crysobrn

crysobrn

OB L&D Mother/Baby

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All Content by crysobrn

  1. Torn about breastfeeding

    I think that babies physiologically NEED to be at the breast when they are brand new. What I tell my moms is "think about it he/she was just in a nice warm, quiet, dark, cuddly place for 9 mos. Now...
  2. Where are all the pregnant women?

    In an attempt to keep our unit in business I am currently pregnant with baby #4 lol. Is it the best time financially for us... NOPE... But we decided to not put our lives on hold. We figure that in 30...
  3. Protocols for drug use in pregnancy.

    We seem to have more and more women coming in to deliver that are abusing various substances. We are a smaller facility and do not have a nicu. I'm curious what if any protocol you have for drug...
  4. Protocols for drug use in pregnancy.

    I actually felt very bad for this girl because she seemed to be having some major symptoms of withdrawl already. She was very believable once she trusted us enough to tell us what was going on. I just...
  5. HELP!!!! All the nursing nurses...

    Hi there mama. I nursed all of my kids successfully for a year (three so far and preggers for #4) and pumped at work. I also have several coworkers that have done the same thing. I work 12's although...
  6. Phototherapy ?

    We have had this come up several times on our unit. We have a new bed BUT we also have these old beds that we use if we have several kids under lights. Our protocol states (the same as the manual) 18...
  7. boy or girl?

    I'm 38 wks with baby number three and we decided to NOT find out this time because of this very thing. I had a pt about two years ago that was having number three, was told she was a girl and we joked...
  8. What would be reasons why someone didn't like L&D?

    I actually oriented to our unit at the same time as an older nurse that always thought she wanted to do OB... After our fetal monitoring course she quit and went back to med surg. I talked to her at...
  9. primip

    For us it depends on where the doc is... I mean if they're in house we can wait til delivery is pretty close before we call... Generally if they are in surgery for example they call to check on the pt...
  10. Epi for Epidural Complications..HELP

    We have standing orders for ephedrine at the bedside... The docs generally only stay 15 minutes to MAYBE a half an hour. We only have anesthesia in house during surgical hours so as soon as they are...
  11. Not enjoying my new job...

    Wow, I'm sorry. I have a nurse that works days that is always wondering what we did all night... If I get a pt at 6:50am she'll ask, "why didn't you check her (or spec her or get her IV going... or...
  12. Help!!

    Oh no. I also work in a small unit... The docs are occasionally NOT very fun to work with and since there are only 2 (right now anyway) it's not like you can get backup from a doc necessarily if you...
  13. post partum readmits

    We don't readmit to our unit. Once a pt is discharged she would be admitted to med/surg if she needed to be readmitted (we once had a pt readmitted to ccu who was 7 days pp and pre eclamptic). When...
  14. rotating postpartum, nursery, and l&d

    I think it's pretty common in smaller hospitals since an OB unit is made up of all aspects of OB... We do either L&D paired with triaging our own pts, or we do couplets and often have antepartums...
  15. How Do You Manage Graveyard Shift & Family?

    I work nights and prefer it that way. I have a 10 and a 5 yr old and new baby on the way in about 5 weeks here. Right now, my kids go to school all day, I sleep. Dh is home. He also works nights but...
  16. Protocols for birthing tubs?

    We recently had one of our labor bathrooms remodeled to include a birthing tub. We have a protocol for cleaning it but somehow our director has not been too particular about the actual use of the tub...
  17. new grads entering L&D

    We have hired a new grad in each of the last three summers. Personally I think that they should all have had some med/surg experience first. I just see a big difference between them and someone who...
  18. Best Lotion for cracked hands?

    Personally the best thing that I've found is the moisture therapy from avon. It's cheap and nothing beats it in the long cold, dry, michigan
  19. Who assigns APGARs?

    The nurses assign apgars where I work. We rarely have RT at deliveries and if we do they never assign apgars. If we do a c/s then there is generally a pediatrician present and for the most part they...
  20. Protocols for birthing tubs?

    Thanks for the replies. I mentioned something to the director at our meeting this week about needing to come up with a protocol and she said "oh yes I know" I thought she had said something at one...
  21. Pros & Cons Newborn Hep B Vaccination

    Right. I usually have more pertinent things to be discussing during the laboring process than vaccinations... I mean there is already the whole admission process, monitors, relaxation, pain options...
  22. Pros & Cons Newborn Hep B Vaccination

    A lot of our nurses have the moms read and sign before they even delivery. There are times when it's totally innapropriate. There are certain nurses that I work with that get upset if they take over...
  23. I'm jealous of all the $6-$8 shift diffs. I'm in a smaller town and it's truely the only hospital setting for about an hour SO, there really isn't any competition... I think our new RN's make about...
  24. Anyone working for WIC?

    I don't think you should feel guilty at all using WIC. I mean it's there for a reason. I think more people could actually get it if they knew the qualifications. When I was pregnant with my last baby...
  25. Pros & Cons Newborn Hep B Vaccination

    I think that the peds really need to talk to the patients more about vaccinations in general. I don't like to get consents for it if there is any question in the parents mind... I give the info sheets...