magz53

magz53

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All Content by magz53

  1. ED sending patients to L&D

    magz53 replied to PattonD's topic in Ob/Gyn

    Our ER attempts to send everyone up to us for evaluation first. Ridiculous in the case of broken ankle and no trauma to abdomen or c/o contractions, I also had a patient whose main complaint was...

  2. Showers

    magz53 posted a topic in Ob/Gyn

    How does JCAHO allow bleeding postpartum women to share shower facilities ?? We are a small rural facility and have only 2 showers for all women on the floor. I am sure they are cleaned daily, but...

  3. Showers

    magz53 replied to magz53's topic in Ob/Gyn

    Wouldn't it be nice if housekeeping did clean between uses?? I can tell you, not going to happen. As far as I know, JACHO does not address this in any way. Might be a good question to ask THEM as...

  4. Delivery meds

    magz53 posted a topic in Ob/Gyn

    We recently got a pyxis for all of our meds. What do you all do about having meds at delivery ?? We have a doc who is trying to prove a point ( he hates the pyxis ) and is demanding pitocin,...

  5. Delivery meds

    magz53 replied to magz53's topic in Ob/Gyn

    Thanks to all who replied to my question. We are trying to get approval for an emergency kit to be brought to every delivery and the patient would then be charged if we actually used and had to...

  6. Delivery meds

    magz53 replied to magz53's topic in Ob/Gyn

    My concern is the quality of the medications Methergine and Hemabate may be compromised after being out of the fridge and not used more than once........perhaps being brought to room temp and returned...

  7. Need ideas-perks for patients

    magz53 replied to at your cervix's topic in Ob/Gyn

    We give stupid 5 $ coupons for our gift/snack shop if a patient is inconvenienced in any way, such as having to wait 2 minutes even for a nurse. Or if there is noise from construction outside etc. I...

  8. What is a "dry birth"?

    magz53 replied to HappyNurse2005's topic in Ob/Gyn

    My sister was on our floor for 5 days prior to her delivery.....gestational diabetes which was out of control. She went into labor naturally....guess who the nurse was on duty ??? Me !! Ok, I guess...

  9. Question about Harlequin ichthyosis

    magz53 replied to student456's topic in Ob/Gyn

    Horrible

  10. How to judge effacement??

    magz53 replied to shortstuff31117's topic in Ob/Gyn

    We have a doc who will in all seriousness pronounce someone 35% or 56 %. If he is in a good mood, we tease him. Like everyone says, really doesn't weigh too much in the scheme of things whether it...

  11. How to judge effacement??

    magz53 replied to shortstuff31117's topic in Ob/Gyn

    That is a tough question to answer. Every woman's cervix is different of course. Some start out with a very long one.....2.5 to 3 centimeters. Of course if we find this long object that feels like...

  12. med surg to ob nursing

    magz53 replied to sunneeRN's topic in Ob/Gyn

    Years ago a nurse could not specialize in OB or anything else unless she/he had at least a year's med-surg experience. I still think that is a good plan. To have understanding of the pathophysiology...

  13. Change in the way we practice

    magz53 replied to DEB52's topic in Ob/Gyn

    We forgot buccal pit

  14. Change in the way we practice

    magz53 replied to DEB52's topic in Ob/Gyn

    I did manage to breastfeed in the 60's in spite of the hospital stay. Not for long tho as the pediatricians added solids so fast. I remember being a new Mom, just 20 years old and crying because I...

  15. Do you get a lot of false alarms coming in?

    magz53 replied to Jo Dirt's topic in Ob/Gyn

    This "patient" wouln't be you again would it

  16. Change in the way we practice

    magz53 replied to DEB52's topic in Ob/Gyn

    Oh my gosh, forgot that RECTAL exams were used years ago to check for cervical dilation

  17. Change in the way we practice

    magz53 replied to DEB52's topic in Ob/Gyn

    Oh boy, do I feel old !!! My own experience includes : Babe # 1 (1960's) SEVEN day stay for vag delivery due to hematoma for a VERY long mediolateral epis ( also triple H enema...

  18. Vaginal Exams

    magz53 replied to buckeyes24's topic in Ob/Gyn

    I keep my index and middle fingers together and "sweep" from side to side and around the open cervix, you are basically checking the diameter of a circle. Practice on "circles" around the...

  19. Question re: OB tech's

    magz53 replied to mitchsmom's topic in Ob/Gyn

    We recently hired a tech/aide. We had hoped she would take over many of our non-nursing functions that sapped so much of our time....cleaning rooms, emptying laundry, setting up delivery tables etc....

  20. tomato/tomahto?

    magz53 replied to fourbirds4me's topic in Ob/Gyn

    my pet peeves are the use of the word nauseous vs. nauseated and mucus vs. mucous. One could go on and on......the plural of uterus being uteri and not uteruses. We are not allowed to use...

  21. I want to quit....

    magz53 replied to RNTEX's topic in Ob/Gyn

    The job sounds beyond horrible. If you don't leave, you will end up hurt or ill. Doesn't sound like anyone has the wherewithall to sue but trust me, in a bad outcome someone will help them. Doesn't...

  22. Dangerous Unit?

    magz53 replied to ShannonSRN's topic in Ob/Gyn

    In NY, a delivery is considered "unattended" if the physician or midwife is not present and the event is state reportable. I would think the hospital could be sited for these incidences as they are...

  23. my Biggest fear.....

    magz53 replied to AfghaniPrinzess's topic in Ob/Gyn

    You are a better nurse for having fear.........it is the nurse who has no fear and thinks she knows everything who is dangerous. Sometimes there is fair warning of a bad babe and intervention can...

  24. does the FOB really get cursed out????

    magz53 replied to RNDreamer's topic in Ob/Gyn

    How many of you have had labor checks with a multip with a new boyfriend......you know they have had an argument ( or worse ) and she comes in with dramatic complaints which turn out unfounded as she...

  25. Pushing/delivery positions and epidurals

    magz53 replied to CEG's topic in Ob/Gyn

    Just be careful positioning someone with dead legs. We have had several nurses hurt........2 out permanently with back and shoulder injuries. Use the birthing bed with all of its gadgets if...