RMH

Latest Activity

1. MRSA Question

   RMH replied to kellijojo's topic in General Nursing

   MRSA is a big topic now adays my advice is to talk to her hospitals infection control nurse. RH

2. cytotec for post partum bleeding

   RMH replied to RMH's topic in Ob/Gyn

   Thank You for the info. I've been trying to get our docs to use it because of the info from here. We finally did use it last week...It didn't work, but neither did hemabate or methergine..The poor girl had an partially inverted uterous....(not from...

3. cytotec for post partum bleeding

   RMH posted a topic in Ob/Gyn

   sorry for the repeated topic, but with the new format here I can't find the information I need. What is the dosage for for rectal cytotec? Please help!!!

4. and the problem is..........?

   RMH replied to marcicatherine's topic in Emergency

   How about...I've had this "problem" for 2 weeks and it isn't getting any better. Are you taking any medications?.....Yes the doctor put me on Keflex. When?.....yesterday You saw him yesterday?...Yes, but I'm not better Duh!!!! Or...I have this "pro...

5. Your last day in the ER

   RMH replied to teeituptom's topic in Emergency

   This is a liittle off the subject, but it really gets to me when people come in complaining of a HA, sore throat, a cough, or any number of other complaintsand when you ask them if they have taken anything, they say no! "Not even tylenol?" They ans...

6. L&D On Call

   RMH replied to CIVICgalz's topic in Ob/Gyn

   I work in a very rural, small hospital. We do about 100/year. We pay on-call whenever there isn't an OB nurse in house, or when we know there is someone in prodromal labor. We pay 3.00/hour and it is voluntary but would like all to help. When cal...

7. Be careful!

   RMH replied to Mimi2RN's topic in Ob/Gyn

   A safety pin for what......?

8. ephedrine for low BP

   RMH replied to mark_LD_RN's topic in Ob/Gyn

   We usually call the CRNA, he'll give the 1st dose and instruct on subsequent doses for nursing to give, if necessary.

9. getting consents for epidurals

   RMH replied to seanymph's topic in Ob/Gyn

   We always have the consent and anesthesia questionaire signed prior to the CRNA arriving. We then give him any pertinent info and he will always ask the patient if she has any questions before starting. It's just like have and surgical consent form...

10. Vag exams

    RMH replied to MidniteLaborRN's topic in Ob/Gyn

    Practice, practice, practice. And practise consecative exams, to feel changes. Patients with epidurals are the best...I've given people examples of what different cervixes feel like. ie. a role of tape is 2-3 cms, thick. A small rubber band is 5...

11. I had my daughter - VBAC c induction

    RMH replied to Anagray's topic in Ob/Gyn

    Congratulations...Epidurals are wonderful!! And VBACS definately have there place. I had 1 14 years ago, no problems, other than it wasn't by choice..I had wanted to have a repeat c-secton.

12. Cytotec for Inductions

    RMH replied to SteelTownRN's topic in Ob/Gyn

    We just recently started using it instead of cervadil, mainly because it is a lot cheaper. Our policy and dosing is simillar to Smiling Blue Eyes. It seems to work well for cervical ripening and about 1/2 the time we never have to go on to Pit. Bu...

13. How is your unit managed?

    RMH replied to layna's topic in Ob/Gyn

    We have supervisors, one for each shift, then a nurse manager that oversees med-surg, OR, and OB. The supervisors help with hiring, disipline, scheduling, etc. We do not have a patient load, but will pitch in when necessary. I guess we have the be...

14. PKU Testing: Do you do your own or does Lab do it?

    RMH replied to layna's topic in Ob/Gyn

    Ok a day late, but...the state charges us 59.00 for reading the test. We do not bill the patient directly. It's suppose to be a part of our "OB" rate. Ha!Ha! What that really means is we write it off... RMH

15. How many staff members attend a delivery??

    RMH replied to tamrnmomof4's topic in Ob/Gyn

    1 nurse and the MD..Not counting the patients coach. A couple of years ago we realized that there are times when problems arise and you need help and yelling is just not the answer, so we put a phone next to the isolette. :) If we expect a problem ...