Jemma

Latest Activity

1. Postpartum Sleeping Pill

   Jemma posted a topic in Ob/Gyn

   What kind of sleeping pill is being ordered for your moms after delivery? We have used Dalmane 30mg prn for years- pharmacy is suggesting to switch to Ambien.

2. Surrogacy Policy

   Jemma replied to Jemma's topic in Ob/Gyn

   In this case the intended parents are the genetic mother and genetic father.

3. Surrogacy Policy

   Jemma posted a topic in Ob/Gyn

   We have a surrogate mother giving birth to twins due next month- the parents of the baby will be present to care for the babies, sign consents, etc. What are others policy on the ID bands on the babies? Do we band them with the birth mother or band t...

4. Assessment of FHR during second stage of labor

   Jemma posted a topic in Ob/Gyn

   Looking for others policy on documentation of FHR during second stage of labor (with urge to bear down) if on continuous fetal monitoring- one source states "FHR must be evaluated every 5 min" Do others document a FHR every 5 min on the record? If no...

5. JCAHO & Labeling Medications

   Jemma posted a topic in Ob/Gyn

   JCAHO standard says all medications poured into another container on a sterile field must be labeled-- how are others addressing this with local on Delivery Room tables? On our department local is only poured to a sterile med cup on the table for the...

6. epidural management postpartum

   Jemma replied to KKRJJ's topic in Ob/Gyn

   We are getting ready for JCAHO survey and another nearby hospital said the surveyors were requiring documentation specific to recovery after epidural. I don't understand why- if has been discontinued,is it any different from routine recovery after d...

7. JACHO survey

   Jemma posted a topic in Ob/Gyn

   Has anyone been through a recent JACHO survey. Wondering what their focus is for OB units? Anything anyone could share about their survey would be appreciated. Thanks

8. Pitocin protocol for Inductions

   Jemma posted a topic in Ob/Gyn

   What are others doing?- What is your concentration? What is your starting dose? How often is it increased? What is your maximum dose? Does anyone use a premixed bag? If so, what is the concentration?

9. Labeling Pitocin

   Jemma replied to Jemma's topic in Ob/Gyn

   We went through a mock survey with the new tracer method- it's going to be quite different from the past. Please let me know how your survey goes. One thing that came up was having the pharmacy mix the Pitocin for inductions/augmentations. Does your ...

10. Labeling Pitocin

    Jemma posted a topic in Ob/Gyn

    We recently had a consultant visit to help us prepare for a future JCAHO visit. One important focus is Medication Management- she said it was necessary to mark (on the label ) every time a change is made in the dose (titration) of an IV medication - ...

11. Epidural & post-op pain management

    Jemma posted a topic in Med-Surg

    How are others caring for post-op patients with epidurals? Nurse to patient ratio? Are patients on any electronic monitoring? Are these patient on the general surgical floors? Before removal of epidural, are others getting Duramorph? Any complication...

12. Drug testing Labor patients

    Jemma posted a topic in Ob/Gyn

    Just wondering what protocols are used in determining which patients are drug tested in your labor rooms. Do you inform the patient that the test is going to be done? What is the usual followup with the newborns if the mom has a positive drug screen...

13. When Halloween Costumes Go Bad

    Jemma replied to BBnurse34's topic in Humor

    I have nurse buddy that is an elvis fan - How can I email her that attachment? What a hoot!

14. Measuring Productivity in L & D

    Jemma posted a topic in Ob/Gyn

    For years the productivity of the L & D in our unit has been only measured by # of deliveries- not taking into account length of time in labor room or acuity of patients ( inductions, MagSo4, etc.) With budget controls getting tighter and tight...

15. acoustic stimulation

    Jemma replied to 10cm's topic in Ob/Gyn

    We use acoustic stim during NST's. Policy says 2 stims at least 1 minute apart. Also used occassionally during labor to induce an acceleration if unsure of sleepy baby vs. nonreassuring strip.