Buggs

Buggs has 19 years experience and specializes in M/B,L&D,NBN,PEDS,CHN.

Latest Activity

1. Do all hospitals share commonnursealities

   Buggs replied to PattonD's topic in Ob/Gyn

   Nothing is wrong with following orders, that is a basic role of the nurse. Just don't call me disobedient, like a child. Bad choice of words, in my opinion. To not follow MD orders is a serious issue, were you really saying that the nurses were bus...

2. Do all hospitals share commonnursealities

   Buggs replied to PattonD's topic in Ob/Gyn

   I must say I found much of your post to be OFFENSIVE. Most of us don't refer to our patients as "hogs". I have found that my co-workers are eager to lend a hand to their peers if one nurse is having a more challenging assignment than others. We don...

3. tomato/tomahto?

   Buggs replied to fourbirds4me's topic in Ob/Gyn

   The only folks I have heard say "sonometer" were nurse midwives, thought it was maybe a "cultural" thing. Either way, we all know what is being referred to. Now to get off topic--what about the varying use of abbreviations--of course most not appro...

4. mag sulfate bolusing

   Buggs replied to Buggs's topic in Ob/Gyn

   I'm in upstate NY. Worked in Delaware and NJ where the Mag seemed to more closely monitored. Thanks for the input. Creating change is not an easy task and I'm not really sure where to start. I just hate to not see it change til a bad outcome.

5. mag sulfate bolusing

   Buggs replied to Buggs's topic in Ob/Gyn

   Did some checking...the bolus is done over a half hour (4gms) and vs are done q 15 min during bolus. fetal monitoring only if pt is contracting(Mag for PTL vs PIH) Seems no one but me is concerned with carrying a full M/B assignment and doing a Mag ...

6. mag sulfate bolusing

   Buggs replied to Buggs's topic in Ob/Gyn

   We don't do pulse ox routinely on Mag pts. We do check O2 sats on our C/S with all their VS. Seems our monitoring of C/S pts have become more frequent since there was a bad outcome with a surgical pt on another floor and since a c/s is post-op they...

7. mag sulfate bolusing

   Buggs replied to Buggs's topic in Ob/Gyn

   We do q 1hr VS, DTR's,I/O on PP pts, on AP PIH also Q1, FHR q 4. I think q4 for the "stable" PTL AP on Mag.

8. mag sulfate bolusing

   Buggs posted a topic in Ob/Gyn

   I work on a Mother/Baby Unit. We do take care of many Mag sulfate pts--usually PP with PIH. Very rarely AP's on Mag. The Mag is USUALLY started in L&D. But at least 2-3x in the last year I have heard co-workers who have bolused the pts on the...

9. driving after birth

   Buggs replied to paintedbison's topic in Ob/Gyn

   In the past we always taught, and it was printed on most of the individualized MD instructions to avoid driving for 2 weeks. Verbally I reminded moms of their blood loss and changing body along with sleep deprivation, that MAY lead to an increased r...

10. Bilichek help

    Buggs replied to JenTheRN's topic in Ob/Gyn

    We use the TCB on all our babies at the time we draw their newborn screenings. The babies of vag deliveries are usually 24-36 hrs old, and the c/s babes are usu. @ 48hrs old. (We do the screens on night shift just before their discharge in the am. ...

11. Nurse ratios & comfort with high risk meds

    Buggs replied to kathiecnm's topic in Ob/Gyn

    On the PP unit we do hourly checks on our Mag pts including VS, DTR's, UO. They are not on any monitors. If they are an AP pt w/PTL on Mag vs PIH, on the PP unit, the MD's sometime order q4hr VS. Against my better judgement nurses w/ pts on Mag on...

12. patient ratios?

    Buggs replied to MIA-RN1's topic in Ob/Gyn

    Coop, I feel your pain--I am your co-worker. Thank you for bringing our issues for input on a larger scale. We must take action together. Collecting data from others gives us support in our quest for improved conditions. Please don't give up yet....

13. Nurse to Couplet Ratio?????

    Buggs replied to aimeeRN's topic in Ob/Gyn

    mjlrn97, I want to work where you do. How come your hospital can support staffing like that and not go under, and mine can't? Maybe my management is to blame. Imagine that! I think I want to move to your town. If anyone from your board of direct...

14. Need advice/help w/bad situation!

    Buggs replied to gypsyatheart's topic in Ob/Gyn

    I am sorry for you, unfortunately sounds like the nightmare around here. I feel like nothing will change untill something bad happens. The government needs to step up and make more laws to protect the patients because the hospitals are not doing it...

15. Nurse to Couplet Ratio?????

    Buggs replied to aimeeRN's topic in Ob/Gyn

    Unfortunately there is no law in NY regarding nurse-pt ratio numbers. On our 16 bed LDRP wing the typical assignment is 6-7 couplets, if you only have 4, you ususally have a cytotec pt that is awaiting induction, or an early labor. The techs don't ...