rndani

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1. Amniotic Fluid Embolism Scare...

   rndani replied to rndani's topic in Ob/Gyn

   the rate of occurrence for amniotic fluid embolism is 1 in 80,000. The odds are SO in your favor. Last year we delivered 76% of our babies vaginally (unassisted). You will have a great birth experience! Positive thinking brings positive results. Wome...

2. Questions about L&D orientation...

   rndani replied to RNRose's topic in Ob/Gyn

   When I orientated to L&D (6 yrs ago) you got 21 shifts worth. There was a book/manual you were to study on your own. It was only on days and you were assigned 2-3 preceptors. For the first month back on your "regular" shift you had firsat choice ...

3. Home birth vs. hospital

   rndani replied to rnmi2004's topic in Ob/Gyn

   Since this was your original post, I'd like to share with you two stories about home births that resulted in transport to the hospital. First--20yo G1P0, pushing at home for 4 hours with midwife. Brought in per patient request. Fhr supposedly in the ...

4. Amniotic Fluid Embolism Scare...

   rndani replied to rndani's topic in Ob/Gyn

   Having lunch with my friend who happened to be the other nurse in the OR with me that day and we ran into a family member of the patient I told you all about...they told us that the patient is doing great--a little weak, but doing great. Baby is doin...

5. Amniotic Fluid Embolism Scare...

   rndani replied to rndani's topic in Ob/Gyn

   When she looked at me and said "I don't want to die, please don't let me die" I said "I don't want you to die either. We are all going to do everything we can to make sure you see that baby of yours--your daughter who is back in that room with Dad. T...

6. Amniotic Fluid Embolism Scare...

   rndani replied to rndani's topic in Ob/Gyn

   Questiosn are good.Massive Transfusion Protocol. It's what is initiated by blood bank when a patient meets specifc criteria for a massive transfusion of blood and products. This pt had an INR of 2.03. Our facility initiates at 1.5. Her FDP was >40...

7. Amniotic Fluid Embolism Scare...

   rndani posted a topic in Ob/Gyn

   I am relatively new to this board but have loved all the interesting input from everyone. I could really use some input now... Brief history: 19yo G1P0, term, no polyhydramnios, srom'd clear fluid, labor proceeded just fine got epidural at 6cm , push...

8. triage patients

   rndani replied to finallyRN's topic in Ob/Gyn

   Ohmigod! And I thought our ER was the only one--ours will either bring them over without even looking at them or keep them there without ever telling us. Example--35wkr with a broken leg brought directly to L&D. Ortho doesn't even know how to get...

9. Frequency of vaginal exams during labor

   rndani replied to BETSRN's topic in Ob/Gyn

   I know! If I had a dollar for every time I had a primip tell me she was going to poop--I'd never have to work again!:chuckle

10. What do you think about the use of Cytotec?

    rndani replied to CardioTrans's topic in Ob/Gyn

    We use Cytotec for induction and have very strict guidelines for it's use. The patients are brought in at 2345 and typically receive two 25mcg doses (placed 3 hours apart) and then are started on pit @ 0700. Exclusion criteria includes a parity >5...

11. Do your OBs do circs everyday?

    rndani replied to dawngloves's topic in Ob/Gyn

    I do not like assissting with circs because I don't like to see babies strapped down to a board and had what is cosmetic surgery performed on them. Emla cream is great but doesn't take all the pain away. I refuse to do it because it hurts my soul to ...

12. Frequency of vaginal exams during labor

    rndani replied to BETSRN's topic in Ob/Gyn

    As usual, Deb wrote the perfect answer. Our facility is the same--the less checks the better. However--we had this one MD (she only does GYN now--thank God!) who would write an order for us to do a SVE Q1hr regardless of ROM. Not surprisingly, many g...

13. Do your OBs do circs everyday?

    rndani replied to dawngloves's topic in Ob/Gyn

    Our Ob's do circs typically in the am or on their lunch break. Some of the in-house docs will do them in the middle of the night if they're up. There are a few midwives in the community who do them but only at their clinic (costs less than the hospit...

14. Postive UDS's What is your facilities policy?

    rndani replied to cabbage patch rn's topic in Ob/Gyn

    At our facility, if there is a history of drug use in the mother in the past 2 years, we ask for a UDS on mom. As for a UDS on baby--it is mandatory! We have very specific guidelines (no pre natal care before 20 weeks, etc). I have yet to see a baby ...

15. More Strange Baby Names

    rndani replied to RNLaborNurse4U's topic in Ob/Gyn

    Most unusual name I've ever heard at work--Abcdee (pronounced AB C Dee--like rhapsody). It was a name the mother came up with when she was 12. All the names (hers and her sisters) ended in double ee and she wanted to keep the tradition alive. Also, a...