texas-rn-fnp

texas-rn-fnp

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All Content by texas-rn-fnp

  1. What's the best way to find a preceptor?

    texas-rn-fnp posted a topic in Nurse Practitioners, NP

    What is the best way to find a clinical preceptor for FNP program other than just opening up the phone book and calling one after another? I am in first semester of FNP program through a distance...

  2. How does your facility utilize pitocin for post-3rd stage?

    texas-rn-fnp replied to klone's topic in Ob/Gyn

    I have also seen an obstetrician that use 1,000mcg cytotec PR on every patient. Otherwise, the 20units Pit in 1L LR is routine. more if situation

  3. 16,000 deliveries a year? Really?

    texas-rn-fnp replied to HappyNurse2005's topic in Ob/Gyn

    Methodist at the medical center in San Antonio does 1,000+ per month with 40 LDRs. On the other side I have worked at a place that onyl did 30 deliveries a month but was very disorganized and...

  4. How safe are IUD's?

    texas-rn-fnp replied to eng_nurse's topic in Ob/Gyn

    Depo Provera is a good option especially for the teenage patients that are not good are remembering to take oral contraceptives. Of course, Depo-Provera does not protect from sexually transmitted...

  5. Do you have Male Nurses in your OB Unit

    texas-rn-fnp replied to Annointed_RNStudent's topic in Ob/Gyn

    I am a male OB nurse and it has never bothered me that I was male... :-> All joking aside...I think the professional demeanor, knowledge and experience are far more important than gender. The few...

  6. Largest baby

    texas-rn-fnp replied to MemphisOBRNC's topic in Ob/Gyn

    I was on shift last year (but not my patient) for a 14 pounder lady partslly. 4th degree lac, fractured clavicles. Mom was about 300+ pounds. I don't recall but probably diabetic along with other...

  7. Nurse Delivery

    texas-rn-fnp replied to tinyscrafts's topic in Ob/Gyn

    Thanks for the support. When you are lucky they just fall out. What do you do when the baby comes precip then stops after the head is out? (shoulder dystocia) or hemorrage or multiple tight nuchals...

  8. Specialty Pay for Ob Nurses

    texas-rn-fnp replied to shebbie's topic in Ob/Gyn

    When I moonlight through agencies I get a preferred rate that is significantly better than med/surg. This is similar for other jobs that are considered critical care. There is a world of difference...

  9. Doctoral degree to become an NP???

    texas-rn-fnp replied to VickyRN's topic in Doctoral Nursing Degrees

    It appears the doctors are uncomfortable with the new NP degrees because it may infringe more on their turf. Are they worried that the NP will take all their business away and the poor doctors will...

  10. Nurse Delivery

    texas-rn-fnp replied to tinyscrafts's topic in Ob/Gyn

    Depending on the hospital situation that you are in, it may be very common and frequent that nurses do deliveries. I have moonlighted in places that were downtown in large cities, where the hospitals...

  11. FNP....in hospitals.....in L&D?

    texas-rn-fnp replied to HeartsOpenWide's topic in Nurse Practitioners, NP

    In the Army, FNP can deliver depending on the hospital location and scope of practice. They also admit and follow inpatients. Supports the philosophy of "Army of One." Of course this is when they...

  12. Nuchal cord x4!

    texas-rn-fnp posted a topic in Ob/Gyn

    One of my coleagues had a had a pt deliver by c/s yesterday with a nuchal cord x4! The mom cam in for a labor check, 5cm, ctx q5 min, FHR 165, no accels, decreased variabliity, repetative lates. FP...

  13. Emergency Equipment (Couplet Care)

    texas-rn-fnp replied to RNmommy's topic in Ob/Gyn

    Good catch. I didn't pick up on the couplet care part. Yes, I agree with the above. On couplet care (aka mother baby or postpartum) I have not seen any medical equipment in the rooms. on my...

  14. Emergency Equipment (Couplet Care)

    texas-rn-fnp replied to RNmommy's topic in Ob/Gyn

    This is the correct procedure. The equipment for NRP should be immediately available at the warmer. There is no time to waste getting it from somewhere else. Check the NRP guidelines on what you...

  15. midwives and doulas

    texas-rn-fnp replied to Jayla's topic in Ob/Gyn

    The doula will hang out day and night to do those touchy feely personal attendant chores, whereas the midwife will function more like a doctor but more

  16. Complete patient and breech

    texas-rn-fnp replied to mugwump's topic in Ob/Gyn

    On admission, if I can't feel suture lines then I will pull out the ultrasound. We have had more than one patient that was an induction and then later discovered to be breech. It is a good learning...

  17. What is the youngest mom you have seen?

    texas-rn-fnp posted a topic in Ob/Gyn

    What is the youngest mom you have actually seen in person? I see case studies of eight year olds, but the youngest I have had as a patient was 12 and have been on the floor when there was a nine year...

  18. What is your unit's Uniform Policy

    texas-rn-fnp replied to 1994OBRN's topic in Ob/Gyn

    Solid black is depressing. The red/black combo could probably be confused with gang colors or something. Military L&D always provides hospital scrubs to change in to. Every civilian place I have...

  19. do you HAVE to assist with circs?

    texas-rn-fnp replied to pittnurse08's topic in Ob/Gyn

    I support the parent's right to choose on circs, but I would not be of much use in assisting. The first circ I washelping with, I started seeing stars and about passed out. Being a male, I just...

  20. Bradley Birth instructor equates nursing with 'maid service'

    texas-rn-fnp replied to Merovingienne's topic in Ob/Gyn

    I did a paper for my nursing theory course entitled "How cultural competence can improve the communication process with patients utilizing the Bradley Method of natural childbirth" We have had several...

  21. Sterile Speculum exams for ?ROM

    texas-rn-fnp replied to LizzyL&DRN's topic in Ob/Gyn

    I have never had a problem with inserting a speculum without gel. I have seen people have more problems if they try separating the labia from the anterior aspect. Seems to hurt like heck....

  22. Deadly Epidural

    texas-rn-fnp replied to WorkofHeart8's topic in Ob/Gyn

    I totally agree. We all have no clue what actually happened, except a horribly sad event that this mom is not here with us today. What really happened will be decided in a court of law. The media is...

  23. Deadly Epidural

    texas-rn-fnp replied to WorkofHeart8's topic in Ob/Gyn

    The current trend is for babies to stay with the moms until they go home to promote better family bonding and increase security (which is great). But then you have the families that want the baby...

  24. Deadly Epidural

    texas-rn-fnp replied to WorkofHeart8's topic in Ob/Gyn

    If every patient wasn't demanding an epidural maybe it would be just a little easier for some of these interventions to be implemented. How do you think you are going to walk around after an epidural...

  25. Deadly Epidural

    texas-rn-fnp replied to WorkofHeart8's topic in Ob/Gyn

    I have not seen this to be a common situation of the Obstetricians forcing epidurals on patients. It has been my experience that patients either plan for it in advance or request it quickly when the...