fourbirds4me

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 plan

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

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 it is also recommended that common uniforms be wo...

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. Q 15min vitals. Q 2 hr mag levels. PIH labs. Q ...

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 like this pt should have been at least 1:1 and shoul...

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 delivery.

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 if they have an epidural and the doc is on the wa...

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 always come in to deliver the placenta (which is usual...

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

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 second stage. That leads to no continuity of care.

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 first-line agent for intrapartum antibiotic prophyl...

Amp 2gm loading dose... then 1gm q 4h until delivery... You can view the CDC reccomendations here... http://www.cdc.gov/groupBstrep/gbs/hospitals_guidelines.htm

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 Kegels... http://www.nlm.nih.gov/medlineplus/ency/articl...

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 "chain of communication" to insure the pt is prope...

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 heroic measures... all the while the baby lay alone ...

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 employer.... that you left a job ofter 5 months because ...

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 CNA... no unit secretary. Staffing guidelines are from...

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 upset and is threatening to give orders (or make stan...

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 few interventions) desired to ensure the desired bir...

#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 0300... pt c/o rt flank pain rated about a "4"... I ...

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 main line) So always assess your lines regularly...

Professional organizations have discouraged and even forbidden fundal pressure for vaginal deliveries since 1987. Some boards of nursing have even addressed this http://www.msbn.state.ms.us/rnsuprapubic.htm During vaginal delivery this is a dangero...

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

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 use for overflow 15 pp rooms (separate unit) that ...

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 reviewed her prenatals and hx. She had been coming in ...