crysobrn

crysobrn

OB L&D Mother/Baby

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All Content by crysobrn

  1. Assessment of FHR during second stage of labor

    crysobrn replied to Jemma's topic in Ob/Gyn

    Our protocol is documenting q15 min during second stage unless high risk and then we are supposed to do q5 miin. I too find it very hard to do when you are pushing with a mom for over an hour... Our...

  2. No more VBACs

    crysobrn replied to 33-weeker's topic in Ob/Gyn

    We rarely do vbac's there is one that I can think of off the top of my head in which the woman had a nsvd with first baby then a pcs wtih number two because of breech presentation, then with the third...

  3. Babies overnighting in moms room

    crysobrn replied to crissrn27's topic in Ob/Gyn

    As long as mom is getting up on her own and not a fresh c-section we leave the babies in the moms room if they want. We have a pretty flexible rooming in policy that we do what the parents want. There...

  4. NRP equipment in moms room

    crysobrn replied to crissrn27's topic in Ob/Gyn

    We have all equipment set up on an infant care center in each labor room. As far as PP rooms we have a bulb in the baby's crib and that's it. We are a smaller facility and if something were to happen...

  5. nurses and fake nails

    crysobrn replied to TigerGalLE's topic in General Nursing

    We are not supposed to wear nailpolish or rings (they do allow a wedding band). But we had a nurse that was a traveler several years back that had fake nails that were painted and I think they had a...

  6. RT refused to give NEB!

    crysobrn replied to chenoaspirit's topic in General Nursing

    I'm sorry about all of the bad experiences with the RT's. At our hospital we have mostly great RT's and a few not so good ones LOL. I'm married to one of the good ones so of course I get to hear his...

  7. No Accels

    crysobrn replied to nurse79's topic in Ob/Gyn

    We have nurses that are the same way "push the pit" I'm not the best at that:) I mean if I have a questionable strip I don't rush to increase a stressor. Many times our dr's do want us to get to it...

  8. Call Off's

    crysobrn replied to Annointed_RNStudent's topic in Ob/Gyn

    Hi there. I work in a smaller hospital. We all do L&D, PP, mother baby, intermediate care nursery. We don't have a big problem with call offs for low census. We have to have at least two RN's on...

  9. Can CNA do an accucheck?

    crysobrn replied to QuigRN's topic in General Nursing

    They do at our

  10. Any Antepartum nurses?

    crysobrn replied to NikRN's topic in Ob/Gyn

    What a headache. As a patient I can't imagine being moved all over the place!! At our hospital we are small so we do everything in the same unit. L&D, antepartum, PP, nursery, intermediate care...

  11. Non-Nurses calling themselves a Nurse

    crysobrn replied to sarajasmine's topic in General Nursing

    Our schools don't even have a nurse... At our pediatricians office there are two MA's that refer to themselves as nurses. One has given me terrible advice and I've asked to talk to the ped myself....

  12. breast feeding with nipple sheilds

    crysobrn replied to crissrn27's topic in Ob/Gyn

    We don't even have sheilds at our hospital anymore. We used to have some but I think that the concensus was that it they were discouraged so we would not even carry them. I hear everyone when it's...

  13. Interesting places where women have given birth

    crysobrn replied to JeanettePNP's topic in Ob/Gyn

    We had a girl come to the ER that had her baby all wrapped up in a t-shirt. The triage nurse thought the mom was there to be seeb and then she unwrapped the baby and they were like "call OB!!" But the...

  14. Elective procedures and staffing.

    crysobrn posted a topic in Ob/Gyn

    At our hospital we do approx 400-450 deliveries a year. We seem to be doing more and more elective procedures. It's common for women to be induced at 38.5 weeks for no specific reason. As well as...

  15. Elective procedures and staffing.

    crysobrn replied to crysobrn's topic in Ob/Gyn

    I agree... we can only do what is safe. We can refuse to insert cervidil or start pitocin but the dr's are still sending the patients in with no regard for what we have to tell them. Then the patient...

  16. Ephedrine

    crysobrn replied to Bonnierose's topic in Ob/Gyn

    It's part of our epidural orders. Our CRNA or MD will give it if in the room but it stays at the bedside and then we give it if needed. I've only used it once myself as the CRNA is usually still there...

  17. Nursing Shortage News items

    crysobrn replied to NRSKarenRN's topic in Activism, Healthcare

    On the subject of school. At the nursing program that I attended they have a 4 yr waiting list. Yet they only take 28 people off the list. Statistically 20% drop out in the first semester. So in my...

  18. How do you "break in" to LD nursing?

    crysobrn replied to DiannaK's topic in Ob/Gyn

    Our hospital offers a program that is friendly to the nurse that's been away from nursing for a while. Hmm I'm thinking that when I still worked on the floor we had one lady that had literally been...

  19. Staffing woes...LDRP

    crysobrn replied to mommy2boysaz's topic in Ob/Gyn

    We had this very discussion just last week at our meeting. Even if there are NO patients it is still unsafe. We also have about 450 deliveries a year and are UNlocked. So, pretty much anyone can come...

  20. Are the LPNs get the dirty works?

    crysobrn replied to 12breakfree's topic in LPN, LVN Corner

    In my unit we only have one LPN but we all do the same exact work in nursery and postpartum. However she does not do labor because she's an LPN. I'd personally consider labor messy or dirty and guess...

  21. MD's professional handwriting skills

    crysobrn replied to hppynurse2's topic in General Nursing

    We had one dr for a while that wrote so well it was rediculous (but a nice change) he printed and it looked like it was typed on a computer but in some fancy print. Anyway we wanted him to teach the...

  22. Security

    crysobrn replied to magz53's topic in Ob/Gyn

    We are ISO and they have come to do annual inspections and apparently our lack of security for the entire hospital and no central monitoring have slipped their recommendations. We suggest both at...

  23. Nurse initiated SVE

    crysobrn replied to canoehead's topic in Ob/Gyn

    Oh and I'd be very hesitant to trust the dr that you explained at first. If I am the one going on the transfer I'd like to get a baseline sve before I get into an ambulance with the woman and her...

  24. L&D positions for new grads?

    crysobrn replied to Woodenpug's topic in Michigan Nursing

    Our unit hired a new grad last year and the only experience she had was as a nurse tech in an OB unit. She has adjusted well I think. In my opinion it would be beneficial to get some med surg...

  25. Nurse initiated SVE

    crysobrn replied to canoehead's topic in Ob/Gyn

    At our hospital which is smaller with now only 2 OBs we are not only asked but expected to know what tests to perform and actually get them done before calling. So, we would be expected to do our own...