AprilAZRN

AprilAZRN has 7 years experience.

Latest Activity

1. FHR monitoring

   AprilAZRN replied to MandaRN94's topic in Ob/Gyn

   Can someone link the article? I'd like to read it.

2. Cord Prolapse policy

   AprilAZRN replied to Hushi05's topic in Ob/Gyn

   I answered in the other thread, I'm curious about other hospitals too. If ruptured and a good strip (with no pitocin running, of course) and a head well applied, I will let her ambulate. In the case of the PPROM'er, I'd check heart tones first, if ...

3. 2nd prolapsed cord in the past few months!

   AprilAZRN replied to adpiRN's topic in Ob/Gyn

   if head is well applied and FHT is reassuring for an hour or so I'd let the SROM'd pt w/ no other risk factors ambulate. The PPROM'er, I'd have gotten heart tones first. You really want to minimize SVE's.

4. Out of orientation now . . . (this is long)

   AprilAZRN replied to RaeT,RN's topic in Ob/Gyn

   I sounds like you are moving along in the right direction, learning some important lessons on the way. Absolutely find out if you are assuming care or helping with call lights and fetal distress. It's a common miscommunication, and that simple clar...

5. Toradol use in L&D

   AprilAZRN replied to foreverLaur's topic in Ob/Gyn

   We use if often post c/s. I've also seen an increase in use for PTL pts that present in triage less than 28 weeks. It works very well.

6. Does your facility hire new grads into L & D?

   AprilAZRN replied to javawren_23's topic in Ob/Gyn

   We used to, I was one! At that time they hired 4-6 a yr and we did group educational stuff, time on the floor, etc... I also had to sign an agreement I'd work full-time nights for 18 months. But we don't do it anymore. I think it's been 3 or 4 yrs...

7. Considering Leaving M/S for OB

   AprilAZRN replied to NurseyNurseKRN's topic in Ob/Gyn

   You know in your heart what you want, I really hope it works out. I'm willing to bet the M/S unit would take you back if the switch isn't a good fit for you.

8. What's the L&D visiting policy at your hospital?

   AprilAZRN replied to byrd262's topic in Ob/Gyn

   A visitor policy? wow.. that would be nice. Something to bring up at the next staff meeting for sure! I think we're about as busy as your hospital, around 250/month? It's not locked, there are no time frames, the nurses and secretaries informally...

9. question about lpn

   AprilAZRN replied to futurenurseOB's topic in Ob/Gyn

   Im in AZ, but we don't use LPN's at our hospital for anything. I was an LPN in WA state and worked mother/ baby (but this was a long time ago, (93-98).

10. RNC-OB....what book do I need??? Help!!

    AprilAZRN replied to heather092800's topic in Ob/Gyn

    Heather.. for some reason I can't reply to your message. Yes, I did find the CCPR ?s helpful. Are you the only one taking the exam? It lets you print it after you answer all the ?s, so you could go in on the cost of it with some co-workers and sha...

11. Brand New Nurse - need advice

    AprilAZRN replied to Khinton23's topic in Ob/Gyn

    I was hired as a new RN Graduate directly to L and D almost 8 yrs ago. Those first 6 months are a blur! Ask ?s and be yourself. I hope it goes well! Congratulations!!

12. Does working L&D make you want more babies?

    AprilAZRN replied to onedayitllbeme's topic in Ob/Gyn

    It hasn't really changed how I feel about the size of my family. I have 2 children and my husband and I knew that was enough for us. My work environment hasn't effected that. Some labors touch my heart more than others, and I can get a little nost...

13. RNC-OB....what book do I need??? Help!!

    AprilAZRN replied to heather092800's topic in Ob/Gyn

    the link for ProEd Center is in my previous post. Apparently the instructor takes the exam herself as often as she can, then does a 2 day review. They have now added the option to test right after the 2 day review ( on location) which seems like a ...

14. Cytotec and fetal monitoring

    AprilAZRN replied to obtech2nurse's topic in Ob/Gyn

    How did you get a crushed tablet into to posterior fornix? We have a few drs that like the 25mcg vaginally, most are 50mcg PO. And never ever with pit running at the same time. Sounds like a crash waiting to happen.. yikes!

15. Cytotec and fetal monitoring

    AprilAZRN replied to obtech2nurse's topic in Ob/Gyn

    Our policy is get a reactive NST, oral cytotec, 3 hours continuous monitoring, off monitors x1 hour for ambulation etc... then repeat if needed. We'd hold it for the same reasons NPinWHC stated. I really like it for primips with a closed cervix.