crysobrn

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 it's cold, bright, quiet and we throw them in a crib...

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 yrs it will all blow over at our house lol. Anoth...

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 dependant mothers and then babies that deliver. The ot...

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 hope she can truely get help. After doing some go...

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 I only do one or two a week BUT I have never had ...

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 inches BUT our one pedi throws a fit if it's not s...

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 about what if the baby was a boy, he'd have to we...

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 great lengths about it and she basically said this....

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 before they scrub so they are aware that they are...

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 done they're off... Especially if it's nights. I am...

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 whatever)... If she gets a pt at 6pm she doesn't do ...

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 need it... Our director also has no clue about OB, ...

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 they are re-admitted they are provided with a crib f...

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 on our floors as well... We no longer split pp and...

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 we work alternating schedules so that one of us is ...

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 during labor. The only thing she has said is it ca...

We had two new ones last week... Steele and the last name also started with an St so it seemed even more odd to me. And the other was Halen, we named the baby we lost Halyn since I thought I'd never hear it at the playground... well apparently it'll ...

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 has some background somewhere else. We are also a s...

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 winters.

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 assign... but honestly they often ask the nurses wh...

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 point about waterproof monitoring system but she say...

I forgot about my sister in laws kids. They all have okay/normalish first names but odd or off middle names Ayden Drizzt Aurora Ryvyn Tristan Rune I can't remember but I think they are from dungeons and dragons characters??

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 etc... We are a combined unit so if it's not signed...

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 on a patient for you at the end of the shift and it...

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 $19 and hour, we get a 6% shift dif for nights. No ...