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Search Results Type: Posts; User: NurseNora

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  1. Ob/gyn reading
    Read all the patient handouts in the office and any books recommended by your docs for their patients. As you continue in this job, you will find that there are certain questions that come up...
    Apr 19
    Forum: Ob/Gyn Nursing
  2. Internal/External Os
    Rarely you will encounter a situation where the cervix seems to be dilated to 6 cm, but on further investigation, you find a 2cm opening posterior to what you first felt. That 2cm opening is usually...
    Apr 2
    Forum: Ob/Gyn Nursing
  3. Postpartum Hemorrhage tool kit
    The address for California's PPH Tool Kit is: cmqcc.org that site is a wonderful resource for many things maternal
    Apr 1
    Forum: Ob/Gyn Nursing
  4. B/P and Seizures
    A woman with pre eclampsia can seize at any blood pressure. With the kind of pressures your patient was running, I'd be worried about a stroke or an abruption. Labetolal drips usually require...
    Mar 31
    Forum: Ob/Gyn Nursing
  5. Gestational Age vs. Age by Exam
    Gestational age figured by EDC is accurate to plus or minus two weeks. That assumes the woman has regular cycles, keeps track of her periods and remembers the date of her last period, and didn't miss...
    Mar 21
    Forum: Ob/Gyn Nursing
  6. New grad in L&D with severe anxiety and stress
    So happy to hear the good news. You'll do well.
    Mar 19
    Forum: Ob/Gyn Nursing
  7. Postpartum Hemorrhage tool kit
    Google PPH toolkit. California has developed something that you could use as a starting point.
    Mar 19
    Forum: Ob/Gyn Nursing
  8. Please tell me they are not all like this...
    When I worked in a Big City teaching hospital, one of my goals was to remind the interns and residents that birth is not an illness, but a normal part of a healthy woman's life. That's one way of...
    Mar 18
    Forum: Ob/Gyn Nursing
  9. New grad in L&D with severe anxiety and stress
    One question you could ask is how does your preceptor think you are doing. What are your specific weaknesses that you need to work on. What are her suggestions to improve in these areas. What are...
    Mar 18
    Forum: Ob/Gyn Nursing
  10. New rule- must call MD before doing anything. How about at your hospital.
    Probably has something to do with doing away with standing orders. Make sure the docs know that they will be getting 3am calls requesting orders to take vital signs, check FHR, and evaluate for...
    Feb 27
    Forum: Ob/Gyn Nursing
  11. Brand new in POSTPARTUM
    You shouldn't be expected to "just know" any protocols or orders. They should be written down somewhere. Review the Protocol and Procedures manual. In my department, we have the hospital wide P&P...
    Feb 17
    Forum: Ob/Gyn Nursing
  12. Sterile Vag Exams: HELP!
    Do lots of checks. Ask other nurses who have patients wth epidurals an intact membranes if you can check their patients. Look closely at the sagital section diagrams go women at different stages in...
    Feb 17
    Forum: Ob/Gyn Nursing
  13. New Grad Nurse in L&D Orientation Needs Advice
    Have your preceptor check first and then talk you thru the exam: "it's really posterior, you have to feel way back there." It's really thin and hard to feel" or whatever the situation is. This is...
    Nov 28, '13
    Forum: Ob/Gyn Nursing
  14. Presentation on Pain Management in Postpartum Woman with a Vaginal Delivery
    After 12 hours, a Sitz Bath feels really good to moms with stitches. You just have to convince them that it is to their advantage to make the time to do a Sitz Bath. Sitting in bed may be less...
    Nov 9, '13
    Forum: Ob/Gyn Nursing
  15. Do you scrub and/or circulate c-sections?
    I have scrubbed and circulated in the two large teaching hospitals where I have worked (one in Phoenix). Currently I work in a small rural hospital where I circulate for C/S. Ten years ago when I...
    Oct 8, '13
    Forum: Ob/Gyn Nursing
  16. Do not like L&D!!
    In the hospitals where I've worked, L&D recovers Mom and babe for the first 1-2 hours before sending to Post Partum.
    Oct 4, '13
    Forum: Ob/Gyn Nursing
  17. Do you turn off Pit when adequate labor is established??
    The half life of Pit is 10-15 min and it takes 3 half lives to reach a steady state blood concentration. That's why the AWHONN recommendation is to not increase more often than q30min. When we...
    Sep 28, '13
    Forum: Ob/Gyn Nursing
  18. Excessive pain during labor effects
    [QUOTE="Kaysmom8;7423403"]Hello, I was hoping to get input from some labor and delivery nurses on pain during birth. I'm researching the negative effects of pain during labor on the mother and...
    Jul 14, '13
    Forum: Ob/Gyn Nursing
  19. How do you know if you suck? ;-)
    Last night, as my patient was pushing, I was having trouble keeping the baby on the monitor and the baby nurse took over adjusting the monitor from me and was able to get a much better recording than...
    Jun 23, '13
    Forum: Ob/Gyn Nursing
  20. IPad apps
    There are several Pregnancy Wheels on line for free or under a dollar. Some give a month by month list of fetal development. There are also apps such as BiliCalc with charts on age and bilirubin...
    Jun 14, '13
    Forum: Ob/Gyn Nursing
  21. OB nursing was the one thing I didn't want to do!
    I don't like children and never wanted any of my own. I expected to hate OB and Peds. I did hate Peds, but when I saw my first delivery, I knew that was what I'd do for the rest of my life. I was...
    Jun 14, '13
    Forum: Ob/Gyn Nursing
  22. RN Struggling After Neonatal Death
    Also, you only code for about 10 min without a heart rate. So, when the transport team arrived they wouldn't have worked on the baby longer than 10 without a rate. We recently hade a code with Apgars...
    Jun 14, '13
    Forum: Ob/Gyn Nursing
  23. RN Struggling After Neonatal Death
    At one point in my career, I used to have to remind myself through the whole drive to work, every day, that who lives and who dies isn't up to me. I am not the Final Authority on that. I can do...
    Jun 14, '13
    Forum: Ob/Gyn Nursing
  24. RhoGAM
    If Mom is Rh neg and Dad is Rh positive, the baby can be either positive or negative. If baby is negative, no RhoGam, if positive, Mom will need RhoGam. The Coombs tells if there is an...
    Jun 14, '13
    Forum: Ob/Gyn Nursing
  25. Fetal position on ve's
    Ask to follow another nurse or provider's exam so they can describe to you how to feel what they felt when they determined position. Patients with epidural anesthesia don't mind this double check as...
    Dec 8, '12
    Forum: Ob/Gyn Nursing


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