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Search Results Type: Posts; User: Elvish

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  1. Chloraprep for C-sections
    Sterile gloves and same application area as klone mentioned. We do it twice.
    Sep 30
    Forum: Ob/Gyn Nursing
  2. Blood sugar guidelines for neonates
    Our standing orders are to check glucose for <2500g or >4000g regardless of gestation, anyone <37 weeks regardless of weight, or any IDM. If above 40, we don't do any more unless symptomatic. If...
    Sep 30
    Forum: Ob/Gyn Nursing
  3. Do you always keep emergency meds on hand for deliveries?
    Cytotec, yes. Methergine and Hemabate, no. I'm baby nurse at deliveries....I have my little system of blanket setup, but will now incorporate a shoulder roll. Thanks, klone!
    Sep 30
    Forum: Ob/Gyn Nursing
  4. Waiting for Labor to start on its own strongly recommended (no surprise here):
    People don't appreciate how much brain growth goes on those last few weeks.....and that immature brain can lead to all sorts of other problems, both immediately and later on. There is a reason...
    Sep 26
    Forum: Ob/Gyn Nursing
  5. thermoregulation in the neonate
    I wouldn't have bathed him at 97.2, personally. I'd have kept him skin to skin or under the warmer. We don't bathe anyone under 6 hours old unless there are extenuating circumstances (example, mom is...
    Sep 25
    Forum: NICU Nursing / Neonatal
  6. variable decels...Thoughts?
    In 9 years of antepartum nursing, I've learned to not get too wigged out by the occasional variable. God only knows what those PPROM kids are doing with their cords in there. (TBH, I'm surprised more...
    Sep 22
    Forum: Ob/Gyn Nursing
  7. When a Mom Miscarries
    I've had an early miscarriage as well, 6ish weeks. Four years down the road (mine was 8/24/10), I can look back and say it is one of the weirdest kinds of pain to have to explain to people. I had...
    Sep 22
    Forum: General Nursing Discussion
  8. If you accept a job, stay at least a year
    I went to work med-surg directly out of school. I worked full-time for nine months, at which point I went PRN to go work my 'dream job'. I didn't want to ditch my first employer totally, but I'd have...
    Sep 16
    Forum: Nursing and Professionalism
  9. The best excuses for positive drug screens
    I have never had a parent refuse infant testing when I explain exactly what can happen during withdrawal from certain types of drugs. I don't hide things from parents or lie to them about it. Many of...
    Sep 3
    Forum: Ob/Gyn Nursing
  10. Lynda Van Devanter - A True Hero
    Also read this book one summer between years of college. Its honesty and raw portrayal really moved me.
    Sep 2
    Forum: General Nursing Discussion
  11. Things you'd LOVE to tell coworkers...and get away with it!
    Agreed. I'm in the South. Everybody uses it and nobody bats an eyelash. Now, for what to say to my coworkers? They are called Big Girl Panties. Put them on.
    Jul 21
    Forum: Nurse Colleague / Patient Relations
  12. Rhogam eval draw time
    We have to administer Rhogam within 72hrs after delivery. We have Rhogam studies drawn at whatever time is reasonable for the patient that will also allow us to get her Rhogam in her within that time...
    Jul 15
    Forum: Ob/Gyn Nursing
  13. The best excuses for positive drug screens
    I've always wondered exactly how many poppy seeds/muffins one would have to eat to pop a + opiates; knowing my rotten luck I'd be one of those slow metabolizers that would be + on Saturday for a...
    Jul 3
    Forum: Ob/Gyn Nursing
  14. The best excuses for positive drug screens
    We test when there is PTL or an abruption. We aren't required to get a consent before testing, but in practice I tell the patient what I need the urine for and why. I've never had anyone refuse, but...
    Jul 3
    Forum: Ob/Gyn Nursing
  15. Certification
    I would probably do either low-risk neonatal or maternal-newborn.
    Jun 29
    Forum: Ob/Gyn Nursing
  16. Mom jailed for refusing to feed her infant proper formula
    Do you mean soy milk or soy formula such as Prosobee? (asking for the sake of clarity.)
    Jun 29
    Forum: Ob/Gyn Nursing
  17. Inducing vs. Waiting
    Unless there is a medical reason to do it - pre-E, chorio (in our PPROMers), cholestasis, etc. - then no, I wouldn't recommend an induction. Even the post-dates ones seem silly at just a hair past 40...
    Jun 29
    Forum: Ob/Gyn Nursing
  18. Mom jailed for refusing to feed her infant proper formula
    I read the statement you quoted to mean that a baby eating a vegan diet is not appropriate, not a breastfeeding mother eating vegan. Veganism and breastfeeding are (as you stated) very much...
    Jun 29
    Forum: Ob/Gyn Nursing
  19. NRP?
    Where I am they give you a certain amount of time in which to get your NRP cert. They don't expect you to have it when you're interviewing unless you've already worked in the specialty (which you...
    Jun 22
    Forum: Ob/Gyn Nursing
  20. Infant Thermoregulation
    Assuming the infant is term, healthy, dry, and properly covered away from drafts, they should be able to thermoregulate pretty much from birth. If they're cold it indicates that something is off....
    Jun 5
    Forum: Ob/Gyn Nursing
  21. A nurse who doesn't breastfeed
    I have several nurse coworkers who either had to supplement (diagnosed insufficient glandular tissue) or who never put baby to breast at all. Personally I loved breastfeeding (and hated pumping) and...
    Jun 1
    Forum: Ob/Gyn Nursing
  22. Opening new unit
    Tubs? If the unit has already been constructed (or if you already have them) it may be a moot point, but if you don't have them and they are willing to redo a couple bathrooms that could make labor a...
    May 29
    Forum: Ob/Gyn Nursing
  23. Short Circuit: Supraventricular Tachycardia for the Novice PICU Nurse
    One of the scariest NICU transfers I was ever a part of was an 18hr old newborn in SVT. Two doses of adenosine later he was back in NSR and obviously cards followed him after d/c.
    May 28
    Forum: PICU Nursing / Pediatric
  24. Couplet care/ discharge nurse/ baby friendly
    We routinely do 4 couplets. As with anything there are days when its all hunky dory and days when you can't pee, eat, or sit down all day. What I would love is someone to just go around and make sure...
    May 26
    Forum: Ob/Gyn Nursing
  25. What do NICU nurses consider "viability"?
    I know NRP says 23 weeks, but after seeing a 23-weeker be coded, I think my personal cutoff would be more like 26. Obviously a lot would depend on what happens at delivery, but if I'm honest I'd much...
    May 22
    Forum: NICU Nursing / Neonatal


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