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Search Results Type: Posts; User: NurseNora

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  1. L&D nurses - I need your help
    AWHONN.org has an on line Basic Fetal Monitoring course. As our professional organization, I believe that AWHONN's courses are very relevant to our practice.
    Jan 19
    Forum: Ob/Gyn Nursing
  2. Week 11 of orientation... Lack of confidence :(
    Ask to sit in on some preparation for childbirth classes to learn about some helpful coaching skills. I forgot to mention that one.
    Jan 14
    Forum: Ob/Gyn Nursing
  3. Week 11 of orientation... Lack of confidence :(
    What does your preceptor see as areas where you really need improvement? What are you doing well? Ask her if she hasn't told you. If it's just time management, you'll get it with time and experience....
    Jan 14
    Forum: Ob/Gyn Nursing
  4. ED to LDRP - advice, please!
    Join AWHONN (Association of Women's Health, Obstetrics, and Neonatal Nurses). It's our professional organization and a wonderful source of educational materials, at a discount for members. Check out...
    Jan 11
    Forum: Ob/Gyn Nursing
  5. New labor and delivery nurse!! Tips/advice/stories wanted ;)
    And remember that fetal monitor paper in the US runs at 3cm/hr, so it's 3cm between the dark lines.
    Jan 10
    Forum: Ob/Gyn Nursing
  6. G1PO INDUCTIONS
    AWHONN recommends not doing elective inductions before 39 weeks. My hospital had a doc very like this one (I've seen him do amniocentesis for lung maturity for elective inductions) who actually left...
    Jan 10
    Forum: Ob/Gyn Nursing
  7. L&D STAFFING--info needed!
    [QUOTE=EmilyJCNM;8814632]Reviewing L&D Staffing, please fill out the following. THANK How many Births do you do each year? 900 How many RNs do you staff on day shift including charge?...
    Dec 10, '15
    Forum: Ob/Gyn Nursing
  8. Fetal demise
    A lot can be addressed in your discharge teaching. When you're talking about dealing with breast engorgement, especially if she was planning to breast feed, an opportunity may arise. It will arise...
    Oct 15, '15
    Forum: Ob/Gyn Nursing
  9. Cytotec and FHR...what would you do
    You're all right, I misspoke. I meant to say "previous baseline."
    Jul 2, '15
    Forum: Ob/Gyn Nursing
  10. Vaginal Exams
    Remember that the dark lines on the fetal monitor paper are 3cm apart.
    Jul 2, '15
    Forum: Ob/Gyn Nursing
  11. Cytotec and FHR...what would you do
    What's the patients temperature? What's the activity level of the fetus?if it's between 9pm and 1am, it's probably baby's aerobics time and it'll come back down when baby quiets. I still wouldn't...
    Jun 28, '15
    Forum: Ob/Gyn Nursing
  12. Neonatal assessment team
    All our labor nurses are NRP trained. Second nurse is one of these labor nurses unless high risk for some reason, then NICU nurse and NNP present for assessment and stabilization. If baby is stable I...
    May 20, '15
    Forum: Ob/Gyn Nursing
  13. Urgent Csection
    If the counts don't agree, you get an X Ray. That's all there is to it. Since you were doing it for bradycardia, the doc could have called it an emergency and done it without counts at all, and then...
    May 20, '15
    Forum: Ob/Gyn Nursing
  14. L/D RN learning to scrub for c/sec
    when I first was taught to scrub, I had to go to the OR to learn. I thinkOR technique is best taught in the OR. Since sections are done in L&D, the basic technique is done on routine abdominal cases,...
    May 4, '15
    Forum: Ob/Gyn Nursing
  15. Overcrowding in L&D
    We've canceled elective inductions and scheduled repeat sections, sometimes even turned off the Pit and discharged inductions that have been started but not kicked into labor yet. I've also had women...
    May 4, '15
    Forum: Ob/Gyn Nursing
  16. Bedside report in labor and delivery
    Be careful about letting the patient sleep. Too many nurses in my unit used that as an excuse to not do report at the bedside, so now bedside report is done on everyone, awake or asleep. We just warn...
    Apr 10, '15
    Forum: Ob/Gyn Nursing
  17. Cremation services for fetuses (>20 EGA). I swear there's a question in here. : )
    We only offer free cremation for less than 20 weeks and the family doesn't get the remains back.
    Apr 7, '15
    Forum: Ob/Gyn Nursing
  18. Do you have an OB in the hospital 24/7?
    I spent 30 years working in big city, high risk, teaching hospitals where the nurse had to fight her way thru the med students, interns, residents, and attending a to get to her patient. When I moved...
    Apr 7, '15
    Forum: Ob/Gyn Nursing
  19. totally missed vaginal exam
    It happens to everyone. Practice is the only remedy. But from time to time you'll make mistakes once your seasoned too. I still do.
    Apr 7, '15
    Forum: Ob/Gyn Nursing
  20. Learning FHR interpretation
    I'd say 175 with decelerations. When you're not sure, it's safest to err on the safe side. Turn off or down the Pit since you have 5 contractions in about 8 min. Change position and give a fluid...
    Mar 31, '15
    Forum: Ob/Gyn Nursing
  21. Transiting from OR to L&D
    Pull out your text books and start reading up. You'll get an orientation, you're not expected to know it all when you start. OR experience is helpful in L&D. Does your hospital do sections in the OR...
    Mar 7, '15
    Forum: Ob/Gyn Nursing
  22. Titrating Oxytocin
    As the previous poster mentioned, it's more than 5 contractions in 10 min averaged over 30 min. So if you have a 10 min period with 6-8 contractions, look at the previous 20 min. If you have 15 or...
    Mar 7, '15
    Forum: Ob/Gyn Nursing
  23. Finding PMI for Continuous FHR Monitoring
    AWHONN has an Intermediate Fetal Monitoring course that includes practice doing Leopold's. It's suggested for nurses with 6 months L&D experience, so you're just ready for it. Go to AWHONN.org to...
    Mar 7, '15
    Forum: Ob/Gyn Nursing
  24. Estimating Lochia
    For "standardized" all I can think of us to weigh the pads before and after use. One gram is about one cc of blood. California has a very extensive program on preventing postpartum hemorrhage....
    Feb 5, '15
    Forum: Ob/Gyn Nursing
  25. Run-in with a doctor
    Learn the difference between assertion and aggression. It took me a long time to work that one out. No matter how rude or offensive a physicians behavior, he/she still deserves to be treated with...
    Jan 2, '15
    Forum: Ob/Gyn Nursing


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