Cervidil placement

Sorry, can't help you here. The physicans place the Cervadil here - as well as the IUPCs and FSEs.

The nurses at my old hospital placed cervadil, but I never did, as we had gone pretty much to all cytotec. I had a cervadil induction with #2 10 years ago, and the nurse placed it. Guess this isn't all that helpful, lol.

Placing Cervidil has not been one of my stronger points either. The first few I placed promptly fell out in the toilet the first time my patient got up to the restroom.....I've gotten better at it since, but I still am never quite sure if it's in the absolute proper position or not. And it does tend to displace when you remove your fingers. I just do the best I can and take my time as long as patient is tolerating it OK. I think as long as it's somewhat close to the proper position, you'll be fine.

We place them at my hospital. We also all place FSE's. Most of us also do IUPCs, but you have to be checked off on that first (I haven't yet). Anyway, with Cervidil, it's supposed to be placed behind the posterior fornix, but anywhere next to the cervix (not in) is fine. First I check the patient (with a different set of gloves) in order to find out where he cervix is, and if she actually needs Cervidil. Before placing, I always bend the Cervidil once to help release prostaglandin. The Cervidil is straight up and down as I start to place it (where I originally found cervix). Then, I turn it sideways, once I've found where I want it placed. After placement, I ALWAYS tuck the string in the lady parts. It is much harder to tuck the string in because the blasted thing tends to get stuck on your finger as you're trying to tuck it in. However, it is well worth it if you can because they rarely fall out this way. After this, I do one more SVE to check placement of the Cervidil, and instruct my patients to only pat dry when they use the restroom. I'm a newer nurse, so I've only placed about 30? Cervidils, but I've only had one fall out. Half of my Cervidils go into labor during the night with a lot of cervical change. The others tend to change minimally if at all. They usually all c/o cramping at about 0300, so I trust my placement. LOL!

does anyone know what the alabama board of nursing says about rn's placing cervidil or cytotec for inductions?

thanks:)

yes, and i can't find anything. so i have an email into them.

thanks