fourbirds4me

fourbirds4me

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All Content by fourbirds4me

  1. Certification question

    fourbirds4me replied to camay1221_RN's topic in Ob/Gyn

    http://www.nccnet.org Requirements: Current licensure as an RN in the U.S. or Canada 24 months specialty experience as a U.S. or Canadian RN comprised of a minimum of 2000 hours Employment in the...

  2. Another staffing dilema

    fourbirds4me posted a topic in Ob/Gyn

    I am in a similar situation to maxibelle. We deliver 1100-1200 per year. At night there is no OB in house. Anesthesia is only in house if there is a running epidural. We scrub, circulate and and...

  3. How important is Left side

    fourbirds4me replied to CoffeeRTC's topic in Ob/Gyn

    i think that as others have said ideally left is best. however, evidence has shown that statistically there is no different between right and left. i have searched a couple of my books and "lateral"...

  4. Choice: cesarean v.s. vaginal birth

    fourbirds4me replied to jclumb's topic in Ob/Gyn

    I believe in INFORMED consent. However, I think most people desiring elective c/s and even induction have absolutly no clue about the risks and consequences of the procedure they are

  5. nurse assisted deliveries

    fourbirds4me replied to parteiranagua's topic in Ob/Gyn

    Are you asking how to deliver a baby or how to proceed with documentation and everything

  6. Standing orders for outpatients?

    fourbirds4me replied to Littlewonder's topic in Ob/Gyn

    We also routinely monitor 1 hour before calling the MD. This is part of our portocol. Of course we notify sooner if needed. I believe this also agrees with

  7. Career Ladder

    fourbirds4me replied to hello2you's topic in Ob/Gyn

    I think our career ladder works differently. It's designed to compensate for education then envolvment. For example: to obtain level 3 you must have BSN and 50 Points (obtained various ways... to...

  8. Question about checking for rupture of membranes (and LONG, about my birth, sorry)

    fourbirds4me replied to tuppence's topic in Ob/Gyn

    We also are experiencing a lot of this syndrome lately! LOL Particularly with PIA patients and no other good reason to

  9. What different areas are there in ob/gyn nursing??

    fourbirds4me replied to nursestudentx's topic in Ob/Gyn

    gross things... ummmm I guess depends on how you look at it but unfortunately OB is not all sunshine and smiles. Post-partum hemorrhage, shoulder dystocia's with broken clavicals/humerus, fourth...

  10. Questions about breastfed baby

    fourbirds4me replied to jkaee's topic in Ob/Gyn

    How about trying finger feeding. Get a 5fr feeding tube and attach to a syringe... tape feeding tube to finger. Worth a try... but what I have done and most of my friends do ... have someone bring...

  11. Intubation

    fourbirds4me posted a topic in Ob/Gyn

    I hear many of you talking about RT/doctors etc... required to be at your deliveries for infant intubation/cord viewing purposes. This is a nursing job at our facility. Many of our nurses are...

  12. Stupid Student Question on C-Sections and Nursing Specialty

    fourbirds4me replied to KristinWW's topic in Ob/Gyn

    At our hospital L&D supplies circulator, scrub and assist. Nursery comes for the baby. However there are time when we have to call OR for help if we are really busy or short

  13. My First "Bad" Baby!!

    fourbirds4me replied to Darchild77's topic in Ob/Gyn

    Not only are we allowed to do it.... we are expected to do it. I have not acutually done it but many of our nurses can/do. I have seen more that one doc who had trouble doing it also so I don't see...

  14. Do You Have Any Favorite OB Myths?

    fourbirds4me replied to BabyRN2Be's topic in Ob/Gyn

    I have had many pts talk about the need to "mold the baby's head". Been too afraid to ask how they intended to do it!

  15. My First "Bad" Baby!!

    fourbirds4me replied to Darchild77's topic in Ob/Gyn

    Why aren't you allowed? We are allowed but most nurses so scared of it they rarely do it and instead drop a delee or a 10fr... although these are just suctioning throat and stomach. I myself am...

  16. Ever had to personally pay out on lawsuit by being the RN?

    fourbirds4me replied to all4babies's topic in Ob/Gyn

    This is a concern for me also. I have been wavering on the issue of malpractice insurance because I have heard it said that while you are protected in the event of lawsuit..... you are also more...

  17. My First "Bad" Baby!!

    fourbirds4me replied to Darchild77's topic in Ob/Gyn

    Sounds like everything turned out great! I have some questions though.... Did you use an ET tube to deep suction/view cords before you started

  18. L/D nurse assisting with C-Sections

    fourbirds4me replied to Mazzi's topic in Ob/Gyn

    We also scrub, circulate and assist w/ sections. The circulator is basically in charge of supervision of sterile field, counts, all paperwork, pt. prep, getting and opening extra supplies/instruments...

  19. Painless labor?

    fourbirds4me replied to Stephanie D's topic in Ob/Gyn

    Just curious as to why she got a spinal if her pain was so minimal? I have seen patients handle labor very well and say "that wasn't so bad". I think it's a pain tolerance issue or maybe a control...

  20. Does anyone NOT like working in OB?

    fourbirds4me replied to lulu88's topic in Ob/Gyn

    I work with several people who constantly complain about how much they hate it.... but I think these people would hate it on any unit. I agree with DayRay... most people who love OB seem to be called...

  21. Clinical Nurse Specialist

    fourbirds4me posted a topic in Ob/Gyn

    I am looking into starting my master's degree and have the option for Maternity Clinical Nurse Specialist. Does anyone work with them? What is their job desciption at your hospital. Does anyone...

  22. Slow February?

    fourbirds4me posted a topic in Ob/Gyn

    Anyone else having a slow month? I think we've have about 8 deliveries this month so far and we usually average about 3/day. My 36hours this week consisted of 1 patient..... Don't like to be...

  23. worried about my sister- triplets!

    fourbirds4me replied to cornhusker red!'s topic in Ob/Gyn

    My cousin and his wife had triplets this past summer. I think the pain problem was preventing pre-term labor. She had a cervical cerclage and of course standard betamethazone injections. She...

  24. covering an npo pt

    fourbirds4me replied to milicarr's topic in Ob/Gyn

    We usually cover (depending what type of fluid they are on). Some of our doc use D5LR. IMHO I think this works well because they are getting some sugar/nutrients to offset

  25. Should I worry?

    fourbirds4me replied to webbiedebbie's topic in Ob/Gyn

    We do about 1000-1100 deliveries per year. We have 4 LDR's, 2 smaller LDR's that we use for r/o labor, ptl, pih, repeat c/s, etc. We also have a "treatment/triage" bed and a room with two recliners...