shortstuff31117

shortstuff31117

OB

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All Content by shortstuff31117

  1. Delivering fetal demises

    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...
  2. 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...
  3. Natural Caesareans...anyone seen this?

    Looks like a contaminated surgical field to me. I'm all for making the experience better but wow. Curious to see infection rates.
  4. Anymore updates?? I was just looking at the Capella Program...wondering if anyone had any more info on it??
  5. Charge nurse/ years of experience

    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...
  6. Charge nurse/ years of experience

    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...
  7. Charge nurse/ years of experience

    Well there is more to it, but I was only asking about facility requirements. No need for some of you to be rude!
  8. Do you have an OB in the hospital 24/7?

    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...
  9. Am I being investigated?

    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...
  10. Am I being investigated?

    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...
  11. Am I being investigated?

    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...
  12. Am I being investigated?

    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 ...
  13. Am I being investigated?

    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...
  14. Am I being investigated?

    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.
  15. Am I being investigated?

    She works for the hospital lawyers. Probably says it all doesn't it!
  16. 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...
  17. Anyone had a chart reviewed by a nurse expert?

    No I don't have my own malpractice insurance.
  18. I need scenarios for mock NRP codes...

    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...
  19. c/s with ONLY local

    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...
  20. Duramorph and foley removal...

    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...
  21. Just wondering -

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

    Just wondering what you guys are doing for your labor pts. We currently do foley caths for our pts. with epidurals, but there is some debate...
  23. Do you have gifts for your new moms??

    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...
  24. holding legs during pushing

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

    What makes you think we have an infection control nurse?? Haha just teasing, making fun of my hospital really