shortstuff31117

shortstuff31117

OB

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All Content by shortstuff31117

  1. What does your hospital do post-c-section?

    We do advance as tolerated. I start my pts. immediately on ice chips, and if they arent nauseous, juice. Then go to crackers and if they tolerate that fine, they can move on to real food. I rarely see...
  2. Did anyone read the People story about Christina Aguilera?

    Except that she said she has one because she didnt want any surprises, and because she didnt want any lady partsl tearing. If she had a problem, why wouldnt she just say
  3. Patient phone call - advising them

    I'm just wondering what you all do when pts. call wondering whether they should come in or not. I usually would give advice, but now am thinking maybe I should just say I cant tell them anything...
  4. Did anyone read the People story about Christina Aguilera?

    How did she save herself
  5. Did anyone read the People story about Christina Aguilera?

    :oThats too bad for her baby. 37 weeks! That's ridiculous I think. The mean part of me wants to say she probably didnt want to get any bigger (stretch marks and all) so she figured the earlier the...
  6. How to find a QI job??

    Hi.. I'm interested in learning more about this kind of job. Can anyone tell me how to find open positions? I'm in WA state if that makes a difference.
  7. Where does your hospital complete the first bath

    I work in a small hospital. For a vag delivery, baby goes on mom's chest and when she's ready the baby nurse takes baby to warmer, does assessment, meds, etc. then the bath all right in the room. For...
  8. Routine pitocin questions...

    We do routine pitocin where I work. Inductions get the rest of their bag of pit (we use 30units in 500cc) and those not induced get 20 units in 1000cc. C-sections also get the 20 units in 1000cc. As...
  9. Your personal delivery experience- what happened

    My first experience was not good. It was planned hospital birth with midiwives. I labored for 12 hrs at home, then went to the hospital, where I was a whole 3 cm. Eventually I was 6cm for 2 whole...
  10. ??? about PP Hemorrhage

    I have seen 2 PP hemorrhages since I've been working L&D. The first one - the pts. fundus had to be massaged to be firm. and then we got a lot of clots out. Gave methergine and was fine after...
  11. post c-section pain control

    It depends on who's on for anesthesia. We have one who will not use duramorph because of a previous bad experience with a pt. Everyone gets PCA orders, Toradol Q6 for 8 doses, and then on to...
  12. What to do with this kind of patient?

    She ended up staying and having her baby when she came back that second time. Don't know if she made change, or if the doctor just decided to break her water, but thank goodness. Poor thing...She was...
  13. What to do with this kind of patient?

    The other night at work I had a 17 year old primip come in saying she was contracting every 5min. (She'd been in a few days earlier for this too). Nothing shows on the monitor and I palpate nothing...
  14. My hospital won't give my unit part time positions, but will give the other units in the hospital part time positions. I work 3 12 hr nights, and really want to go part time. I don't know the reason...
  15. What to do with this kind of patient?

    I know it's term...I was just thinking of how most primips go past their due date...though I hope she doesnt go that
  16. The "no experience" conundrum

    Where are you in WA? There are a lot of hospitals on the west side that do residencies in L&D. I was hired on where I work with no experience as a nurse at all. However, I did do my senior...
  17. Help me analyze this delivery...

    Pt. comes in about 3 am in active labor, SROMd, 6-7 cm. Second baby, history of 1.5 hr labor. I call doctor and suggest she be on her way. Pt. doesn't want epidural, which is fine with me (doctor...
  18. Have you had a baby at your hospital??

    Just curious if anyone has had a baby at the hospital they work at. We are planning on a home birth but you never know so...I really dont want to deliver with any of the OBs I work with, and there are...
  19. Feeling for OA or OP...

    I am trying really hard to learn to tell whether a baby is OA or OP (or OT) but am finding it really difficult. I can find a soft spot but then have trouble telling from there. Anyone have...
  20. Does it get better?

    I just finished my L&D training and have now worked 4 shifts on my own. I feel terrified most of the time, partly because things have been crazy weird at work. Crash sections, nurse deliveries...
  21. How to judge effacement??

    Just looking for some tips on how to judge effacement. I feel like I'm always doing it wrong!
  22. A doctor made me cry!

    I am a fairly new nurse working in OB. Yesterday I was scrubbing a pts. belly for a c-section and apparently I wasnt doing it right. It was only maybe my 5th time doing it and the problem is that...
  23. Do you get a lot of false alarms coming in?

    We do send a lot of people home. Sometimes if they would just call us first we could give them advice but most just show up. My last triage was a 37 week primip with c/o decreased fetal movement. Baby...
  24. Is PP Hemorrhage usually pretty obvious???

    I guess when I say trickled I mean by looking at the pads you could tell she was trickling blood. It wasn't like blood was spraying out when we massaged her fundus or just running out of her in...
  25. Is PP Hemorrhage usually pretty obvious???

    I'm pretty new to L&D so I feel like you do. In my first month of work I went to check a fundus and blood came spraying out of the patient. That was obvious to me and I got help. Later on in my...