dnellnelson

dnellnelson

Inpatient OB

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About dnellnelson

dnellnelson specializes in Inpatient OB.


Labor and Delivery RNC 20 years

Latest Activity

  1. Typical rate/dosage pitocin after C-Section

    Our perinatologist has instituted a new pp pit protocal over the the last year or so. 40 units of pitocin in 500 cc D5LR to run in wide open after a c-section. 30 units in 500 cc D5LR over 30 minutes for SVD. It seems we have seen an increase in our ...
  2. e-mar scanning in PACU

    EMAR is a decent application in world where most of the meds are scheduled and non emergent. It also helps to have a pharmacy staff adequate enough to meet the demands EMAR puts on that department. I work in L and D and in our OB ER. Our patients fly...
  3. Anyone here an RNC?

    I think the process of maintaining the certification with CEUs helps a professional nurse keep current in her profession. The certification is not a way of saying you are smarter than anyone else but that you, by experience and knowledge obtained alo...
  4. Anyone here an RNC?

    I obtained my OB certification this spring. I did it for self fullfillment. Our hospital paid for the exam and gave us a 500.00 bonus. Now our facility is launching a professional ladder that includes a 2500.00 bonus but you must be have your RNC bef...
  5. What is your policy for scheduling inductions?

    Refusing to admit truly elective procedure on a busy day should be carried out as a last resort. You have to maintain patient safety. I would hate to see someone throw a temper tantrum to get "one more" elective procedure added to an already chaotic...
  6. What is your policy for scheduling inductions?

    How many MB beds do you have? Do you have a triage, if so how many patients come through there per month? 8 nurses to take care of 9 LDRs, 8 antepartum , and surgical cases sounds very low. What is the RN/pt ratio in the antepartum area?
  7. What is your policy for scheduling inductions?

    Our unit has been trying to develop a protocol for all scheduled procedures. Currently we limit inductions to 6. There are 8 slots. 2 of each, MN, 5:30am, 730am,and 9:30am. When we have six slots filled we X out the other 2. This does not include c-s...
  8. More Strange Baby Names

    Shandlalier
  9. Induction/c-section scheduling

    I need input on how to limit or not limit scheduled procedures. These include inductions, c-sections, BTLs, and cerclages. We even occassionally schedule Baby Eye laser procedures. We deliver about 250/month. We have 12 LDRs, 3 ORs, and a 30 bed post...