susancox

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1. maternal (L&D) exam tomorrow! any tips?

   susancox replied to FunGi's topic in General Students

   Oh yea--don't forget to know the positions--OA, OP......and vertex, frank breech, asynclynic, footling breech. Dilation, effacement and station. Foreceps and vacuum assisted births. The blood flow from mom to baby, the cord make up--remember "AVA"--t...

2. maternal (L&D) exam tomorrow! any tips?

   susancox replied to FunGi's topic in General Students

   Yes, know your strips--the three main types of decels--early, late, and variable and the cause of each and the interventions for each. Baselive FH, timing of contractions. Know what an FSE and IUPC are, Long term variability(LTV) and short term varia...

3. ROLL CALL - Case Managers!!!

   susancox replied to LasVegasRN's topic in Case Management

   In My of this year I finished my BSN in an accelerated program coming in with a BS in Health Eduation. I have been working in Labor and Delivery and am leaving to go to a LTC facilty. They have 1 flour with medical rehab on it, which I am hoping to b...

4. Nurses are underpaid in WV

   susancox replied to Nutty RN's topic in West Virginia

   WOW! In what state is it legal to let a nursing assistant give any meds, let alone an injectable med!! Scary!! That has to be illegal. I live in upstate NY (Rochester) and the average for a new grad at the hospitals is $16-17/hr, however I am leaving...

5. Meds during labor

   susancox replied to verock's topic in Ob/Gyn

   We use Nubain as well, 10-20mg q2hours, and yes q1hour does sound like a lot of drugs, talk about a gorked baby--yuck!! I worry with the doses we give and have my narcan ready, but with that much what does the strip look like?? I do see quite a few...

6. must allow nursery observation?

   susancox replied to threesacharm's topic in Ob/Gyn

   Yes all care for a healthy baby can be done at the bedside, however it was mentioned that the meds could wait. First off why wait too long as the L & D nurse can give them right threre in the room and also, you might want to check with the state ...

7. must allow nursery observation?

   susancox replied to threesacharm's topic in Ob/Gyn

   The L & D nurses get the Vik K and Erythromycin as a standard for every birth, to be given in the room after delivery, either by her or another L&D nurse, if we aren't real busy or another nurse has a not very active pt. The scale that sits i...

8. must allow nursery observation?

   susancox replied to threesacharm's topic in Ob/Gyn

   The physical and first bath can be done in the room. We don't do any "test" feeding with our premies but do have them eat sooner and start a BG protocol for all SGA babies. How early will you be? We only deliver 34 weeks and beyond, they have to go t...

9. timing of newborn bath

   susancox replied to kyobnurse's topic in Ob/Gyn

   1) The whole RT thing seems weird I guess because it's different, sorry. Without that person being a RN, can he/she do the ballard/dubowitz, meds (Vit K and Erythro.)? Because of the "assessments" is why we don't use any LPNs. How does that work with...

10. timing of newborn bath

    susancox replied to kyobnurse's topic in Ob/Gyn

    I'm Curious....what's the rationale behind the "no Vit K before the bath"???? This is something new to me. What sort of time table then do you have to get the bath in and the Vit K in or do you have one???? Interesting how very different practice is...

11. timing of newborn bath

    susancox replied to kyobnurse's topic in Ob/Gyn

    Ballard vs. Dubowitz???? Here in NY we use Dubowitz. Anyone out there know the defference? I hear a lot of people mention Ballard, does anyone else use Dubowitz? Here we do the Dubowitz on every baby term or not because dating by LMP is so not an ex...

12. timing of newborn bath

    susancox replied to kyobnurse's topic in Ob/Gyn

    Okay stupid question but what is an "RT"? Is that what some of you call your techs?

13. timing of newborn bath

    susancox replied to kyobnurse's topic in Ob/Gyn

    I read a reply talking about all the things done pp in the NBN and not in the L&D room. The post read that vit K and erythromycin were given in the NBN. Where I work it is protocol that they are both given in no more than one hour from birth. I o...