kathiecnm

kathiecnm specializes in L0-high risk OB, PP/NBN, Med/Surg.

Latest Activity

1. Nurses managing epidurals on L&D

   kathiecnm posted a topic in Ob/Gyn

   I know that this battle has been going on for years without a clear resolution. I am familiar with the AWHONN position statement on this topic that was last reviewed & reaffirmed in 2007. I...

2. Pitocin as a secondary on a pump?

   kathiecnm replied to njmcavoy's topic in Ob/Gyn

   We are going to the ACOG recommended 1:1 pitocin concentration soon at two local hospitals. This should be easier & safer for the nurses since there are no calculations involved for either...

3. What IV pump do you like on L&D/PP?

   kathiecnm posted a topic in Ob/Gyn

   Our hospital is growing & we now need to order new IV pumps We want a "smart pump" that meets the needs of all of the hospital, including L&D & PP. I am just asking for your pros/cons,...

4. Assessing FHTs on pregnant hospitalized women not on L&D

   kathiecnm posted a topic in Ob/Gyn

   I am trying to be sure we provide the best perinatal care to all pregnant women who are patients on units other than L&D at our hospital. This especially applies to those 20-24 weeks gestation...

5. Somedays I just wish EFM would go away....

   kathiecnm posted a topic in Ob/Gyn

   OK, I have two questions on EFM to throw out to the OB commuity for consideration. This is one way I check to see if this hospital is practicing in a similar manner to other hospitals of like size...

6. CEFM when moving patients & misoprostol use

   kathiecnm posted a topic in Ob/Gyn

   I know that this is a hodge podge of questions, but that's just how my day has gone. #1 -Just checking with the other L&D units to see how you handle keeping a patient on CEFM when moving the...

7. POLL: How many births/yr and do you have in-house anesthesia / OB providers?

   kathiecnm replied to mitchsmom's topic in Ob/Gyn

   We do 4800+ births per year We have one anesthesiologist 24/7, but they do C/S on the floor as well as epidural anesthesia One practice has an OB & occassionally a CNM in house 24/7, but they...

8. fetal monitor question

   kathiecnm replied to GingerSue's topic in Ob/Gyn

   Doesn't anyone use Leopold's maneuvers to find the fetal heart & assist in placing the fetal monitor? I love the clicking sound of a direct placement over the fetal heart! Plus it is evidence...

9. Foley Balloons for cervical ripening?

   kathiecnm replied to RAIZIE's topic in Ob/Gyn

   Thanks to RAIZIE and NRSKarenRN for reminding us of evidence based practice. As a CNM I placed many foley catheters as a prefered choice for women who wanted to avoid oxytocin if at all possible. The...

10. EFM - the research & the realities

    kathiecnm posted a topic in Ob/Gyn

    I read an interesting editorial in the Nov. 23, 2006, edition of the NEJM by Dr. Michael F. Greene. It's entitiled "Obstetricians Still Await a Deus ex Machina" & it is about the research into...

11. Are medical-legal concerns changing childbirth?

    kathiecnm posted a topic in Ob/Gyn

    I am so frustrated this week with how possible legal issues are changing the face of childbirth. Even with evidence-based research we are required more & more to intervene or limit women from...

12. POLL: How many births/yr and do you have in-house anesthesia / OB providers?

    kathiecnm replied to mitchsmom's topic in Ob/Gyn

    We are doing 450 births/month, 5,400/year. We have 24/7 anesthesiology coverage & one group has an OB in-house 24/7 who ends up covering all the emergencies when the physician of record is not in...

13. Most RN's first borns?

    kathiecnm replied to lvs2nrs3535's topic in General Nursing

    First live born & sociopathic father. I ended up being the mother to my mother & 2 brothers, but it all turned out well, so that's

14. Most RN's first borns?

    kathiecnm replied to lvs2nrs3535's topic in General Nursing

    First live born & sociopathic father & I ended up being the mother to my mother & 2 brothers. It all turned out well, so that's

15. Nurse ratios & comfort with high risk meds

    kathiecnm posted a topic in Ob/Gyn

    Last comment for the day. I was using the recommendations from AWHONN & the IOM report on magnesium sulfate to teach safest care of the mother on high risk medications in Professional Development...