MemphisOBRNC

MemphisOBRNC BSN, RN

L&D,- Mother/Baby

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All Content by MemphisOBRNC

  1. Newborn Pain Assessment

    Though we don't have a written policy, we do a pain assessment q shift and as needed, like when a circumcision is
  2. Caught my first yesterday!

    I love the "Here's my bill" thing, especially with the ones who continually miss the deliveries. We had (notice I said HAD) a Doc that missed many deliveries and was finally talked to about it - among...
  3. Decel Interventions

    Do any of you do amnioinfusion for variables? And what state do you practice in? (Just curious) All of our Docs will let us do them except for 1. We do them for thick mec.,
  4. Pre-printed forms?

    I also recommend Hollister. JCAHO likes them,
  5. Any idea what this is?

    I delivered a baby with Potters Syndrome that had lots of edema but it was generalized- all over. Was it a
  6. NRP Classes

    http://aap.peppsite.com/dlsp/NRP/NRPHome.cfm?page=nrp Here is the instructor locator search link. I tried searching for you but needed your
  7. Elective Primary C/S

    "Thank you, Britney Spears. UGH."
  8. The Magical Fundus Question

    You are probably not "mashing" deep enough. It should feel similar to a grapefruit. I agree with using the side of the hand instead of
  9. cover gowns

    No cover gowns (or lab coats) are required when leaving the unit. We also wear our scrubs in from
  10. 700-750 / yr 24/7 anesthesia: yes (SUPPOSED to be in house) 24/7 OB coverage:
  11. my first time seeing a dad almost pass out

    We had a hubby supporting his wife during an epidural and he hit the floor, almost pulling her off the bed, too, just as the epidural catheter had been put in and anesthesia was still holding it....
  12. What doctors do that bugs you...

    We have a couple of docs. that practice 9-5 OB. When they come in and check a patient mid-day, they over state dilataion by 2-3 cm. When they come back after their office is closed and recheck, the...
  13. preventing abduction

    NICU visitors are much more easliy controlled in our unit. How do you control the visitors to the mothers in and after labor? Do you screen them before letting them enter? What do you ask? Do you...
  14. Using HIPPA to get a private room

    Penny is right. Incidental disclosure is covered by HIPPA. One option is to put your routine admission questions into layman's terms and have them fill it out. Our computer screen can be turned so the...
  15. #%@&$ Flu Shot!

    I can see that Military would be mandatory but your workplace is not, unless your state is different from mine. Work can say it is STRONGLY ENCOURAGED but not mandatory. If you refuse, there should be...
  16. preventing abduction

    We also have securtiy tags on the baby's ankle but found the alarm does not sound if the tag slips off, only if it is cut. We, too, have a locked unit but have gotten very to where when the bell...
  17. EFM Certification Exam

    Another suggestion is take the AWHONN Intermediate Fetal Monitoring Course (formerly FHMPP-Fteal Heart Monitoring Practice and Principles) It will cover the exact same information and includes strip...
  18. transfer kit for laboring moms

    As far as equipment, I would STRONGLY suggest you take resuscitation equipment for a neonate such as an Ambu bag with infant masks (I forget the sizes but they are for premie and term infants),...
  19. ACLS for Labor Nurses?

    For anyone interested in finding out more about the ALSO course, here is a link.
  20. ACLS for Labor Nurses?

    Has anyone taken the ALSO course? (Advanced Life Support for Obstetrics) It seems it would be much more appropriate for L&D
  21. ACLS for Labor Nurses?

    We are not required to be ACLS certified and we have 24/ 7 CRNA or MD coverage in our unit. The hospital I transferred from did require it. I know I can do compressions and bag until anesthesia gets...
  22. Largest baby

    We delivered a 12 lb 2 oz baby today. Just wanted to
  23. Largest baby

    The 12 lb 2 oz was a C-section who had no significant history (no GDM or anything) She was already scheduled but came in hurting 3 days prior to the scheduled date. I assisted and pushed the baby out...
  24. computer or paper charting? what program do you use?

    We use QS but the Dr.s still write on the hard copy. Until about a week ago, we used QS for mother and baby, from admission to discharge. Some of the Pediatricians complained that the printed copy was...
  25. Fetoscope, doppler, EFM?

    Most of the nurses I work with have never even seen a fetascope! We tend to rely on EFM so much, most are not comfortable using the doppler intermittently. So many of our patients are inductions or...