rdhdnrs replied to at your cervix's topic in Ob/Gyn
We don't have a problem in our teaching hospital between nursing units; it's more with the residents. My chief called the neo resident today to tell her to expect a 26 weeker who was 4-5 cm and the...
University of Arkansas for Medical Sciences Little Rock 1200-1300 deliveries/year We never go below 4 RNs on the deck. We have 11 LDR rooms, a four-bed triage unit staffed 24/7 by a triage nurse (not...
I had the most wonderful labor nurse with my first daughter. This was when they still sat at the bedside with pitocin and she was with me all night. I remember she stayed after her shift to see how my...
I work in LDR and LDRP both. I personally like LDR better, just because I don't enjoy postpartum that much. LDRP is very hard to staff, and the unit I work in is always short-staffed. Plus, if you're...
Hey shay great to hear your voice. Also, pt whose dad is administration at the hosp....wil always end up with 24-hour labor then c/sec. Or if her family member is a
I don't think you should take care of family members under any circumstances, but I have taken care of many of the staff and resident docs at my hospital when they were having babies. I took care of...
I work in a university hospital in highrisk OB and we have a ghost on the antepartum floor. It used to be the postpartum floor and a woman got really sick and coded up there after having her baby. She...
Labor is pretty uncivilized to begin with, don't you think;) I, too, have reduced an anterior lip, and just the other day worked with a doc who really reamed this girl out when stripping membranes....
Our protocol allows up to 42mu/min of pit. There's no reason to be afraid of pit if it is used appropriately. Increasing pit is a nursing judgement, so if you are monitoring your patient closely, you...
Work in OB, not LTC, but here are a few ideas: Prioritize. Remember in nursing school how we learned that the actual takes precedence over the potential? All those nursing diagnosis excercises...
We get 15 minutes for breakfast and 30 minutes for lunch. There are many, many days when we can't take either. Then we claim our 30 minutes' lunch pay. What do you all think is the solution to
I agree with Kday. Why don't med-surg floors cover themselves with call like we do in OB? And yeah, why not float over to us to "keep your skills up"? What skills do you mean? As a high-risk OB...
Part of the problem I used to have with this was not getting posterior enough. Sometimes, especially fingertip-4cm you have to really go for the tonsils!!! Don't be afraid to get the tissue with your...
Hi Tim, You have given us all a great deal to think about, and we welcome you. You sound like a thoughtful and insightful manager and I wish there were more of you!! As one of the members said, we're...
In our teaching hospital we use cytotec for inducing non-favorable cervices or closed and soft. No cytotec after ROM, and generally none for PIH. VBACs don't get it either. We use it lady partslly or...
Kday you're so crazy! One of our attendings tells the story of the intern who came rushing in the call room saying, I've killed the baby, I just put the IUPC in the fontanel!! Well, you can guess that...
Steph, I understand your question about the importance of the patient. The post that followed about refusing workloads made me think...we, as nurses, are in a vicious cycle. We are in a caring...
These posts just infuriate me, especially when we read them along with the "how much do you make?" postings!!!! We're paid not much more than fast food workers yet put ourselves on the line everyday...
rdhdnrs replied to redhedgoddess's topic in Ob/Gyn
Demises, especially full-term, are always devastating to all concerned. It is especially hard on the nurse or doc who actually discovers the absence of heart tones. One thing to keep in mind in your...