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Search Results Type: Posts; User: NurseNora

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  1. variable decels...Thoughts?
    Especially with ruptured membranes. Decreased amniotic fluid volume makes it easier to compress the cord. Variable decelerations in this patient are not a surprise, but pre term babies will go...
    Sep 20
    Forum: Ob/Gyn Nursing
  2. Fetal Monitor Risks
    Once electronic monitoring is started, most patients are tied to the bed. Less now than in the past, but many younger nurses are not comfortable letting the patient up to walk, or even putting a...
    Sep 15
    Forum: Ob/Gyn Nursing
  3. Want to be L&D rn but hate the OR?
    I happened to be part of a study to see if there was a statistically significant difference in the section rates between different nurses. There was and I was in the low section group. The researcher...
    Sep 15
    Forum: Ob/Gyn Nursing
  4. New Grad scared to be in L&D
    If you weren't feeling nervous, you'd be way overconfident. Remember that as a newby to L&D as well as a new grad, no one will expect you to know it all at first. Place yourself in as many learning...
    Sep 4
    Forum: Ob/Gyn Nursing
  5. How to become a Lactation Consultant?
    Even though you have to wait for someone to retire to get into OB in your hospital (I worked at one like that), there will still be new Moms who need more help than the staff can give. Enroll in the...
    Sep 4
    Forum: Ob/Gyn Nursing
  6. Assigning Apgars....
    Since the L&D nurse was close enough to be stimulating him, I would have asked her for the Apgar. If you can't get to the baby, it's helpful to call out one and five min so the nurse who is with the...
    Aug 31
    Forum: Ob/Gyn Nursing
  7. Newly published protocol on hypoglycemia in neonates
    If it's been a long time and you're really concerned, do a blood sugar. Usually it tells you the baby just isn't hungry yet. If it is low, then you can start doing the other stuff.
    Aug 24
    Forum: Ob/Gyn Nursing
  8. I need confidence....
    Confidence comes with experience. Experience comes with time. One day you won't be the new kid on the block and people will be asking you how you became so calm and confident. Until then, be gentle...
    Jul 17
    Forum: Ob/Gyn Nursing
  9. Let me pick your brains
    Pit in the lowest port. We don't use Y tubing, so the Mag goes in the next one up.
    Jul 10
    Forum: Ob/Gyn Nursing
  10. Anxious l&d
    In my experience, anxiety is normal for L&D newbies. Don't compare your insides to you coworkers outsides. Bet they're not as confident as you think. Remember that having a baby is a normal healthy...
    Jul 4
    Forum: Ob/Gyn Nursing
  11. How do people interact on an LD unit
    Our CNAs, in addition to the above tasks, take VS on PP moms, help moms up to the BR for the first time, and some double as Unit Secretaries. Most are currently in nursing school.
    Jun 30
    Forum: Ob/Gyn Nursing
  12. OR Call Advice
    When my unit started doing our own sections a few years ago, we started out with OR call, one 12 hour shift every 4 week schedule. Gradually the call became for all OB, not just for OR. My hospital...
    Jun 21
    Forum: Ob/Gyn Nursing
  13. New Grad going to L&D. Advice?
    I've been a labor nurse for over 40 years, track Intermediate and Advanced Fetal Monitoring and I still ask others to look at my strips. Don't be afraid to ask questions--ever. Have daily or at least...
    Jun 21
    Forum: Ob/Gyn Nursing
  14. Labor Support
    The Labor Support Handbook by Penny Simpkin and the Nurturing Touch at Birth by Polly Perez are both very helpful. For breastfeeding, I agree with the recommendation for Jack Newman's book and also...
    Jun 21
    Forum: Ob/Gyn Nursing
  15. Opening new unit
    And peanut balls and rocking chairs.
    Jun 18
    Forum: Ob/Gyn Nursing
  16. Opening new unit
    If they're still building, ask for them to put in more electric outlets. I don't care how many they've planned, put in more. And put them in the middle of the wall, not just at floor level.
    Jun 18
    Forum: Ob/Gyn Nursing
  17. Admitting newborn at the bedside
    We have two L&D nurses at each delivery. We only call a nursery nurse if problems are anticipated. Because I like keeping mom and babe skin to skin, I'll usually send the second nurse away once we...
    May 13
    Forum: Ob/Gyn Nursing
  18. Pre-eclampsia & Eclampsia Detection & Treatment 1950's
    In the 60s we were giving IV MgSO4 for pre eclampsia and felt we were really on the cutting edge since many other hospitals were still giving it IM. Five grams in each buttock. A kind doctor would...
    May 13
    Forum: Ob/Gyn Nursing
  19. "true knot"
    I've seen many in my 45 years in OB. They rarely cause a problem. Picture a fire hose: it's limp and floppy until they run water thru it. Then the pressure of the water makes it stiff and difficult...
    Apr 25
    Forum: Ob/Gyn Nursing
  20. L&D not for me?
    Nearing the end of orientation is a scary time for everyone. You will not suddenly be entirely on your own as you are probably imagining. Your coworkers will have your back. It's OK to ask for help,...
    Apr 23
    Forum: Ob/Gyn Nursing
  21. I need confidence!!
    A baby's heart doesn't just stop without giving you warning. Remember that when the rate drops and you start doing what you need to do to get it back up (change position, fluid bolus, stop Pit, give...
    Apr 20
    Forum: Ob/Gyn Nursing
  22. L&D Textbook
    Anything by Polly Perez or Penny Simpkon is really good for labor support. I also like Ina Mae Gaskon, author of Spiritual Midwifery among other things. She's a well known lay midwife and I think...
    Apr 20
    Forum: Ob/Gyn Nursing
  23. The most ridiculous birth plans you've had the pleasure of reading
    When someone comes in with a birth plan, I usually get her. The odder the plan, the more likely I'll get the patient. "Nora, do we have a patient for you!" First, I go over it with the couple. The...
    Apr 20
    Forum: Ob/Gyn Nursing
  24. L&D Textbook
    Go to the AWHONN website. First, you should join because it's always a good idea to belong to your professional organization. Also, you get discounts on books, webinars, classes, etc if you're a...
    Apr 20
    Forum: Ob/Gyn Nursing
  25. 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


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