magz53

magz53

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All Content by magz53

  1. No more VBACs

    magz53 replied to 33-weeker's topic in Ob/Gyn

    I have mixed feelings about VBACs, knowing so many of the primary sections were done for no medical reason. I also am uncomfortable with our small hospital doing them.........the midwives need the OB...

  2. Help please! Second stage/delivery questions

    magz53 replied to mandykatrn's topic in Ob/Gyn

    After awhile you develop your own routine and can quickly eyeball a room that you didn't set up. I check for an O2 mask, meds for potential PPH, etc. Simple things like can opener for Xylocaine and...

  3. Why do nurses eat their young?

    magz53 replied to cinthern's topic in Ob/Gyn

    I feel very fortunate that 34 years ago, I was nurtured by the finest when I began my first job. One of them was a male CNA who taught me so much about patient care. I have very fond memories of my...

  4. breast feeding with nipple sheilds

    magz53 replied to crissrn27's topic in Ob/Gyn

    You can tell if a mom really wants to breastfeed or if she is going through the motions for whatever reason. ( We have midwives that are a little too pushy in that department.) I will work with a Mom...

  5. Tubs for labor

    magz53 replied to 27YearRN's topic in Ob/Gyn

    My only experience with a tub is the inflatable one that one of our midwives uses. Let me tell you, we dread when a patient wants to use it. I love natural births but I don't see the comfort in...

  6. Share Your Funniest Patient Stories...

    magz53 replied to Trvln Nurse's topic in Nursing Humor

    How 'bout a little OB story ? We get frequent phone calls on our unit for advice. One night a husband called and said " I think my wife's water may have broken, usually when she gets undressed the...

  7. Staffing woes...LDRP

    magz53 replied to mommy2boysaz's topic in Ob/Gyn

    We are a small hospital too with around 5oo deliveries per year. When I worked 11-7, I was many times left alone....and afraid to leave the desk area where the telephone was. Also afraid to not be...

  8. My poor co-worker!

    magz53 replied to tryingtomakeit's topic in Ob/Gyn

    Check with your State Board of Nursing. New York's came out with a position statement on abandonment and sent it to every license holder some time ago as they had so many problems with just this type...

  9. Security

    magz53 posted a topic in Ob/Gyn

    Are most OB units locked units?? Our unit is an open unit. Our hospital is open 24 hours. Oh yeah, you "should" sign in by the switchboard after hours. The only security we have is a camera system...

  10. My poor co-worker!

    magz53 replied to tryingtomakeit's topic in Ob/Gyn

    I would also rather be "called off" to be on-call when our census is low. Sometimes we are not given that option if the house is full as they count on us to staff the units. Funny there are call ins...

  11. Security

    magz53 replied to magz53's topic in Ob/Gyn

    I also have complained that we are an abduction waiting to happen with the hospital and unit being accessible to the outside. The recent abduction in Texas sent chills up my spine as that could so...

  12. Home birth vs. hospital

    magz53 replied to rnmi2004's topic in Ob/Gyn

    Where I work, inductions are the rule. VERY few spontaneous labors, and even then they are augmented. It is the women that are demanding them and not waiting anywhere near 40 weeks. They are...

  13. awhonn guidelines

    magz53 replied to MIA-RN1's topic in Ob/Gyn

    We recover our own C/S patients......Our Duramorph recover is q 5min x 30 min or until stable, q15x 4, q30 x 4, followed by q 1 hour x 24 hours !! We have a flow sheet, but still requires what I call...

  14. What do CNAs do in L&D

    magz53 replied to zahryia's topic in Ob/Gyn

    We recently hired a CNA for our OB floor. We are so grateful to have her as she really relieves us of many of the non-nursing duties we had. She runs our specimens to the lab, picks up papers from...

  15. Hormone Replacement Therapy

    magz53 replied to TrudyRN's topic in Ob/Gyn

    I have a very good friend who actually got psychotic and was diagnosed as bipolar during menopause with NO history of a problem ever in her life. Hormones are powerful and affect each of us...

  16. Staffing woes...LDRP

    magz53 replied to mommy2boysaz's topic in Ob/Gyn

    Please take time and go through some old threads as this is a recurrent theme.......stretching nurses to the max and dangerously. Many nurses have voiced excellent thoughts on the subject which I...

  17. Hormone Replacement Therapy

    magz53 replied to TrudyRN's topic in Ob/Gyn

    I have been on HRT for 12 years and plan on taking it for the rest of my life. The decision is a very individual one and I do not attempt in any way to persuade one to do the same. However, the...

  18. how to manage multiple patients on L & D

    magz53 replied to SpudID's topic in Ob/Gyn

    I had a primip who had been laboring on 30 mu/min of pit ( our max ) for hours and not progressing........got a multip in active labor with decels who was moving quickly. Being the only nurse, I told...

  19. Thoughts on Maternity nursing.

    magz53 replied to Nurse AllBetta's topic in Ob/Gyn

    Nursing, like medicine is so highly specialized. I am amazed when I step out of my comfort zone.......L & D..... at the massive explosion of info on med-surg ( where I previously worked ). The...

  20. Mom on Antidepressants during pregnancy

    magz53 replied to nurseyr1's topic in Ob/Gyn

    Yes, we have had neonates who needed transfer to tertiary care due to seizures from SSRIs taken by moms. What I can not accept is that these drugs can be prescribed by nurse-midwives !!! That is so...

  21. aren't there any uncomplicated births anymore??

    magz53 replied to MIA-RN1's topic in Ob/Gyn

    Doesn't it boggle the mind of all of us that variations of this same thread continue to be a concern to caring intelligent nurses ?? Is there a hospital anywhere that has adequate staffing ?? Why...

  22. Why so many interventions ??????

    magz53 replied to Mooncricket55's topic in Ob/Gyn

    In my experience, many women demand induction. They are "tired, can't sleep, their backs hurt, they have a babysitter, yadda, yadda." In this litigious climate, their demands are caved in to. We...

  23. Unsafe staffing in OB dept

    magz53 replied to rntobe2005's topic in Ob/Gyn

    All of these situations sound horrible, one of our docs who no longer practices used to demand that an L & D nurse and a nursery nurse be on the floor for that occasion when a mom gets off the...

  24. Standard of Care/preterm labor check

    magz53 posted a topic in Ob/Gyn

    In what time frame should a patient be seen by a physician or midwife who presents at 30 weeks with complaints of leaking fluid and contractions? Of course I know it is less than the 5 hours I waited...

  25. Standard of Care/preterm labor check

    magz53 replied to magz53's topic in Ob/Gyn

    Thanks for your support, my hospital goes ballistic over patient/family complaints. I will be writing up an incident report. I do see the situation more clearly after a couple of days. This mother...