SC RN RN

Latest Activity

1. I didn't know this actually happened

   SC RN replied to HappyNurse2005's topic in Ob/Gyn

   Not me!!! I teach Prepared Childbirth classes and I tell my class that this is NOT a big deal, and for Pete's sake, please, please, please do not fish it out of the toilet and bring it to L&D with you ... we don't want to see it!!!!!

2. Berated and feeling useless

   SC RN replied to sn07's topic in General Nursing

   Having just recently graduated (15 months ago), I think I can give some perspective here. I always thought of my first year out of nursing school as actually my THIRD year of nursing school. I wanted to continue learning all I could and if it had t...

3. Case of the mistaken stat C/S or my mistake?

   SC RN replied to epiphany's topic in Ob/Gyn

   Out of habit, I always put a pulse ox on the mom to get her heart rate whenever I have even the slightest doubt about who's heart rate I am tracing. Takes only a sec and clear up quite a bit of wondering. On another note, a "flat" heartrate is not r...

4. Coaching my daughter in childbirth

   SC RN replied to mleern's topic in Ob/Gyn

   Mothers can be a wealth of information and support for laboring patients ... as long as you are there for HER, you will be fine. That being said, the majority of problems with moms coaching daughters is when the moms say "well, I never thought it wa...

5. Maternity Ward

   SC RN replied to gemmye's topic in Ob/Gyn

   Well, after a full year of working L&D as a RN, I can say that I rarely tear up anymore unless I've really bonded with the family and the situation is special in some way. What "Maternity Ward" doesn't show you is that the nurse most likely has ...

6. phone protocols

   SC RN replied to babynurse2001's topic in Ob/Gyn

   What do most hospitals do in their OB departments with these types of calls? Our most common call is: Hi, I think I'm in labor. No, my water hasn't broken. Yes, the pain is unbearable. Definitely 10/10. Yes, I'm having one right now (still speak...

7. Directed pushing

   SC RN replied to LauraLou's topic in Ob/Gyn

   JOGNN had a great article on this ... I believe it was the Nov/Dec 2005 issue but I can't seem to find it in all of my piles of magazines right now! It was titled something like "Spontaneous Vs. Directed Pushing" ... fantastic idea ... now if we cou...

8. Pumping to induce labor??

   SC RN replied to Schmoo1022's topic in Ob/Gyn

   One of the main points with nipple stimulation that is being done to induce production of Oxytocin, is that the nipple must be stretched, not just rubbed. The breast pump does exactly this and works beautifully. And mom should stop touching her nippl...

9. Need Help on Postpartum Topic

   SC RN replied to Bekkidee's topic in Ob/Gyn

   Herpes is a great subject for this. And more women than we realize carry the HSV I (yep, the kind usually found on your lip during a cold sore breakout) vaginally. Interesting at what point the mom acquires it (before or during pregnancy) and the e...

10. Male manager of OB

    SC RN replied to Jabramac's topic in Ob/Gyn

    Our OB manager (both asst managers and head honcho) have many, many years of OB experience. When they are on the unit, they should be able to look at a FHR tracing and understand why the patient is going for a section or why the patient is now one-t...

11. Applying Oxygen when O2sat is 99% on RA

    SC RN replied to SC RN's topic in Ob/Gyn

    Okay, so I think we've come got two things going here: 1) If the patient shows an O2 sat of 99%, it may not actually be so (inaccurate reading of a finger pulse ox), so additional oxygen makes up for any deficiency. Thus, the reasoning behind applyi...

12. Applying Oxygen when O2sat is 99% on RA

    SC RN replied to SC RN's topic in Ob/Gyn

    I've done some more reading and research and I'm still in need of more info. Here's where I am at: If mom has an O2 level of 99% then her hemoglobin is carrying 99% of its potential capacity. The only way the fetus gets oxygen (since we can't put a ...

13. Applying Oxygen when O2sat is 99% on RA

    SC RN replied to SC RN's topic in Ob/Gyn

    OKay, I guess I am just being dense about this subject. Just looking for facts to back up my thoughts. Thanks for your help and input! :)

14. Applying Oxygen when O2sat is 99% on RA

    SC RN replied to SC RN's topic in Ob/Gyn

    Ah yes, forgot to mention that I also turned the pit off and provider was notified, as well (we'd been on the phone off and on for 20 minutes). I do understand the theory behind putting 02 on the mom for the baby's benefit ... but still do not unders...

15. Applying Oxygen when O2sat is 99% on RA

    SC RN posted a topic in Ob/Gyn

    I've spent the last few nights pondering this question ... let's use a "hypothetical" patient: Primip, induction (cytotec X2 then Pitocin), Pit is up to 6mu, FHR baseline 140-150bpm with average variability and accels up to 175, UC's q 3-6 minutes, ...