a protocol for how he wants you to handle his patients. I w...

13. Abx after ROM? How long before...

    Altalorraine replied to ShannonB25's topic in Ob/Gyn

    We don't treat ruptured term patients with abx unless/until they're showing signs of infection. Pretermers who are ruptured routinely get a course of IV Ampicillin and then are switched to po. I don't remember the duration of the course of abx thou...

14. Abortion Assistance RN

    Altalorraine replied to lucyluv's topic in Ob/Gyn

    Me neither. I think L&D experience would be very helpful. We do a fair number of abortions where I work, some therapeutic, some genetic (not one of the wonderful, miracle-of-birth loving OB nurses on our floor refuses to take these cases). A lot ...

15. chorioamnionitis...(spelling?)

    Altalorraine replied to MIA-RN1's topic in Ob/Gyn

    I haven't followed up on placental pathology reports, so I have no idea of the true incidence where I work; however, it's more than just a lot of elevated temps and tachy babies. We see a fair number of foul-smelling babies. As for why, I suppose ...