nursechar

Latest Activity

1. OB Hospitals in Grand Junction

   nursechar replied to BabyRN2Be's topic in Colorado

   Hello, This a little late, and the lady may have already delivered, but I can tell you all about St. Mary's Hospital. The NICU is excellent and a level III, they have awesome NNP's and Neonatologists. The L&D unit has very experienced and knowled...

2. Activate this forum...Anyone have to take call?

   nursechar replied to JMinCO's topic in Colorado

   At the hospital I work at (L&D), we take a minimum of 3 call shifts a month. The call shifts are 12 hr shifts and most of the nurses are getting really burnt out. Many times we are getting called in to staff other units because the nurses on the ...

3. calling all Labor and Delivery RN's

   nursechar replied to DeniseLDRN's topic in Ob/Gyn

   NRP is Neonatal Resuscitation Program. It really is crucial to have this when working L&D, especially if you work in a rural hospital where there are no NNP's (Neonatal Nurse Practitioner). I feel very lucky to have NNP's where I work, but everyo...

4. Do you guys read birth plans?

   nursechar replied to dawngloves's topic in Ob/Gyn

   Mark, Sounds like you might still have time to possibly re-educate those newer docs and possibly make them re-think their rationale for doing shaves and enemas. I would bet their instructors always did it that way, so they are just keeping up the tra...

5. Do you guys read birth plans?

   nursechar replied to dawngloves's topic in Ob/Gyn

   I bet those poor women just love getting something stuck up there butt and then shaved while in labor. I would like to know the doc's rationale for doing these things, and I would bet the doc's who are ordering such are going off of their standing or...

6. Do you guys read birth plans?

   nursechar replied to dawngloves's topic in Ob/Gyn

   Personally, I don't mind birth plans as long as the people writing them have done their homework. We still get birth plans that say no enema or shave prep, haven't been doing either one for umpteen years! Come in with a realistic, well thought out bi...

7. Oral contraceptive question

   nursechar replied to EndoRN's topic in Ob/Gyn

   Depending on how long you've been taking the pill may be to blame for your not having a period. Many times after a woman has been on the pill for a while, her endometrial lining does not build up enough to have anything to shed(a period). As long as ...

8. What's the weirdest baby name?

   nursechar replied to teresab_2000's topic in Ob/Gyn

   There was a pt. who told her physician that the hospital had already named her baby for her. She had a baby girl and her name was Female (pronounced femolly). Obviously this pt. was not quite up to snuff, feel sorry for the kid having to explain that...

9. Cytotec

   nursechar replied to Brookesmom's topic in Ob/Gyn

   Our facility has pt.'s sign a consent form stating the risks of the med and that the FDA has not approved cytotec for use in this manner. We usually use 25-50 mcg pv, and 100-200mcg pv for IUFD. Personally, it seems to work okay, but it's a little ri...

10. In need of as much info as possible

    nursechar replied to ShannonB25's topic in Ob/Gyn

    Congratulations on your new job. I too am fairly new in L&D, started there about a year ago and previously worked on post-partum and in an OB/GYN office. I still don't feel totally comfortable in L&D. I work with great nurses who are always w...

11. PT. advocacy- Was I out of line?

    nursechar replied to LDRN697's topic in Ob/Gyn

    Was a BPP done, and if so what was the score? Also, I would question why the pt. was sent home on p.o. antibiotics. It is the standard of care to treat GBS with IV Pen-G, Ampicillin or Clindamycin. I think you did the right thing and should be commen...

12. Toxemia

    nursechar replied to NurseDixie's topic in Ob/Gyn

    Toxemia and pre-eclampsia are the same thing. Toxemia is an older name of a disease process that occurs in women when they are pregnant, and they present with elevated BP, proteinuria, edema. There are other problems such as visual changes, epigastr...

13. Patient controlled epidural analgesia in labor

    nursechar replied to Jemma's topic in Ob/Gyn

    We use pt. controlled epidural pumps that can be programmed to provide a continuous infusion as well as providing the pt the availability to administer pre-set amounts of med with a lock-out of usually 10-20 minutes, depending on the anesthesiologi...

14. pitocin protocol

    nursechar replied to mommanurse's topic in Ob/Gyn

    Valene, Just wondering if your babies have a lot of blood sugar probs from the Pitocin mixed with the D5LR instead of just plain LR, and if your facility has many uterine ruptures from the Pitocin protocol they use?

15. Manual dilatation of cervix

    nursechar posted a topic in Ob/Gyn

    We had a pt. on our unit,G5, P4 , who had all SVD's previously and was term , came in having uc's q 2-3 min x3-4 hours, palpated strong, but never had any cervical change over 3 hours and was given MS 10 mg and was sent home. She came back in 8 hour...