ohfeelyafundi

We encourage multple delivery positions as Fregi alloted to. We also do waterbirths...even though we are new at it (7 deliveries)...I have delivered a gal on the floor by the bed because that is what she wanted. The doctor was cool with it as well. We use a lot of mineral oil to massage the perineum before delivery. Never do we routinely do episiotomies....so old school.

BetsRN I would n't think of offering it to the "lay public"... I didn't mean to give you that impression.....I will offer the class to other RN's, RT's, Doctors etc...from other hospitals/clinics....

Hey All.... I am an OB nurse at a rural hospital in Eastern WA. I am currently the NRP instructor there. We offer NRP for free to any interested employee, but recently we have had a lot of interest in non-employees. Does anyone have any idea how much we should charge for non-employees to tak the class? The book itself is $40...The administration and I have completely different ideas of what is fair. Any input would be great!! Thanks...Amber

Hey Brookesmom! I work in a small rural hospital and we do use cytotec on occasion. We are using it a lot less lately though! Our guidelines state that after we get a reactive NST (and the patient doesn't have any contraindications like previous C/S. asthma, vag bleeding etc...) we can administer the cytotec either po or lady partslly--whichever the MD orders. lady partslly, we give 25-50 mcg q 4hours until adequate UC's reached or a max of 6 doses. Orally, we give 100mcg q 2 hours until adequate labor with a max of 6 does. We also have to do VE's before any dose. We are to monitor the patient for 2 hours after insertion and absolutely not give anymore does with tachysystole, hyperstimulation or non-reassuring heart tones (duh!). We do VS q 2 hours and have parameters when to give terbutaline. I feel fairly comfortable giving these doses. A few years ago we gave a lot more and we gave it buccally. It seemed like a lot of the patients had painful UC's about a minute apart--it was scary!! I hope this helped!! Good luck!! Kday--we use the PGE2 suppositories for our demise inductions--it works fantastically! Ususally it only takes a 10 mg. dose.