shortstuff31117 replied to justme1972's topic in Ob/Gyn
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...
shortstuff31117 replied to rph3664's topic in Ob/Gyn
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
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...
shortstuff31117 replied to rph3664's topic in Ob/Gyn
: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...
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.
shortstuff31117 replied to mugwump's topic in Ob/Gyn
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...
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...
shortstuff31117 replied to DEB52's topic in Ob/Gyn
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...
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...
shortstuff31117 replied to L&DRNJenn's topic in Ob/Gyn
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...
shortstuff31117 replied to shortstuff31117's topic in Ob/Gyn
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...
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...
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...
shortstuff31117 replied to seemerun's topic in Ob/Gyn
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...
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...
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...
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...
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...
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...
shortstuff31117 replied to Jo Dirt's topic in Ob/Gyn
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...
shortstuff31117 replied to azzurra29's topic in Ob/Gyn
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...
shortstuff31117 replied to azzurra29's topic in Ob/Gyn
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...