pirap

pirap

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All Content by pirap

  1. Lovenox Sub Q...but where!?!

    pirap replied to chenoaspirit's topic in General Nursing

    When I working Med/Surg just early last year the trauma docs said it was OK to give SC upper legs. Our patient had a lot of abdominal trauma..but if ok for that why not SC anywhere

  2. Calling Docs by their first name...

    pirap replied to zamboni's topic in General Nursing

    We have titles, too and we worked hard to earn our position. When I phone a doctor or answer the phone I usually say, "Nurse Smith or Mrs. Smith, RN or Mary Smith, RN speaking." I will soon one day...

  3. Time to Come Clean,,,,slips of the tongue

    pirap replied to Calgon-take.me.away's topic in General Nursing

    I work OB and one of the docs was making rounds on the floor. Another fellow nurse who hadn't seen this doc for awhile said, "Hey Dr. Smith, long time no see!" Dr. Smith looked perplexed for a...

  4. worried about how long I will be worried

    pirap replied to RN06-NP09's topic in General Nursing

    I think there is a varying degree of worry. I don't think I know everything, BUT I do not come in so overcome with worry that I cannot function and stand on pins and needles when a doctor rounds. I...

  5. Child care and schedule

    pirap replied to LNDRN19's topic in General Nursing

    call

  6. who the heck are you...

    pirap replied to loaparker's topic in General Nursing

    We have name tags on lanyards as well and they do get twisted and turned around backwards. During my first/initial assessment I introduce myself and show them my name tag which has my picture on it,...

  7. do you go to work sick?

    pirap replied to ERERER's topic in Emergency

    My entire family and ME got strep throat the Wednesday before Thanksgiving and I got "double points" for calling out 24 hours prior to a holiday. The EMPLOYEE HEALTH DOCTOR told me to stay home..had...

  8. Postpartum care questions...

    pirap replied to shortstuff31117's topic in Ob/Gyn

    1. Upon admission to the floor, then q1 hrx4, then q2 hrsx2 then 1x per shift and PRN 2. Same as above-vag and section 3. I have never peeped between anyones legs to look at stitches-unless I had...

  9. What's everyone's definition of Natural Childbirth?

    pirap posted a topic in Ob/Gyn

    Just curious here. I thought Natural Childbirth was to have NO medical interventions at all. I mean no IV access-not even a saline lock, no pain meds, no breaking the bag, no constant monitoring of...

  10. Did anyone read the People story about Christina Aguilera?

    pirap replied to rph3664's topic in Ob/Gyn

    When the patient chooses an elective C-Section then no it's not unethical-it is a choice the patient makes-wise or not. What's unethical to me is doctor's pushing women or even HINTING AND SAYING...

  11. Worn Out

    pirap replied to ladylabor's topic in Ob/Gyn

    I do feel the same way about overly demanding patients, but I do tidy patients rooms for them. If they have leftover dinner trays I will remove them, linen bags overflowing I will put up new ones or...

  12. Is there a Dr present at c-sections just for baby where you work.

    pirap replied to crysobrn's topic in Ob/Gyn

    There is a neonatologist present AT EVERY BIRTH plus an RN from the NICU--plus of course moms people. There is a neonatologist on call 24 hours a day/7 days a week. We have approx 5000 births a...

  13. Vacation 'Denied' due to another nurse's medical leave: Fair or not??

    pirap replied to Nurse!Nurse!Hello?'s topic in General Nursing

    How ironic that his "medical leave" is smack dab in the middle of prime vacation time that people spend with the kiddies on summer break??? Truly this doesn't sound like an urgent medical situation...

  14. Initial newborn temp. rectal or axillary?

    pirap replied to rainrn12's topic in Ob/Gyn

    Our policy requires all temps to be axillary. I would not insert a probe into the orifice of a newborn--not taking that risk. In fact I cannot recall a doctor that has ordered a probe/tube or...

  15. Multiples for Media Attention and Community Help?

    pirap posted a topic in Ob/Gyn

    Recently we had a couple move to our city from another state. From my understanding they both had "decent" jobs, house, good medical insurance, etc. They underwent fertility treatment in their...

  16. Breastfeeding and Work

    pirap replied to DZcarrie's topic in General Nursing

    I worked a busy med/surg floor 8 hour shifts(3p-11). I managed to pump at least twice on my shift. My average pt load was 6-7 patients a night. Anyway yes you can pump while at work. Most states...

  17. L & D advice

    pirap replied to chuckc's topic in Ob/Gyn

    Having a background myself on an extremely busy med-surg post surgical/trauma ICU step down unit I can personally tell you that you will have NO problems going to where you are wanting to go and...

  18. Are we marketing tools or are we in healthcare?!

    pirap replied to MalgaBSN's topic in Ob/Gyn

    Well since this is a friendly nursing site and our messages truly help enhance our field I will just agree to disagree. You are right there is nothing close to breast milk than breast milk and it...

  19. Are we marketing tools or are we in healthcare?!

    pirap replied to MalgaBSN's topic in Ob/Gyn

    Yeah that is probably the most expensive brand that I am pushing. It has the highest levels of DHA and ARA on the market which places it the closest to BREAST MILK. Yeah I also EDUCATE moms on...

  20. Are we marketing tools or are we in healthcare?!

    pirap replied to MalgaBSN's topic in Ob/Gyn

    Personally I don't mind when our formula rep comes by. I really don't believe he is trying to sabbotage a moms choice to breastfeed as he is there trying to get moms who CHOOSE to formula feed to use...

  21. Question about personal liability/ malpractice insurance.....

    pirap replied to CareBayer's topic in General Nursing

    I just purchased liability insurance about 3 hours ago from NSO. Was $98 dollars for $1,000,000/$6,000,000 policy for the year. They have smaller amounts but it was only a few dollars more for the...

  22. Baby Brain?

    pirap replied to BlearnRN's topic in Ob/Gyn

    my husband told me the only reason i passed a difficult math course was that i had 2 brains. at the time i was 9 months pregnant with #2. he's still

  23. Nurses not responding fast enough-VENT

    pirap posted a topic in General Nursing

    This is truly a VENT. A VENT about my own family-specifically my AUNT. It all started last week when my aunt said she would have to spend the night with my grandma(her mom) because the nurses would...

  24. Birth Certificates

    pirap replied to eager1hasbegun's topic in Ob/Gyn

    In our state the fathers name goes on the birth certificate IF they are married. If they are not married the fathers name can only go on the birth certificate if he signs an affadavit(sp?) of...

  25. SALLIE MAE or ASTRIVE Student Loan ?

    pirap replied to IfGodSaysYes's topic in General Nursing

    SALLIE MAE. I don't borrow money but for school I had to A LITTLE. I would chose something federally backed than some private loan. There are federal guidelines that are enforced--such as not...