vandermom

vandermom has 42 years experience and specializes in L&D, NICU, PICU, School, Home care.

Latest Activity

1. Hyperemesis Gravidarum PICC line

   vandermom replied to vandermom's topic in Ob/Gyn

   Do you know if they ever do subq raglan. It seems to work better for her.

2. Hyperemesis Gravidarum PICC line

   vandermom replied to vandermom's topic in Ob/Gyn

   The doc told her they would cause clots that could she or the baby could die. She was home with the PICC still needed to come to hospital but much less frequently.

3. Hyperemesis Gravidarum PICC line

   vandermom posted a topic in Ob/Gyn

   Pt with horrible hyperemesis still at 31 weeks. Lytes (esp potasium) abnormal. IV sites are non existent so PICC line placed. She did better when able to get meds before emesis gets worse. We were getting conflicting info from other docs that fr...

4. post partum hemorrhage medications

   vandermom replied to LnDPPRN's topic in Ob/Gyn

   We have 2 PPH "kits" available. One in med fridge and one in tackle box with all admin supplies. Often the Doc is gone 30min after the delivery (small rural hospital). We start treatment with fluids and Pitocin while Doc is being called.

5. Tips for doctors

   vandermom replied to MedGuy123's topic in General Nursing

   Developing the ability to dictate fast is impressive( though I'm not sure how the transcriptionist feels). PLEASE DO NOT use that skill when you give me telephone orders. I need clear precise orders with all the parameters (drug, dose, route, frequen...

6. Any tips for "spasmy" veins? Also, PIVs on chemo pts?

   vandermom replied to RunBabyRN's topic in Infusion

   Where has this video been for the last 42 years. We use 18 gauge 1 1/2 inch and valves are a HUGE problem. Thank you so much for sharing and I'm sure my next patient will also.

7. Quiet initiatives - what has worked for you?

   vandermom replied to thisistheday's topic in Critical

   I work on a small Birthing unit. We cancel call bell in the station immediately then walk to the room. Makes for less noise in the hall and no echoing voices in the room especially for room that the patients are opposite sides of the same wall. In...

8. Charge and Resus --How does your facility do it?

   vandermom replied to HopefulRN2010's topic in NICU

   We are a small rural hospital with only a level one nursery. All of the OB nurses are NRP certified and there is an RN dedicated to each delivery vag or C/S. If there are any risk factors present (meconium, gest diabetes, prematurity etc) then a pe...

9. Nursing Salary Survey 2014

   vandermom replied to TheCommuter's topic in General Nursing

   Upstate New York 27.50/ hr OB all aspects RN Diploma in Nursing / NCC certification EFM 42 full-time 7p - 7a yes. $1.25 from 7-11p then 1.50 11-7a no

10. Patients Passing Stools During Labor

    vandermom replied to MichaelBasic's topic in Ob/Gyn

    If you have a patient who is often verbalizing she hopes she doesn't poop pick up on this anxiety and offer her a fleets enema. Sometimes, when doing a vag exam, you can feel stool in the rectum. Again if pt has made mention of this fear offer an e...

11. Anyone here start in OB as new grad?

    vandermom replied to brittykbritt's topic in Ob/Gyn

    Ok... 41 years later I am still an OB nurse. Started as a new grad in 1972. I orient new staff on the night shift and love new grads. They are usually hungry to learn and most of all have not developed bad habits. You never know what will happen...

12. mother-baby RN role in infant suctioning

    vandermom replied to Awhonnwishes's topic in Ob/Gyn

    Immediately after suctioning is not really the best time to check a O2 sat. Give the babe a minute to recover. You can listen to each nostril to evaluate airflow and use a #10 to suction a blockage. Give the babe time to rest between suction metho...

13. What's the weirdest baby name?

    vandermom replied to teresab_2000's topic in Ob/Gyn

    Lately it has not been the weird names but the strange spellings of common names... Jaysyn for example... I keep my mouth shut when I want to say... do you want ppl pronouncing and spelling your childs name incorrectly for all of his life????

14. Where is money wasted in healthcare?

    vandermom replied to country mom's topic in General Nursing

    Fill the "RED BAG" with non truly biohazard waste. It is not necessary to place every chux or dressing in those containers... they should soaked to qualify (known infectious excluded). If a red bag is he closest thing available then it is used fo...

15. Has Anyone Ever USED Their Malpractice Insurance?

    vandermom replied to pagandeva2000's topic in General Nursing

    I have had NSO insurance since 1969 when I entered nursing school. Lucky enough (and careful to CYA) to never need it. Feel great knowing that it is there should I need it. I don't broadcast I have it.