enfermeraSG

Latest Activity

1. Hi Brand New L & D Nurse in the House

   enfermeraSG replied to DavericaRN's topic in Ob/Gyn

   Welcome to OB, glad you are enjoying it. My advice is to be plenty patient with yourself. OB is a steep learning curve and it will be a couple of years (at least, and that's if you're in a busy place) before you feel somewhat comfy. Also, ask lots...

2. "Nancy" and Babs

   enfermeraSG replied to Babs0512's topic in General Nursing

   Babs, that was so moving. What a wonderful writer you are! In a lot of ways, you are describing how I see myself at work. I'd always thought this was a unique perspective and way of handling things that I alone owned. I really enjoyed your story,...

3. intermittent monitoring

   enfermeraSG replied to enfermeraSG's topic in Ob/Gyn

   Personallly, I agree that high-risk should be on continuous monitoring - however AWHONN does give guidelines for high-risk intermittent monitoring in the event a pt wants it. (Of course a situation like pitocin usage requires cont. monitoring per my...

4. intermittent monitoring

   enfermeraSG posted a topic in Ob/Gyn

   Hi all, I have searched the AWHONN site and their wonderful book but cannot find the answer to this specific question. Regarding intermittent monitoring, it is clear how often FHR needs to be auscultated in each stage of labor depending on low vs. h...

5. L&D to ER; how to prepare for transition?

   enfermeraSG replied to enfermeraSG's topic in Emergency

   Wow! Thanks for all of the wonderful tips! I am going to take a PALS, ENPC, and TNCC course by the end of the year. I don't have a date yet but expect to transfer this fall. The orientation in our ER is 12 wks with precepting and classroom time. ...

6. L&D to ER; how to prepare for transition?

   enfermeraSG posted a topic in Emergency

   Hi all! I am planning on transferring to the ER this fall, and at that time will have just over a year experience in L&D. I work on a high-risk, high-volume unit and started there as a new grad (worked there as a tech for 9yrs prior). ER is wh...

7. ACLS Question

   enfermeraSG replied to JenTheRN's topic in Ob/Gyn

   We have approximately 5-6,000 births per year, and are currently in the process of getting everyone cert'd in ACLS. (See my post regarding "OB ACLS" has anyone heard of this?) Anyway, I think it is a good idea. We are a 500+ bed urban hospital with...

8. "OB" ACLS?? Anyone heard of this?

   enfermeraSG posted a topic in Ob/Gyn

   Hi all, Our dept has finally decided to require all L&D nurses to be cert in ACLS. We slid by without it before because we have an anesthesiologist and CRNA exclusively available to us 24/7. Anyway, they are requiring we take a mini class calle...

9. OB Spanish

   enfermeraSG replied to Shappy's topic in Ob/Gyn

   Hola! Always I must pop in on this popular topic and offer my little words of caution. Be careful using online translation because they can be quite inaccurate, even babelfish. Many, many things and phrases do not translate directly and the compute...

10. Hispanic patients

    enfermeraSG replied to RNfromMS's topic in Ob/Gyn

    I have to agree with a previous poster (Crocuta, I think) do not use programs, plain ol' online translation sites, dictionaries, or microsoft word, etc to translate. The majority of the time the translation comes out completely wrong, mostly do to th...

11. Confused about Variability & Decelerations

    enfermeraSG replied to luv2shopp85's topic in Ob/Gyn

    If you look at the top of the OB/GYN forum this subject is a "sticky", the websites are great! Don't feel too much pressure to be able to read strips like a pro, it is a long learning process and can be tricky. I wouldn't feel like you need to "get...

12. mag sulfate bolusing

    enfermeraSG replied to Buggs's topic in Ob/Gyn

    Same here, no Mag on AP or PP. We also do all the above, except that BP is q 15 just like for epidurals, and DTR's, lung sounds, recording vitals, and I/O's q hour. Everything double checked with another RN when beginning the bolus too. SG

13. HELP!!! Ob OR Standards

    enfermeraSG replied to Chrissy24RN's topic in Ob/Gyn

    Wow, nurse's aides trained to scrub c-sections. Well, a previous poster mentioned that this is no big deal as a C-section is "not hard", at this I had to post-up. You are correct, a textbook, every goes smooth section is not hard. Unfortunately fo...

14. HELP!!! Ob OR Standards

    enfermeraSG replied to Chrissy24RN's topic in Ob/Gyn

    I have never heard of a unit claiming to have "different" O.R. standards than AORN calls for. I mean, it is an OR and the goal is to protect the pt from infection, injury, etc. We are expected to follow AORN guidelines on our L&D unit just like...

15. labor and delivery nurse-patient ratio

    enfermeraSG replied to magz53's topic in Ob/Gyn

    Thanks for all the info! Also, I appreciate Mitchsmom typing all of that for us. I agree with another poster, 1:2 on pit is quite a challenge - mostly because of the charting, but bouncing from room to room to bump that pit up every 15 mins and the...