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Search Results Type: Posts; User: fourbirds4me

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  1. Thoughts on entering travelling nursing for $$$$$
    http://www.goarmy.com/jag.html I agree Army is a great way for a new lawyer to go... nurses too for that matter. AND they have a great loan repayment plan
    Feb 18, '11
    Forum: Travel Nursing
  2. OB scrubs
    Our units use hospital laundered scrubs... (they are horrible... NO POCKETS!!) However, I believe recent studies have shown no difference in infection in the OB setting. That being said... I...
    Oct 14, '05
    Forum: Ob/Gyn Nursing
  3. Staffing ratio for this patient
    Well... this is just another event in the long line of short staffing issues at my hospital. Sometimes I feel like I only post when everything just gets TOO overwhelming. Of course... I too, feel...
    Oct 8, '05
    Forum: Ob/Gyn Nursing
  4. Position for taking BP in preecclamptics
    Both arms... sitting. Lateral positioning is an intervention to lower BP. I agree however that if while lateral if the BP is still elevated... it is more of an indication for delivery.
    Oct 7, '05
    Forum: Ob/Gyn Nursing
  5. Staffing ratio for this patient
    30 weeker, twin gestation, contracting q 2-3, dil. 1+,75,-2, BP's 145/85, +3 DTR's, On Mag.... 6gm load, 3gm/hr. When she was still contracting q 2-3... additional 2gm load and ^ to 3.5 gm per hour....
    Oct 7, '05
    Forum: Ob/Gyn Nursing
  6. What do you think?
    I will push a primip pretty far. We have several docs who have no patience with waiting and will cut an epis with the baby still high and vacuum them out. So I will usually let them crown pretty...
    Oct 3, '05
    Forum: Ob/Gyn Nursing
  7. Do your Dr.s come for FD delivery?
    It is very common for us to deliver a 16+ week demise. However, this is mostly due to circumstance. Since these moms tend to go from nothing to delivery in a very quick time. However, our docs...
    Oct 3, '05
    Forum: Ob/Gyn Nursing
  8. Staffing question
    What do you do when an emergency walks through the door. How do you handle stat sections... prolapsed cord... abruptions... precipitous deliveries etc...
    Oct 3, '05
    Forum: Ob/Gyn Nursing
  9. Pitocin Induction
    Our protocol is usually 1:2. However we rarely have 2 pit pts. We usually will take outpts as needed. It is very hard to keep 2pts because they become 1:1 during epidural placement and during...
    Sep 28, '05
    Forum: Ob/Gyn Nursing
  10. GBS Status:  Unknown
    We generally DO treat unknown GBBS... I guess most of our docs say beter safe than sorry. We use Amp because (as I understand it) it is more readily available. The CDC says "Penicillin remains the...
    Sep 26, '05
    Forum: Ob/Gyn Nursing
  11. GBS Status:  Unknown
    Amp 2gm loading dose... then 1gm q 4h until delivery... You can view the CDC reccomendations here... http://www.cdc.gov/groupBstrep/gbs/hospitals_guidelines.htm
    Sep 25, '05
    Forum: Ob/Gyn Nursing
  12. URETHRAL something.... does anyone know what my GYN was talking about?
    Kegels DO work... however if done incorrectly can do more harm than good... this article is good and instructions are at the bottom... make sure you allow relaxation of perineal muscles between...
    Sep 19, '05
    Forum: Ob/Gyn Nursing
  13. I really need to talk about this! (long)
    You did the absolutely correct thing. I agree with the others who have posted... if the MD refuses to come in... it is not enough to document... It the situation warrants it is up to us to implement...
    Sep 19, '05
    Forum: Ob/Gyn Nursing
  14. Non-viable baby, born alive -parent won't hold him, what do you do?
    I've never had one live that long at a non viable gestation. The only one similar to what you describe ended up in a battle between the dr and nurse about whether or not to try to resuscitate/ use...
    Sep 19, '05
    Forum: Ob/Gyn Nursing
  15. Dysfunctional Unit or Thin-skinned nurse?
    OH... I also wanted to say... Don't be afraid to leave. You have to find a safe place to work. You have worked to hard for your license to jeopardize it. What is gonna look worse to a future...
    Sep 18, '05
    Forum: Ob/Gyn Nursing
  16. Dysfunctional Unit or Thin-skinned nurse?
    Our PP unit does not do couplet care. They take gyn surgeries and stable antepartum (uti's etc...) They have 15 bed and are staffed with and RN and an LPN... day shift and census over 12 gets a...
    Sep 18, '05
    Forum: Ob/Gyn Nursing
  17. Nurse Deliveries
    In the past week we have had 4 nurse deliveries 2 with the same doc (and the same nurse). He hates missing a delivery and is generally a well respected and well liked doctor. However, he is very...
    Sep 13, '05
    Forum: Ob/Gyn Nursing
  18. trying to decide what nursing field to go into
    Responsibilities as an OB nurse? hmmmm To promote a healthy inutero environment so that the fetus stays well oxygenated and distress free while assuring the mother recieves all interventions (or...
    Sep 12, '05
    Forum: Ob/Gyn Nursing
  19. Dangerous lessons learned in your first year of nursing
    #1 UTI's are serious business for pregnant women. Was working the postpartum unit... had a 28 weeker in for pylo. I checked on this girl at least 6 times on my 12hr shift. Only complaint was...
    Sep 12, '05
    Forum: Ob/Gyn Nursing
  20. Dangerous lessons learned in your first year of nursing
    I don't think this is an exclusive to new nurses issue. More than once I've taken over care of a pt (from experienced nurses) to find the pit line running onto the floor... (not been connected to...
    Sep 12, '05
    Forum: Ob/Gyn Nursing
  21. fundal pressure
    Professional organizations have discouraged and even forbidden fundal pressure for vaginal deliveries since 1987. Some boards of nursing have even addressed this...
    Sep 12, '05
    Forum: Ob/Gyn Nursing
  22. Ice Packs?
    We use the diaper trick. It's convenient ... plus very absorbent ... can be a little bulky but overall works great!
    Sep 12, '05
    Forum: Ob/Gyn Nursing
  23. How many deliveries do you have per month?
    About 100 del/month 4 (large) LDR rooms 2 (Small) LDR rooms... usually use these for outpatients or delivered mags or IUFD... but can deliver in them if needed 2 ORs 1 "exam room" we...
    Sep 12, '05
    Forum: Ob/Gyn Nursing
  24. Bad Week...
    Had a phone call about 0330. Pt stating she had woke up around 0130 with a severe HA and that she was being followed for PIH and what should she do. Of course I advised her to come in ASAP. I...
    Sep 5, '05
    Forum: Ob/Gyn Nursing
  25. Staffing ratios for C Sections
    One for Mom... one for baby. Although if baby needs rescuscition the circulator will help and or call for more help as needed. ACOG/AAP staffing guidelines call for 1:1 care for mom and baby in c/s.
    Aug 28, '05
    Forum: Ob/Gyn Nursing


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