fourbirds4me

fourbirds4me

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All Content by fourbirds4me

  1. Thoughts on entering travelling nursing for $$$$$

    fourbirds4me replied to Starkyss's topic in Travel

    http://www.goarmy.com/jag.html I agree Army is a great way for a new lawyer to go... nurses too for that matter. AND they have a great loan repayment

  2. tomato/tomahto?

    fourbirds4me posted a topic in Ob/Gyn

    OK.... I've heard different things... is either or neither correct? dilation/dilataion centimeter/sonameter Thanks for

  3. OB scrubs

    fourbirds4me replied to obosoon's topic in Ob/Gyn

    Our units use hospital laundered scrubs... (they are horrible... NO POCKETS!!) However, I believe recent studies have shown no difference in infection in the OB setting. That being said... I believe...

  4. Staffing ratio for this patient

    fourbirds4me posted a topic in Ob/Gyn

    30 weeker, twin gestation, contracting q 2-3, dil. 1+,75,-2, BP's 145/85, +3 DTR's, On Mag.... 6gm load, 3gm/hr. When she was still contracting q 2-3... additional 2gm load and ^ to 3.5 gm per hour....

  5. Staffing ratio for this patient

    fourbirds4me replied to fourbirds4me's topic in Ob/Gyn

    Well... this is just another event in the long line of short staffing issues at my hospital. Sometimes I feel like I only post when everything just gets TOO overwhelming. Of course... I too, feel...

  6. Position for taking BP in preecclamptics

    fourbirds4me replied to babynurse2001's topic in Ob/Gyn

    Both arms... sitting. Lateral positioning is an intervention to lower BP. I agree however that if while lateral if the BP is still elevated... it is more of an indication for

  7. What do you think?

    fourbirds4me replied to jarrn03's topic in Ob/Gyn

    I will push a primip pretty far. We have several docs who have no patience with waiting and will cut an epis with the baby still high and vacuum them out. So I will usually let them crown pretty far...

  8. Do your Dr.s come for FD delivery?

    fourbirds4me replied to LizzyL&DRN's topic in Ob/Gyn

    It is very common for us to deliver a 16+ week demise. However, this is mostly due to circumstance. Since these moms tend to go from nothing to delivery in a very quick time. However, our docs...

  9. Staffing question

    fourbirds4me replied to broncopooh's topic in Ob/Gyn

    What do you do when an emergency walks through the door. How do you handle stat sections... prolapsed cord... abruptions... precipitous deliveries

  10. Pitocin Induction

    fourbirds4me replied to bfusco's topic in Ob/Gyn

    Our protocol is usually 1:2. However we rarely have 2 pit pts. We usually will take outpts as needed. It is very hard to keep 2pts because they become 1:1 during epidural placement and during...

  11. GBS Status: Unknown

    fourbirds4me replied to camay1221_RN's topic in Ob/Gyn

    We generally DO treat unknown GBBS... I guess most of our docs say beter safe than sorry. We use Amp because (as I understand it) it is more readily available. The CDC says "Penicillin remains the...

  12. GBS Status: Unknown

    fourbirds4me replied to camay1221_RN's topic in Ob/Gyn

    Amp 2gm loading dose... then 1gm q 4h until delivery... You can view the CDC reccomendations here...

  13. URETHRAL something.... does anyone know what my GYN was talking about?

    fourbirds4me replied to estrogen's topic in Ob/Gyn

    Kegels DO work... however if done incorrectly can do more harm than good... this article is good and instructions are at the bottom... make sure you allow relaxation of perineal muscles between...

  14. I really need to talk about this! (long)

    fourbirds4me replied to NurseforPreggers's topic in Ob/Gyn

    You did the absolutely correct thing. I agree with the others who have posted... if the MD refuses to come in... it is not enough to document... It the situation warrants it is up to us to implement...

  15. Non-viable baby, born alive -parent won't hold him, what do you do?

    fourbirds4me replied to enfermeraSG's topic in Ob/Gyn

    I've never had one live that long at a non viable gestation. The only one similar to what you describe ended up in a battle between the dr and nurse about whether or not to try to resuscitate/ use...

  16. Dysfunctional Unit or Thin-skinned nurse?

    fourbirds4me replied to cathyish's topic in Ob/Gyn

    OH... I also wanted to say... Don't be afraid to leave. You have to find a safe place to work. You have worked to hard for your license to jeopardize it. What is gonna look worse to a future...

  17. Dysfunctional Unit or Thin-skinned nurse?

    fourbirds4me replied to cathyish's topic in Ob/Gyn

    Our PP unit does not do couplet care. They take gyn surgeries and stable antepartum (uti's etc...) They have 15 bed and are staffed with and RN and an LPN... day shift and census over 12 gets a...

  18. Nurse Deliveries

    fourbirds4me posted a topic in Ob/Gyn

    In the past week we have had 4 nurse deliveries 2 with the same doc (and the same nurse). He hates missing a delivery and is generally a well respected and well liked doctor. However, he is very...

  19. trying to decide what nursing field to go into

    fourbirds4me replied to MaeMae43's topic in Ob/Gyn

    Responsibilities as an OB nurse? hmmmm To promote a healthy inutero environment so that the fetus stays well oxygenated and distress free while assuring the mother recieves all interventions (or as...

  20. Dangerous lessons learned in your first year of nursing

    fourbirds4me replied to RaeT,RN's topic in Ob/Gyn

    #1 UTI's are serious business for pregnant women. Was working the postpartum unit... had a 28 weeker in for pylo. I checked on this girl at least 6 times on my 12hr shift. Only complaint was at...

  21. Dangerous lessons learned in your first year of nursing

    fourbirds4me replied to RaeT,RN's topic in Ob/Gyn

    I don't think this is an exclusive to new nurses issue. More than once I've taken over care of a pt (from experienced nurses) to find the pit line running onto the floor... (not been connected to the...

  22. fundal pressure

    fourbirds4me replied to labor93's topic in Ob/Gyn

    Professional organizations have discouraged and even forbidden fundal pressure for lady partsl deliveries since 1987. Some boards of nursing have even addressed this...

  23. Ice Packs?

    fourbirds4me replied to Aneroo's topic in Ob/Gyn

    We use the diaper trick. It's convenient ... plus very absorbent ... can be a little bulky but overall works

  24. How many deliveries do you have per month?

    fourbirds4me replied to RaeT,RN's topic in Ob/Gyn

    About 100 del/month 4 (large) LDR rooms 2 (Small) LDR rooms... usually use these for outpatients or delivered mags or IUFD... but can deliver in them if needed 2 ORs 1 "exam room" we usually only...

  25. Bad Week...

    fourbirds4me posted a topic in Ob/Gyn

    Had a phone call about 0330. Pt stating she had woke up around 0130 with a severe HA and that she was being followed for PIH and what should she do. Of course I advised her to come in ASAP. I...