MemphisOBRNC

MemphisOBRNC BSN, RN

L&D,- Mother/Baby

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All Content by MemphisOBRNC

  1. Hospital Issued Scrubs vs. Personal Scrubs

    We switched to wearing our own a number of years ago, too. We have specific colors per unit and no allowance. Last year, I couldn't even take the expense off on
  2. Mask question

    :yeahthat: Our hospital does not require the fit testing for
  3. L&D IV starts: Staff or IV team?

    We start our own with an 18 ga. We get our blood for labwork on the initial stick. NICU starts their own. For PP lab, the phlebotomist
  4. brain sheet for postpartum/antepartum please post

    I have one but I'll have to send it from work. You can private message me to let me know where to send
  5. Question about your rooms..

    Stabilize in the room and transfer to NICU if
  6. Help with Apgar Scoring

    I recently attended a delivery in which the baby had a heart rate >100 at 1 minute (2) and that was all. Just as the ambu bag was put on the face, it started screaming (2), pinked up (1), had good...
  7. Assessment of FHR during second stage of labor

    rninwch hit the nail on the head! In the AWHONN IFMC (formerly FHMPP), i the documentation section, we teach that "assessments are conducted at intervals appropriate to maternal-fetal condition....
  8. itching after cesarean section

    We also have an order for Allegra 120 mg po for the itching. I like using the Nubain
  9. Nurse initiated SVE

    transferring a patient opens a new can of worms. ematal rules should be the same nation wide, unless your state or hospital has rules that preclude them. besides mds, ob and psych. nurses are...
  10. Does taking Sudafed show positive for meth?

    I had a patient this week that came in with a fetal demise. She was a complete abruption that was concealed. All labs were totally screwed up. No edema, liver enzymes all elevated, platelets fell
  11. Nurse initiated SVE

    You need to take a look at the EMTALA policy for your hospital and see if RNs are considered QMP (Qualified Medical Personel). If so, that should be all you need to prove your point. I will also so...
  12. fetal monitor question

    Though I'm still not good at determining position, I use Leo. to find the fetal
  13. awhonn guidelines

    You may want to ask management for a copy. I have never heard this, either. We do vital on CS as follows: once out of recovery, q 30 x 2, q hour x 2 and q 4 for the remainder of 24
  14. I have never heard of auscultation at the junction, either. I must say I'll have to try it (I'll try just about anything once; twice if I like it
  15. PKU testing

    :smilecoffeecup: In Tennessee, we do ours at least 24 hours after birth, but in reading the slip, it states it is to be done after 24 hours of lactose
  16. scrub nurse

    In addition to learning the names of the instruments, it will help if you know what the doctor is doing and when. (After the skin incision, cutting the fascia. It's tough so you know he/ she will need...
  17. Preprinted Medication Sheets

    :typing (Tennessee) I put together 8 or 9 different med sheets that we are using. I would be happy to email them to you if you'd like. Some of them are: Admission L&D meds, Group B strep meds,...
  18. fetal monitor question

    Fluffy means a bit of extra addipose tissue (Overweight, fat, as wide as they are tall etc.) When mom is in complete lateral position, I find moving the monitor to the far side of the abdomen (the...
  19. Can't mix drugs??

    We run into the same thing, too. When 6 gm of Mag. Sulfate is ordered, our premixed is 4 gm and the pharmacist will NOT send up 2 more gms to add to the bag. He has to mix it himself. At night, some...
  20. 4th degree Laceration..ouch!

    Let 'em labor down instead of starting to push the minute they hit 10 cm (or
  21. Postpartum fall risk assessment

    Well our mock survey was delayed until later in the week. I'll keep you posted. One thing that our illustrious Infection Control department made us do in preparation was to remove all the supplies...
  22. Postpartum fall risk assessment

    Heather, ditto on the great post. What state do you practice in? I had not heard the Hgb drop of 3.5 being state reportable. (In am in Tennessee) Just out of curiosity, what other OB related...
  23. Certification exam in in patient obstetrics

    I used Professional Education Center, too. The NCC website gives you information on the test and what areas it
  24. Question about car seat policy

    Since each state has different practices and community standards, it would help to know from what state the question and answers come from. I am in Tennessee. At my hospital, we ask if they have a car...
  25. Tape for Dressings??

    We use 1 strip of 2" tape placed at the lower edge of an ABD. It's the plastic feeling stuff...Durapore? It only touches the skin about an inch on each side. We use abdominal binders pretty often. Not...