RNfromMS

RNfromMS

StepDown ICU, L&D

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All Content by RNfromMS

  1. Hispanic patients

    The unit I work in deals with a lot of non-english speaking patients and their families, mainly hispanic (just so you know, they are my very favorite patients...I could work in a hospital with only...
  2. Dermoid cyst

    Today I had a patient who was 27 weeks pregnant who presented to L&D on Sunday afternoon for suspicious tracing. She was placed on magnesium sulfate therapy and given betamethasone injections....
  3. Grief Counseling

    I believe the March of Dimes does seminars. This wouldn't necessarily help with becoming certified, but it may be a start. Our hospital has them coming to do a seminar in October (4 hours) that I...
  4. Red Headed = increased bleeding risk?

    I originally clicked on this thread b/c I thought it sounded so preposterous. Now I think it's really interesting. I am definately going to ask docs and long-time RNs at work about this. In the...
  5. chorioamnionitis...(spelling?)

    When I first started reading this thread, I thought the same thing about that I see it more often than that. However, in further processing, I would think it may be 1% of our patient population;...
  6. Double Standard BS

    I have to say that I hate it when my patients ask me how many children I have. I feel like they are trying to determine if I am qualified to care for them. I do not have children; it was not a...
  7. Positive or unknown GBS

    At our hospital, we only treat moms with positive GBS cultures; 4 hour minimum treatment of PCN prior to delivery. That means PCN every 4 hours until delivery (unless allergic, then Clindamycin); if...
  8. Something all OB nurses should know.

    First off and most importantly, I want to extend my condolences to each and everyone of you who have suffered these losses, even those of you reading, but unable to share for whatever reason. I am a...
  9. Something all OB nurses should know.

    Do you remember which culture this was? It would be really good to know this for future reference.
  10. VBA2C w/ 1st at 25 weeks

    Actually the only reason for the c-section that would play a role is
  11. Pitocin titration

    Our unit uses the 20u of pitocin in 1000cc of D5LR and can titrate up to 32mu per protocol; can go up to 36mu with a doctor
  12. Chaperone or not during exam

    "Then he began the exam without the standard "You'll feel me touch" which is a little disconcerting." We have a resident at our hospital that is a 2nd year as of the first of July. I don't know how...
  13. VBA2C w/ 1st at 25 weeks

    Just curious...why did you have to have the first two sections? That could be a good indication of whether you will be successful in your attempt. Also, where I work (in Memphis) we have a few...
  14. Question about preeclampsia

    We have an unusually high number of pre-eclamptic patients at our hospital (high risk) and very few of them have Hepatitis
  15. opinions about epidurals

    Blows my mind...a hospital that does L&D but doesn't do epidurals? Wow! Most of our patients would never go there. They come in the door asking for their epidural. In our hospital, the rule...
  16. ? about fetus that died in womb

    This is always a sad situation. We have IUFDs at my hospital way too often for my sanity, but usually as soon as it is discovered (in clinic or triage), they admit the patient and start induction. I...
  17. Southaven, MS nurses

    hi, i lived in southaven for 17 years before moving to lakeland, tn this past april. i loved it and still have lots of family/friends there. the move was to get closer to my sister and her family....
  18. Hispanic patients

    Right now (I'm in Tennessee) we don't have the ability on our system to do this. The RN who is our computer specialist has said she will take the information that I have acquired and make it a part...
  19. Chaperone or not during exam

    This is an interesting point and I won't see why anyone should give anyone "heat" over it. In my personal experience and I have been going for annual exams for 20 years now, the OBGYN has always...
  20. L&D as a separate unit.

    Just curious: How many L&D rooms do you have and how many nurses per shift for the labor hall that you can do 1:1 care? I wonder because we have 15 rooms and we very rarely have staffing to do...
  21. Complete patient and breech

    One of our residents tells a funny story from his first year in OB: He was checking a cervix of a patient who was supposed to be 9 cm. He said his first thought was "she's barely fingertip" just as...
  22. Specialty Pay for Ob Nurses

    Our hospital pays a TIC pay which is a small stipend that is paid per hour for "bedside" nurses, i.e. ICU, L&D,
  23. L&D as a separate unit.

    I work in a teaching hospital that has separate L&D, antepartum and postpartum/WBN as well as one of the premier NICUs in the country (right now, there are 66 babies in NICU); we do approximately...
  24. Nurse Delivery

    I work in a teaching hospital where we have one staff doctor and 3 residents for L&D. The nurses do all the work getting the patient through the pushing until the baby is crowning and then we...
  25. Breech Position

    We recently had a set of twins that were vertx/vertx when the patient became complete. Baby A came out and Baby B flipped to