shortstuff31117 replied to sharonx's topic in Ob/Gyn
We absolutely offer an epidural to anyone with a demise. It's still labor!!! We actually encourage it so that they don't have the physical pain on top of everything else. I can't believe these doctors...what evidence do they need for pain control?? I...
shortstuff31117 replied to Wendy Sutas's topic in Ob/Gyn
It applies more pressure to the Toco. I've done it and it works okay. I think it works better with some brands of fetal monitors more than others. There something that can be bought and put on the stock that is supposed to work well. Look up The Addi...
Hi all just wondering - in your facility, what are the requirements for charge nurse? I work in a small LDRP unit, we have 4 main charge nurses on each shift. My manager wants to train another nurse to do charge sometimes, however this nurse only ha...
shortstuff31117 replied to shortstuff31117's topic in Management
No, this nurse is good. There are a lot of things going on in our unit right now that I wouldn't even think of getting into on here. And you say we should have brought up concerns before...well how would we do that when it was just suggested that she...
shortstuff31117 replied to adpiRN's topic in Ob/Gyn
Yes where I work is like this. Small community hospital, doing around 50-60 births a month. Mainly 1 group of OBs. It varies as to when they come in, or when they might actually stay in house. They don't come in for epidurals. This hasn't been an iss...
A couple months ago, I was involved in a case with a bad outcome. I'm now supposed to go in to the quality control directors office and have a phone conversation with the RN investigator hired by the hospital (to review the case). Does this sound typ...
shortstuff31117 replied to shortstuff31117's topic in Relations
As of now, there has been no legal action taken, and it sounds like the family isn't planning on it. Obviously that can change. I think it's being done via phone because we're on opposite coasts...
shortstuff31117 replied to shortstuff31117's topic in Relations
Oh yeah we were all advised not to discuss it. 4 weeks after the fact but whatever...I don't discuss it. I'm feeling very frustrated and am thinking of looking for other employment...
shortstuff31117 replied to shortstuff31117's topic in Relations
Ahh sort of like a debriefing? My hospital is known for not doing that. Everyone involved met with the quality control person individually up to this point. I can't imagine the accounts differing very much from person to person, but obviously I have ...
shortstuff31117 replied to shortstuff31117's topic in Relations
What do you mean by an RCA? I don't plan on saying much at this meeting. My charting can speak for itself as far as I'm concerned. I put in a call to my union to see what they have to say...
shortstuff31117 replied to shortstuff31117's topic in Relations
Thank you for responding. I am of course thinking the worst. I'll try not to. Just waiting for a call back from the risk management person. I'm just trying to figure out what kinds of questions she could want to ask me, when she has my charting.
I was involved in a case (bad outcome) that is being reviewed and I am now supposed to have a phone conversation with the nurse expert who reviewed the chart. Has anyone had to do something like this before? I'm wondering what the motivations for thi...
My boss asked me to run mock codes for the night shift. I'm very excited about this, I think it'll really help keep up our skills. I'm looking forward to springing these on my coworkers as they have no idea I've been asked to do this. I could uses s...
shortstuff31117 replied to crazylilkelly's topic in Ob/Gyn
That's truly disgusting. Those poor moms...I can't even imagine! We don't have 24/7 in house anesthesia, but in the 5yrs I've done OB, we've had only one c-section under a local. She did have an epidural, but the baby crumped, and needed to be delive...
Just curious what you guys are doing. It used to be that we would leave the foley in for 24 hours if the patient had duramorph. About 2 years ago we got a new group of anesthesiologists, and they said it was unecessary, and once the patient was up mo...
shortstuff31117 replied to ejm RN's topic in Ob/Gyn
Wow you guys are busy! 18 labor bed doesn't even seem like enough LOL. I work at a small community hospital. Last year we did just under 700 deliveries, which was a slight decrease for us. We have 9 LDRPs, as well as 7 "surgical" rooms, which we use...
I've heard of places giving new parents a special dinner. I'm curious what, if anything, different places are doing. We are just now no longer giving away the bags provided by the formula companies, and that leaves us doing nothing special for our ne...
shortstuff31117 replied to mamawof2's topic in Ob/Gyn
What the other posters said...I generally do not hold legs. I use the foot pedals if they have good control, and the stirrups if they do not. I definately involve family members, that way I can sit on the end of the bed to help coach mom. I also have...