shortstuff31117

shortstuff31117

OB

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All Content by shortstuff31117

  1. intrauterine pressure catheter(IUPC)

    shortstuff31117 replied to nurse955's topic in Ob/Gyn

    At my facility, we place both IUPCs and FSEs. Our policy also states that we may rupture membranes in order to place an FSE - in an emergent situation. We usually make the decision as to whether we...

  2. Straight cath or foley cath for labor patients??

    shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn

    Our epidurals run continuously. Anesthesia only comes to bolus if they need some breakthru pain control. Our pts. usually aren't up for at least 2-4 hours after delivery, sometimes longer if they get...

  3. Straight cath or foley cath for labor patients??

    shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn

    What is a long time for you guys?? Our docs practice active management, it's a rare pt. that isn't delivered within 12hrs of being admitted, usually way sooner than that. Lately our docs have been...

  4. Straight cath or foley cath for labor patients??

    shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn

    Does anyone have the links to this

  5. When do you get a pt. out of bed after C/S??

    shortstuff31117 posted a topic in Ob/Gyn

    Our orders say "within 12 hours of surgery". If my pt. is doing well, I usually try to get them up earlier, even if it's just to stand at the bedside, and put underwear on. I work nights, and...

  6. When do you get a pt. out of bed after C/S??

    shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn

    Could you say that to the

  7. Pain medications post partum

    shortstuff31117 replied to CoppertopRNC's topic in Ob/Gyn

    We have standing orders. For lady partsl deliveries we give Naproxen 500mg Q8. We also have standing orders for Vicodin or Percocet 1-2 tabs Q4 PRN (we use either the 5/325, or the 10/500). Its...

  8. what to do

    shortstuff31117 replied to charlie1234's topic in Ob/Gyn

    I'd say stay in L&D while you go to school for sure. You like it, you have flexibility...sounds good. As for seeming unsure of yourself sometimes...well quite frankly, with just 10months...

  9. Anyone with only 1 OR??

    shortstuff31117 posted a topic in Ob/Gyn

    The hospital I work at just recently took away our 2nd OR. They're going to be doing scheduled GYN surgeries in that OR, leaving us with just 1 OR. Supposedly we won't even have access to that OR, not...

  10. Chorio s/s

    shortstuff31117 replied to MKS8806's topic in Ob/Gyn

    I was also going to say the elevated white count. But I didn't see anything else in labor, so even with the white count, I think you'd still just have to wait and see what happens. I've never seen our...

  11. Questionable staffing in L&D vs Nursery

    shortstuff31117 replied to new2manage's topic in Ob/Gyn

    Got it...no I don't think that's unreasonable. Where I work, we are required to have a nursery nurse present at all times. There have been times where we haven't had one and it makes me

  12. Questionable staffing in L&D vs Nursery

    shortstuff31117 replied to new2manage's topic in Ob/Gyn

    Only 2 nurses go back for the c-section, one to circulate and one for baby. Why do you guys need 4 nurses for your c-sections?? Does one nurse scrub? We have an OR tech at all times for

  13. Hospital Baby Blankets

    shortstuff31117 replied to michael79's topic in Ob/Gyn

    Oh yeah some people will take anything they can. We have even had our thermometers walk away...crazy. Every so often we'll have someone come in for a labor check and they end up going home (w/o...

  14. Questionable staffing in L&D vs Nursery

    shortstuff31117 replied to new2manage's topic in Ob/Gyn

    We are all LDRPs where I work. Core staffing on nights is 3 nurses, at least one of whom is a nursery nurse. We have 2 NRP certified staff at all deliveries. The baby nurse does all the baby things,...

  15. Delivery Pitocin

    shortstuff31117 replied to rntmo95's topic in Ob/Gyn

    We also use the 30 of pit in 500 for induction/augmentation, and we just use this for after delivery also. If the pt. hasn't been on pit, then we use a bag of the 20 of pit in a 1000. It's really a...

  16. Log book for phone calls...

    shortstuff31117 posted a topic in Ob/Gyn

    I work in a small hospital, 55-60 deliveries a month. We do not currently have a log book for the phone calls we get. I'm talking the calls from pts. wondering various things. I've heard that many...

  17. Postpartum Sleeping Pill

    shortstuff31117 replied to Jemma's topic in Ob/Gyn

    We don't have standing orders for any sleepers, but we use Ambien for inductions and such so I guess it would be that. I can only remember having one mom ask me for some, and I discouraged her from...

  18. Who is using amnisure??

    shortstuff31117 posted a topic in Ob/Gyn

    Just curious what people think of it. We started using it a few months ago and I'm not too sure what I think of it. Last night I had a pt. come in, c/o leaking x 24 hours. No visible fluid, did an...

  19. Who is using amnisure??

    shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn

    I have never heard that intercourse can interfere with amnisure. This is what I found on the amnisure website "Therefore, during the development of AmniSure® and during clinical trials, there was...

  20. Escorting patients to labor

    shortstuff31117 replied to rickdon19's topic in Ob/Gyn

    That's probably overkill. A hospital I used to work at would send a CNA or secretary to get someone from the ER (this was a place that did 300 deliveries a month, so lots of staff). We require our...

  21. ?? about inverted T and classical incison...

    shortstuff31117 posted a topic in Ob/Gyn

    Just curious about something...I know a mom due in July. She has a previous T incision, it does extend a bit into her fundus apparently. Her doctor wanted to section her at 36 weeks because he didn't...

  22. ?? about inverted T and classical incison...

    shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn

    This is baby #3, and she doesn't live that far from the hospital

  23. new med order

    shortstuff31117 replied to nursey_girl's topic in Ob/Gyn

    How do we know risk of rupture in a 24 week uterus is low? Are there studies? We use a regular old titration rate where I work, and I've never seen a problem, they deliver just

  24. May be silly questions...

    shortstuff31117 replied to mommybess's topic in Ob/Gyn

    I work nights, and I think there may be only 1 housekeeper at night (small hospital). But regardless of day or night, the housekeepers will not go into our pts. rooms, unless there is a big mess and...

  25. Frustrated new L&D nurse

    shortstuff31117 replied to clb6885's topic in Ob/Gyn

    So sorry you had such a rough time. I agree with the other posters, a mag pt. should be 1:1 care, no way should you have had a labor pt. as well, and then be expected to triage someone. It sounds like...