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Search Results Type: Posts; User: Elvish

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  1. Ebola in the pregnant patient
    I went back and reread my mgr's email to be sure I'm not lying to you. The way I read the email is that fever + travel = hazmat and isolation. I'm Nursery/NICU and go to all the deliveries, so I'm...
    Oct 18
    Forum: Ob/Gyn Nursing
  2. Ebola in the pregnant patient
    The plan at my place is to do a similar screen and if they meet the fever + travel criteria, they go to a designated area of the ICU which has negative pressure rooms and the most air exchange of any...
    Oct 17
    Forum: Ob/Gyn Nursing
  3. Saw an angry clinical instructor...
    Bortaz, I would definitely go above her head. If she is acting this unprofessionally, she needs to be reined in by someone who has some authority over her. I'd find out both the clinical site...
    Oct 13
    Forum: Nurse Colleague / Patient Relations
  4. Miss Manners for Nurses
    I've gotten compliments from multiple people on both my kids' manners (my boy is 10, my girl is 3). I don't blame disintegrating manners on young people, I blame it on their parents.....most of the...
    Oct 11
    Forum: Nurse Colleague / Patient Relations
  5. Waiting for Labor to start on its own strongly recommended (no surprise here):
    We do several inductions a day, 2-3 AM and 3 PMs are our max. Most of them end in vag deliveries, but we have a hard and fast rule about medical reasons. Our c/s rate is under 12%, one of the top 10...
    Oct 11
    Forum: Ob/Gyn Nursing
  6. "She'll put your butt in a nursing home."
    I used to work in community health and parents used to use "nurse will give you a shot" ALL THE TIME. Pizzed me off so much. I'd stop what I was doing, get down on the kid's level, and say, "We never...
    Oct 10
    Forum: General Nursing Discussion
  7. Patient satisfaction or patient dissatisfaction
    When I had my daughter 3+ years ago (not the hospital where I work) I got a Press-Ganey. When I got to the question about the patient's perception of whether the doctor/nurse knew what s/he was...
    Oct 8
    Forum: Nurse Colleague / Patient Relations
  8. Phenylalanine testing...once or twice?
    You got me curious, so I looked up my state's requirements. North Carolina State Laboratory Public Health - Newborn Screening Very interesting to see the variation. It's also interesting to...
    Oct 6
    Forum: Pediatric Nursing
  9. Blood sugar guidelines for neonates
    I can't speak to your specific situation but sometimes if we get a baby that weighs significantly more than expected (in other words, LGA) we suspect GDM that had a later onset and wasn't picked up...
    Oct 4
    Forum: Ob/Gyn Nursing
  10. Phenylalanine testing...once or twice?
    The only time I've seen multiple ones be drawn on well babies is a) problem with the initial sample, such as insufficient blood on the paper; or b) Mom has a known case of PKU/galactosemia etc. I've...
    Oct 4
    Forum: Pediatric Nursing
  11. Phenylalanine testing...once or twice?
    Most kids in our place get one screen once they're over 24 hours old (assuming well-baby here). If parents refuse it in hospital or there is a need to redraw, the peds office can do it. Reality...
    Oct 3
    Forum: Pediatric Nursing
  12. Hepatitis A - not so easy to diagnose?
    The only kid I've ever seen w/ Hep A was brought in by his mother with an enlarged liver and the most orange skin and sclera I've ever seen. Drew a hepatitis panel, bilirubin, and LFTs, and voila!
    Oct 1
    Forum: Infectious Disease Nursing
  13. Neopuff and pressures. Looking for basic simple instructions.
    When we do neopuff during a resus, we do PIP 20, PEEP 5. STABLE class backs this up. I've become a big fan of neopuff since being baby nurse at deliveries. We still keep an ambu bag around, but...
    Oct 1
    Forum: NICU Nursing / Neonatal
  14. Chloraprep for C-sections
    Sterile gloves and same application area as klone mentioned. We do it twice.
    Sep 30
    Forum: Ob/Gyn Nursing
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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: Nurse Colleague / Patient Relations
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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


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