fourbirds4me

fourbirds4me

Member

  • Content

    347

  • Visitors

    5,819

  • Followers

    0

  • Likes

    0

All Content by fourbirds4me

  1. Staffing ratios for C Sections

    fourbirds4me replied to KRoman4's topic in Ob/Gyn

    One for Mom... one for baby. Although if baby needs rescuscition the circulator will help and or call for more help as needed. ACOG/AAP staffing guidelines call for 1:1 care for mom and baby in

  2. Sponge Count for Vag Deliveries

    fourbirds4me replied to Nurse4Moms's topic in Ob/Gyn

    Oh yes... as well as a filed incident report on the

  3. Sponge Count for Vag Deliveries

    fourbirds4me replied to Nurse4Moms's topic in Ob/Gyn

    YES... we do count sponges and YES we use raytec.... 20 of them in fact... to prep with and for docs to use during repair (sometimes they pack the lady parts to stop blood flow during repair). Just a...

  4. Great Delivery / Bad Delivery

    fourbirds4me replied to SC RN's topic in Ob/Gyn

    Sounds like you performed to the best of your knowledge... However, remember that knowledge is power. Always know your P&P. Policy always overrides orders. Your hospital will not back you up if...

  5. Discharged after c-section and readmitted next day

    fourbirds4me replied to sahmof2's topic in Ob/Gyn

    Could possibly be post-partum cardiomyopathy... although the temp doesn't really

  6. The baby is frank breech

    fourbirds4me replied to DutchgirlRN's topic in Ob/Gyn

    We deliver vertex/breech twins (under double set-up). And actually had to precip a doubling footling breech last summer (oh my god)... nothing like looking at two little feet sticking out of the lady...

  7. Ambien, Is It Really Safe For Pregnancy?

    fourbirds4me replied to obnursesteff's topic in Ob/Gyn

    We use Ambien routinely for overnight obs. pts and for cervidil inductions. Most of these pts are continuous EFM and we have never had a poor outcome... in fact most of these babies never even have a...

  8. delee suctioning

    fourbirds4me replied to ladylabor's topic in Ob/Gyn

    NRP... Suctioning is part of the resuscitation

  9. Women who don't know they're pregnant

    fourbirds4me replied to StarNurse2006's topic in Ob/Gyn

    There was recently a pt brought to the ER with severe ABD pain, vomitting and what was assumed to be "ascites" (which fit the picture according to EMS because of all the beer cans thrown around the...

  10. Benchmarking Cytotec

    fourbirds4me replied to ttt's topic in Ob/Gyn

    We use cervidil for cervical ripening. Nurses place it. We only use cytotec for fetal demise. Nurses place it

  11. Are more babies born at night?

    fourbirds4me replied to findingmywayRN's topic in Ob/Gyn

    In Oklahoma here and would have to agree with the drop in barometer assessment.... seems like we go into a SROM free for all when a good storm system moves in. Otherwise, more babies are born in the...

  12. Perform CST on preterm pregnancy?

    fourbirds4me replied to SierraN's topic in Ob/Gyn

    pp. 268 FHM Principles and Practices (AWHONN).... " The OCT (CST) is generally not recommended for pregnant women with a relative contraindication to uterine contractions, such as prematurity, a...

  13. if only for one day......

    fourbirds4me replied to babyktchr's topic in Ob/Gyn

    To all the mothers who find a lady partsl exam the most tortuous thing in the world and then proceed to cry and try to crawl off of the bed.... "how did you get pregnant anyway?" To a certain...

  14. Who mixes pitocin and mag?

    fourbirds4me replied to bbnurse's topic in Ob/Gyn

    Both Mag and Pit are bought premixed and stored in the pyxis. Pit is 30 in 500NS, Mag is 4gm in 100 for loading dose and 40 in 1000 for maintenance. We stopped mixing our own pit right before joint...

  15. Have you ever... and how do you document it?

    fourbirds4me posted a topic in Ob/Gyn

    You know the pts. that come in a 3:00am huffing and puffing that you know are in transition by the look on their face.... You do an SVE and find a huge BBOW that is tight as a drum and of course...

  16. transfer of active labor patient?

    fourbirds4me replied to obnursesteff's topic in Ob/Gyn

    I think unless you are transferring to a higher level of care where benefits of transfer outway risks you have to keep them. I believe this is true even if a unit is on

  17. Just graduated, want to look into nursing

    fourbirds4me replied to dominicanpooh's topic in Ob/Gyn

    There are several ways you can go about it... First you need to complete a program that allows you to test to be a RN. You can do this with and associates degree or a bachelors degree and in your...

  18. Speaking of IVs... Need help (long story longer)

    fourbirds4me replied to pebbles1977's topic in Ob/Gyn

    As soon as I get flashback I stop advancing the needle and thread the catheter. If you advance the needle too far with those big needles you can inadvertantly go through the vein or nick the side......

  19. certified in fetal monitering

    fourbirds4me replied to mugwump's topic in Ob/Gyn

    I don't know which one is better... and someone can correct be if I'm wrong but I believe the NCC thing is more of a test of knowledge for certification. I've heard that the Michelle Murray course is...

  20. Stripping Membranes

    fourbirds4me replied to fusster's topic in Ob/Gyn

    I did a quick search of Yahoo UK and found it referenced often. Perhaps it's called a "cervical sweep" I think it is effective in helping to ripen the cervix even if labor is not a direct result....

  21. Lpn in L&D?

    fourbirds4me replied to new_mom2005's topic in Ob/Gyn

    We do have several LPNs on out unit. They are all working on their RN. Currently not hiring anymore LPNs. Don't count yourself short on not being smart enough to be an RN. In most acute setting...

  22. 16G or 18G for IV access?

    fourbirds4me replied to k_cole21's topic in Ob/Gyn

    We use

  23. Family Sues After Woman Dies From Mistake At Military Hospital

    fourbirds4me replied to Zhlake's topic in Ob/Gyn

    I have worked at my facility for about 2 years now. Twice a pt has coded and required resuscitation and emergency c/s during/after epidural. Both times due to an epidural placed in the wrong space....

  24. How high is too high for pitocin

    fourbirds4me replied to htrn's topic in Ob/Gyn

    A couple of things... First of all... how is your pitocin mixed? You may be confusing cc with mu/min. That being said... I have heard of this before. There have been studies that say that a high...

  25. paper work for fetal demise/neoatal death in delivery room

    fourbirds4me replied to pat m's topic in Ob/Gyn

    The nurse assigned to the pt does all related paperwork. Including death certificate and organ donation referral. Also contacts funeral home and or prepares body for pathology. Of course we do a...