shortstuff31117

shortstuff31117

OB

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All Content by shortstuff31117

  1. Toradol? Do you give it to breastfeeding moms?

    We give 30mg Q6 x 8 doses, then if the mom is still with us, we give Naproxen Q8. Toradol is such an effective
  2. Birthing Ball Policy

    That policy is excessive...you have to stay with the pt. while she uses the ball? That's crazy. We don't have a policy, I teach them different things they can do with it, then leave them to it. These...
  3. Where are all the pregnant women?

    Our census has been down just a touch, but is on the rise lately. And then there's something in the water...I'm pregnant, as are 3 of my
  4. Intrapartum vaginal bleeding

    As previous poster said, she could have just had a very friable cervix. She also may have had a small
  5. How long in bed for post C/S mothers?

    Our orders say up within 12 hrs of surgery, but I've started getting mine out of bed sooner. Our day shift tends to be terrible about this, we'll come on at night and the AM section will still be in...
  6. At what point do you stop trying to stop labor???

    I've been curious about this and I'm finally getting around to asking. The docs where I work will try and stop labor up until 36 weeks and then after that they just let them go. With all the research...
  7. At what point do you stop trying to stop labor???

    We're a level 1 also...our docs just don't seem to
  8. Doctors perform induction and then C/S on non-pregnant woman

    This is very weird. I would love to get my hands on that chart. I can't believe they couldn't figure out she wasn't pregnant. How could you get heart tones? We've had a few women come into our unit...
  9. Nurses role if Dr is not giving all options (VBAC specifically)

    I don't think telling somebody about vbac is giving medical advice. I have had pts. come in for NSTs and tell me that their doctor is making them have a c-section. I cannot stand by and let them think...
  10. How to deal with "coupling" or "doubling" contractions?

    Interesting about the pitocin. I have been told you can "pit them out of it", but I guess it depends. I always assume that it means the baby is OP, and I get my pt. moving whether it be position...
  11. oral fluids in labor

    Unfortunately anesthesia seems to be like this in a lot of places. It totally goes against research and I find it cruel to starve a woman whose body is working so hard. But anyway... We have an...
  12. OB in house

    We do around 60 or so deliveries a month. The OBs are in their office next door from 9am to 5pm, Mon-Fri, otherwise they are supposed to be within 15 minutes of the hospital. When we have an emergency...
  13. OB T-shirt slogans?

    That's just plain rude in my mind. What if you had a home birth transport? So not
  14. Need Your help... Vaginal Delivery Management & "NOT pushing"

    Pretty harsh, and spoken like someone who is NOT an OB nurse...also very untrue. I've had several primips that I labored down, pulled back the covers and had a head crowning....uterus is very...
  15. The nurse-call button...

    I appreciate people using their call button. It gets really annoying when someone just keeps coming to the desk asking for stuff (usually thats a significant other). But also if mom needs something...
  16. Anyone here who went to L&D as a new grad?

    I went right into OB after nursing school. Well actually I had a baby, and then started working 2 yrs later so I was VERY lucky. It helped that 1) I worked a summer as a nurse tech in OB at a big...
  17. An OB's Birth Plan

    Shocking...So much against what research shows...although I bet that's what most OBs would write out if they actually went to do
  18. The Pushy Feeling

    I usually just tell people to tell me when they feel pressure. Almost all our pts. have epidurals so this is usually the best we get out of them. But...I had an unmedicated birth and never once felt...
  19. Home Birth culture in your Area

    The LMs in my area are very busy with home births. However none of the OBs here in town will support them so they have a back up doc that is 40 min north of us. So of course in an emergency or just a...
  20. Opinions on "Therapeutic Sleep"

    We usually do the morphine and phenergen thing too. We typically keep them around 3 hours, then check their cervix and if no change send them home. We don't have to keep them on the monitor, I think...
  21. Everything I do is wrong!

    It doesnt sound like you are in a very supportive environment to me. They should be teaching you these things, not yelling at you about them. Perhaps a job switch is in order? Sorry this is happening...
  22. Nurse manager says you can't refuse iv

    Of course someone can refuse any procedure. I remind my pts. of this when I take over their care. This is all about educating people. Besides, are you going to hold someone down and jam an IV into...
  23. Precipitous birth

    I agree with all the other posters and just wanted to say ITS JUST BABY FOR PETE'S SAKE....the baby was delivered and everyone is fine, childbirth is a natural thing...if you get what I'm saying here....
  24. Can't believe our docs...

    So like anywhere, we have the occasional pt. deliver at home and then come in by ambulance. Our docs have decided that they now have 8 hrs to come see these pts. To make it worse our assistant manager...
  25. Admission during labor

    It varies. SROM = admit (and usually pit if they arent contracting) I don't like to admit people until they are 4 cm and contracting. I had a pt. a few weeks ago who had been 4 cm for a week, she...