crysobrn

crysobrn

OB L&D Mother/Baby

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All Content by crysobrn

  1. pt. suspected drug user

    I have a different ad on the bottom of my screen but that is interesting isn't
  2. Ever have a day like this???

    :uhoh3:LOL... Not at you but because I have totally been there. We have a three person rule for vag deliveries and try hard to enforce that but I'm only once person and these people are standing on...
  3. pt. suspected drug user

    If I provide the assessment to the doc and they order a tox screen we run it without the knowledge of the pt. Many times if we do get someone who is a user they will ask "why do you need my urine"...
  4. Policy on leaving AMA w/baby?

    If we believed the baby were in danger we'd call cps... Personally I've never had a doc that denied an educated woman leaving with her baby prior to the 24 hr mark and returning for a pku at 24-36...
  5. another salary question...

    Several years ago I applied for an office job because the docs in that office seemed like they'd be nice to work for. I went to my interview and they told me how great it was that I applied that they...
  6. One of our OB's will automatically section for breech babies and the other depending on the OB hx of the mother. Once when the second was covering for the first we had a mom come in that was supposed...
  7. I was curious as well and then later I heard the times were only ONE minute apart, so not sure where the original numbers came
  8. How long to wait?

    Depends here too as the pp said, gest age, sometimes gbs status, what they are already dilated to, if they are a multip etc... Unfortunately here we go more by the docs schedule... If someone comes in...
  9. Curious as to what happens to teen Moms

    I also haven't seen this. We have more of a problem with minors that WANT to give their babies up and the parents that give them a hard time about it. I'd think that if the situation arose like one...
  10. md-surge to L&D nursing, what was it like??

    I applied for OB when I had been on med/surg for about 6 mos and I did not get the job. Quite honestly at the time I was a little upset, thought I would have done a great job, actually lost the job to...
  11. Bad weekend at work.

    Just need to vent a bit here as I had a pretty crappy weekend at work. My first night on we were already busy with a full floor of postpartum/couplets and an antepartum on mag... We get a call from...
  12. I read the same thing and thought the same thing as
  13. I know I'm late here but I did read it, like some of you in the line at the grocery store. I was annoyed at the very least. Not that she chose a c-section necessarily because that seems to be the...
  14. Circ Rates by Region

    In the midwest here. I'd say for our hospital the percentage is about right. We have a larger hispanic population in the summer. And I know the women that deliver at home rarely circ... but adding...
  15. What's everyone's definition of Natural Childbirth?

    I consider a natural birth to be intervention free... no epis, no pain meds, no iv's (maybe a saline lock for amp if gbs+), no arom, no pit etc etc etc... Most of the patients that I've had refer to...
  16. We are a smaller hospital. Approx 400 deliveries a year. We have always had a doctor present at c-section deliveries along with a nurse. Recently there has been a push by the family practice docs to...
  17. Oh sorry... Yes we have an OB that cuts, then an assist (unless a code red situation emerges and one does not make it, but that's another story), then we have the OR crew which for us is a circulator,...
  18. We only do OB patients... there are few exceptions... But on a personal or customer service level I can't imagine having a hysterectomy and then being on a floor listening to babies cry, or ambulating...
  19. Is It Wrong to Look at Your Own Medical Info?

    It's a violation where we work too... They tell us that they cross reference medical records and if anyone has accessed the file with the same last name then it will be a red flag and they look into...
  20. Bicornuate Uterus

    I have a personal friend that has a bicornate uterus, she is almost 50 and did not know until she had her first son who is now 26ish... It took her a long time to get pregnant with him and then a long...
  21. L & D prn requirements

    Our facility "requires" two shifts in 4 wks, one weekend shift per schedule... BUT... in OB it is not enforced at all. Isn't the perk of working prn that you do not have to work holidays?? I am...
  22. Sterile table set up

    Just sterile gloves here too. Although the nurses that have worked in our dept for a long time seem to wear masks so I'm assuming that was the standard practice years ago. They also used to wear cover...
  23. Are we marketing tools or are we in healthcare?!

    We rarely see our formula rep and it doesn't hurt my feelings one bit. When WIC changed from Similac to Enfamil last year our hospital kept both products to give moms a choice... actually the ones...
  24. intermittent monitoring

    When I took intermediate fetal monitoring our instructor said that awohnn standards were to listen before, during and after a ctxn... Our hospital policy is 20 min out of every hour BUT... I will say...
  25. What have patients told you that they shouldn't?

    I have two kids, I delivered both naturally, breastfed for a total of 25 mos... But I look young (well maybe not so much anymore lol) and I often have patients ask me things like... "well how would...