Chrissy24RN replied to butterball1980's topic in Ob/Gyn
Defenitely time for US at that point. I had a mom come in recently @ 21 weeks and thought she was SROM. I tried to apply US and nothing so I used doppler and I got a HR of 120 but immediately I palpated maternal radial pulse (habit) and it was hers! ...
This is intersting! We ususally push Labetalol if needed in L&D and reading on here it can cause Ventricular Arrhythmia. Has anyone ever come across a situation like that or a reason tele was warranted. Just curious. Thanks!
I guess I could help a little since Im and L&D RN and usually after a birth we think UTERUS, UTERUS, UTERUS. Is it firm, midline, and what is the lochia (bleeding) like. You said she is G3P3, well with the 3rd baby we are worried about if her ute...
Chrissy24RN replied to Lala27poodles's topic in General Nursing
I am a Labor & Delivery nurse and we have to start all our own IV's and Foleys. I have been doing this for 1 year and foleys are soooo easy but IV's can be tough. Foleys on the female: you need to pull back on the labia minorum which is wayyyy i...
Chrissy24RN replied to butterball1980's topic in Ob/Gyn
This is very interesting! I know for sure that when I put on an EFM or ISE I palpate the maternal radial pulse and chart that (AWHONN guidelines) everytime...even during decels. Moms with IUFD's may have a HR elevated to mimick a FHR d/t infection. O...
Chrissy24RN replied to momsdabom's topic in Ob/Gyn
I agree that no 24/7 anesthesia coverage is a problem. Also the fact that you are floating! I work at a 10 bed LD unit with 28 or so PP rooms and we have the coverage and we never float to other units. We have implemented a rapid response team which ...
This is a funny post! I especially like the Purdue Chicken post! Seriously though, I am and LD RN and there has been more and more shaving/waxing and I think it is a trend but after talking with pt's...also good reason. Scheduled C/S...you are getti...
Chrissy24RN replied to chaletinma's topic in Student Assist
Those links were interesting Daytonite! I still dont know what to do for a ND though. He is doing great post op! Good for him....not so good for me. His acute MI was not symptomatic except for a 'pause' on EKG so they drew a cardiac panel and the lev...
Chrissy24RN replied to chaletinma's topic in Student Assist
Hey everyone, I am having a hard time finding a ND for my pt. It has to tie in with a liver/hepatic focus. Pt male 74yo in ICU for post op pancreatectomy (yea the whole thing...apparently they can do that now) and whipple procedure. He had a tumor o...
Chrissy24RN replied to smelltheroses's topic in Illinois
When were you going to challenge it for? I am in 171 right now. Are you starting in the fall or something? I could have challenged out of it too but I wouldnt recommend it. Its good to get in the habits of how the program works and how they test you...
Chrissy24RN replied to Chrissy24RN's topic in Ob/Gyn
I am a 'scrub tech' in L&D. That is my title. I am not a surgical technologist like you are thinking we are calling ourselves. Alot of hospitals have nurses aides trained to scrub in a c/s. I dont think that there is anything wrong with that. Its...
HELP!!! Ob OR Standards Hi there, I am a scrub tech in L & D and we are having some trouble finding out what the standards are for the OR. We recently had a supervisor decide that we were going to have the OR open/draped every shift at all time...
Chrissy24RN replied to Chrissy24RN's topic in Ob/Gyn
That is a great point about the family members. We actually have them change into a pair of clean scrubs and don cap/mask/shoe covers....I wish I could have thought of that quickly when my nursing director mentioned that! Thanks for your help!