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Nursz-R-Awsm's Latest Activity

  1. Nursz-R-Awsm

    Pt. positioning with epidural

    This is a great thread. Haven't been on here in a long time. Once in awhile I have had pts squat w/epidurals, however it depends on the CRNA that places it. Some get the pts so numb they can't move a thing, others can. Also great care needs to be taken not to disturb the cath site/dressing. I put the bed up high, feet lowered and pull up the handles on the sides. The pt can 'scoot' her butt off into a squat on the lower part of the bed and scoot back for rest between pushes/ctx. Also, I have had pt grab her ankles (with legs in 'frog' like position and soles of feet together). Not everyone can do this position, but I just try to find what works best for that mom. I will have to try out more side lying and squat bar pushing! :)
  2. Nursz-R-Awsm

    A little update on me...

    Hey Brandy, Just wanted to say congradulations also. I haven't been on the boards in a very long time. You have lots of new changes all at once! I am also a nightowl married to a M-F (usually) day man who travels at times for business. You will find your time is VERY precious and have to turn down others to make your time together off QUALITY. At least 'most' of our family is understanding about that! Enjoy the wedding planning and remodeling...both are fun but take slices of time out for you to renew also! Lisa
  3. Nursz-R-Awsm

    Nursing Journals

    Which nursing journal do you recommend for our field? I have been receiving RN and I am wanting to get a different subscription for one about L&D. Thanks!
  4. Nursz-R-Awsm

    Nurse Mates BP cuff

    Also, to those responding, any suggestions on a quality bp cuff? I would like to get a good one. Thanks.
  5. Nursz-R-Awsm

    cross training

    Wow, I work LDRP's, so I had to learn PP, then L&D....pretty much OJT. It really does need to be consistent time in L&D to learn it. I wish we'd been offered specialty nursing courses like that...it felt more like baptism by fire. The only courses we had was a basic fetal monitoring course and I plan to take an advanced course.
  6. Nursz-R-Awsm

    Your way of easing pt fears...

    Humor does work well. It eases them into talking at times and changes their focus. I really like the intimate friends comment! I know many women appreciate a little tenderness when going 'down under'...I find some tell me "Oh, nurse 'so and so' was rough, thanks for being gentle." This thread is a good idea. I find sometimes touch works well also....depending on the patient. Sometimes just wiping the mascara-stained tears from around one's eyes or softly touching their arm/leg while looking into their eyes when they are afraid means lots in the middle of all that is going on.
  7. Nursz-R-Awsm

    A good team player

    I really like RNKitty's reply. It hits the nail on the head. To Momontoy, take care of your license yes, but also share your pearls of wisdom...teach the new and less experienced nurses. Some really do appreciate it and not all of "them" are in nursing for the wrong reasons.
  8. Nursz-R-Awsm

    Who staffs for C-Sections?

    We have 16 LDRP's. I work nights...we core-staff with no less than 3 RN's....two of which will circulate and scrub the c/s. Rarely have an aide, if we do it's only until 11pm. We have a nursery RN or LVN come to delivery. We prob avg around 50-70 births a month. Our unit floats, but night shift rarely has to since we're short-handed and are often the ones calling for help.
  9. I haven't checked out the bb in such a long time! Thanks everyone for sharing. This has been very helpful. I usually take a multi, vit C, vit E and a B complex. I work nights and I can really tell if I miss taking them. I am interested, however, in looking into the time-release more pricey kind next time around. I also want to learn more about homeopathic remedies and the book suggestion will come in very handy! Lisa
  10. Nursz-R-Awsm

    Have you seen this?

    I have been busy lately and not on the computer. Unfortunately I have no news. The baby was off the vent, but condition hadn't improved otherwise. I will post more if / when I find out if anything changes. Also, OB/Gyn said there was no sinusoidal pattern. Thanks, Lisa
  11. Nursz-R-Awsm

    R U helpful with new nurses??

    Rdhdnrs said it all so well!
  12. Nursz-R-Awsm

    Christmas in the spirit or not?

    Well, I lost my post, so here goes again. I love to bake for close friends and a couple of businesses we use in town, it helps get me into the spirit. In my first year as a nurse, working nights, there just isn't any time. My Christmas cards are still in the box. Had my parents out for TG and we celebrated Friday. I got them to help put up and decorate my (artificial) tree. I feel like the holiday is very commercialized and that puts me out some of the time. I have some family that have everything they could need/want. I really like to surprise someone w/something they really need or would not spend their money on themselves for. I hope when we have a family to instill some meaningful traditions (however corny) so they will have great memories of family time together years later. My husband and I are grateful for each other, our health and my job. Now that I'm out of school we are able to "manage" with his foot surgery, a car repair in Nov, a transmission in Dec (yes, same car...93K miles...NOT paid off) and a few gifts under the tree. Mind you we will be paying those out for some time. I am trying not to be discouraged about working Christmas night...along w/my coworkers and patients who will also not be at home. Hopefully I can bake for us that night as a pick-me-up. Maybe I will get some cloves and cinnamon sticks....and a bottle of wine?? Hehe I am determined not to be an "undecided" if I can help it. Lisa
  13. Nursz-R-Awsm

    Have you seen this?

    Rdhdnurs-I had wondered about possible trauma to mother since I've been off work and going over this in my mind. Kennedyj-I believe she was gravida 3, no complications of previous pregnancies and I think the c/s was due to nonreass. heart tones, but I will look at the actual strip to doublecheck when I get a chance. kday-For some reason, from your posts you remind me of a good friend of mine...don't know, maybe you use the same words a lot?Anyway, there has gotta be more to this and I'm sure w/more time at the hospital baby went to, they will get to the bottom of it. I work again tomorrow night and will be asking more "?"s if time allows. It's very interesting, but sometimes I wish I could turn the brain off to enjoy my only day off! Thanks guys for all of the responses. L
  14. Nursz-R-Awsm

    Have you seen this?

    This week we had a case that was interesting. I work LDRP, but nursery was short and I was helping out in there and was unable to be in on the delivery or in the ICN w/the newborn, so my info is sketchy...but here goes. If I remember correctly, mom's labs were not out of whack, she was being induced (vag cytotec? not sure of reason) and it was not long after that she had to be taken back for a c/s. This baby came out white, blood drawn looked like Koolaid....his crit was 10, his blood sugar in the 20's, metabolic acidosis of course, placed under hood, apnea spells, he received blood several times. I do not know how bp's were. Anyhow, baby was pinking up slightly when I peeked in on him...mostly from head to chest, but then pale again. The next morning he suffered seizures and was shipped out. Interestingly enough, pediatrician said he hasn't seen this in his 25 years and ob/gyn didn't sound like he'd seen anything like it before. I don't know if patho found anything w/placenta, but this mom had a lot of fetal cells in her blood stream....I heard a comment that if she were negative she would have needed 10x's the amount of RhoGam required. We called the hosp where he was shipped and EEG is not looking good last I heard. Just curious, thanks, Lisa
  15. Nursz-R-Awsm

    new very last and up to date poll!!!

    We accumulated debt while I was in school, but we made it on my husband's salary...and could probably do it again if we had to and hoping no medical emergencies or vehicle breakdowns occurred. We are doing our best to continue to live on his and use mine to get out of the hole. I do not feel I am the norm however... I work and went to school with single moms...single dads raising kids on their own and couples with children who very much depend on both incomes. I believe this is the majority of the nurses I have known. Lisa
  16. Nursz-R-Awsm

    Preadmission Testing RN's

    Wow, that sounds like a nice job. I'll have to keep that in mind if I ever need a change! Thanks for the reply! Lisa