fourbirds4me

fourbirds4me

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All Content by fourbirds4me

  1. Intubation

    fourbirds4me replied to babyrex33's topic in Ob/Gyn

    We are taught to intubate/view cords in NRP. We are primary care givers to the neonate as RT/Ped are usually not available at delivery. Anesthesia is usually close by but only intubate (if they can)...

  2. Forced Csection??

    fourbirds4me replied to L&D_RN_OH's topic in Ob/Gyn

    I think the key in this case would be instead of forcing the woman to undergo a c-section (which sounds like to me the doctor was looking after his pocketbook more that the welfare of mom and baby)...

  3. Do redheads have more pain during labor in your opinion?

    fourbirds4me replied to becca.utns's topic in Ob/Gyn

    I haven't noticed a difference in pain tolerance... but like the others keep methergine on hand because red-heads are notorious

  4. Epidurals and attending in house

    fourbirds4me replied to L&D_RN_OH's topic in Ob/Gyn

    Our OB docs do not have to be in

  5. Vaginal Exams (How Often?)

    fourbirds4me posted a topic in Ob/Gyn

    As a new practicing nurse I am trying to put learning into practice. Everything that I have read tells me that numerous lady partsl exams are not neccessary and can indeed be dangerous....especially...

  6. Induction craze

    fourbirds4me replied to Blizzard's topic in Ob/Gyn

    We have policy of 3 scheduled deliveries/day (c-sections or inductions) There is a list of guidelines for induction and sometimes are doctors will fudge on the medical reasons to get a pt induced but...

  7. Vaginal Exams (How Often?)

    fourbirds4me replied to fourbirds4me's topic in Ob/Gyn

    You are wrong about this...... the other day we had an induction.... started on pit about 0630. At 1500 she had progressed to 8 and 1600 she was still an 8 so she was cut 1630. Baby was 9lbs + so it...

  8. Old School

    fourbirds4me replied to acuteobrn's topic in Ob/Gyn

    EVERYONE gets a 18ga IV. Continuous fetal monitoring if admitted. Not out of bed if on pit. Foley after

  9. Don't you hate it when?

    fourbirds4me replied to L&D_RN_OH's topic in Ob/Gyn

    You are having a fairly busy shift. Full board when you come in. You think your catching up when up walks a 15 yo and entourage c/o ctx. She has been to every hospital in town trying to get...

  10. Don't you love it when...

    fourbirds4me replied to at your cervix's topic in Ob/Gyn

    Pt comes in 4-5. Epidural at 6. Progresses moderately so that I have time to do paperwork. Pushes like a champ. A doctor who likes to deliver in the bed w/ no episiotomy. Baby with apgars of 9/10....

  11. Question for my fellow RNs of the OB world..

    fourbirds4me replied to harry Krishna's topic in Ob/Gyn

    Many times ER will call us to do FHT's when they have tried unsuccessfully. Our women's services unit will also call for us to do FHT's if they are having a problem. I think sometimes it's hard for...

  12. Pt. positioning with epidural

    fourbirds4me posted a topic in Ob/Gyn

    After your patients have an epidural what do you do about positioning? I find most of my patients want to stay on their back although when I explain why they shouldn't be .... they are more...

  13. Don't you hate it when?

    fourbirds4me replied to L&D_RN_OH's topic in Ob/Gyn

    Or the patient who gets out of bed 30 minutes after delivery and gets upset when you ask her to get back in bed when you ask to check her bleeding...... ummm..... only because there is a huge puddle...

  14. Birth Control part of discharge teaching?

    fourbirds4me replied to dawngloves's topic in Ob/Gyn

    We have many patients that are pregnant at their six week check-up despite teaching at discharge. Depo is usually offered to those interested. lady partsl rest is stressed. Everything else waits...

  15. Leopold's Maneuvers

    fourbirds4me replied to jp2096's topic in Ob/Gyn

    Yes.... you should always do leopolds to try to locate the fetal back for fetal heart tones as well as trying to confirm vertex

  16. Pt. positioning with epidural

    fourbirds4me replied to fourbirds4me's topic in Ob/Gyn

    We do not even have squat bars for our beds and I have not seen the labor ball used since I've been here. Someone told me that our manager could not find squat bars to fit our beds. If anyone knows...

  17. managing decels?

    fourbirds4me replied to BRANDY LPN's topic in Ob/Gyn

    Scalp stim is also a common practice where I work.... but I am always leary because there seems to be some controversy. Priciples and practices of FH monitoring (AWHONN) lists scalp stim as...

  18. Nights

    fourbirds4me posted a topic in First Year After Licensure

    Well I start my first night shift today..... and yes I guess I should be asleep. I took a Tylenol #3 and am waiting for it to take effect. Anyone else working nights? I am very nervous. I'm...

  19. babies having babies

    fourbirds4me replied to BRANDY LPN's topic in Ob/Gyn

    I think 15 is the youngest mom I've had so far. But don't ya just love it.... try to explain a lady partsl exam much less do one.... I always feel like I've committed rape or something...... I...

  20. Meds during labor

    fourbirds4me replied to verock's topic in Ob/Gyn

    This seems high to me.... anyone else giving these

  21. Meds during labor

    fourbirds4me replied to verock's topic in Ob/Gyn

    We have standing orders for Nubain 5-10mg q2 hrs. Also generally will not give it after 7-8cm. Nubain is usually first dose best dose and if a pt. is progression quickly, I find that it doesn't work...

  22. Terminations

    fourbirds4me replied to tamrnmomof4's topic in Ob/Gyn

    As I write this I am getting ready to go to work. We have a 161/2 week IUFD on the floor being "induced". They were to start her cytotec sometime today so I know she won't be delivered. I just know...

  23. transferring vaginal deliveries to postpartum/gyn unit

    fourbirds4me replied to StrongRN's topic in Ob/Gyn

    I believe we can transfer with an aldrette of 8 (might be 7 not sure). Personally I like my vag deliveries to be up walking and voiding. This usually occurs within 1.5 hours or

  24. Elective C-sections

    fourbirds4me replied to Altra's topic in Ob/Gyn

    Although I haven't been able to find one, our chief OB was talking about an ACOG positions statement along the lines of supporting elective section. Personally I think it's nuts and how in the world...

  25. IUPC's

    fourbirds4me replied to OBNurseShelley's topic in Ob/Gyn

    I guess it might depend on what brand of IUPC you use. We do not have to prime the IUPC. If that were the case then physicians would have to start amnio infusions... placing IUPC's is out of the...