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mark_LD_RN

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All Content by mark_LD_RN

  1. mark_LD_RN replied to mark_LD_RN's topic in Ob/Gyn
    thks, I am have spoke with and participate in such support and groups. I am feeling much better. but still think of her often. she and her family are terrific, they are handling it well. her and her husband came to visit me she wanted to show me how well she is doing and thank me for what i did. it help for me to hear that she believed god had arranged it so i would be the one to care for her at the most critical point of the whole thing. that helped me the most of all. she plans on getting pregnant again sometime. this time i promised her no matter what she can call me and i will be there this time:) thanks again for the support and advice. i think i will be fine over time:)
  2. you should call your doc ASAP. it may be nothing but it is best to check it out. congradulations on your new baby:)
  3. mark_LD_RN replied to mark_LD_RN's topic in Ob/Gyn
    thanks heather:) that is what i am tryin g to do.just not very easy for me to forget this
  4. had patient complaint of increase lady partsl discharge, discribed it as kinda thick and white.says it only happens after intercourse ( s*x) with her boyfriend:) can anyone tell me what that could be:)
  5. mark_LD_RN replied to L&D_RN_OH's topic in Ob/Gyn
    closed,thick,firm,posterior,and sky high = bishop score 0 and they would get it:) myself I am comfortable with cytotec. but still believe we should only induce for medical necessity not social inductions:)
  6. you should be very very afraid. no way should you be left alone like that! hope you never find out why,things can go bad very fast and one nurse with 3 patients is just down right dangerous and crazy:)
  7. mark_LD_RN replied to GEO's topic in General Nursing
    but we have to breath your second hand smoke which is worse than your filtered smoke! hard to find a smoke free restraunt or bar, not to mention just trying to walk through the smoke from people at the entrances to hospitals as well as other public establishments. SO YOU SEE YES YOUR SMOKING DOES AFFECT MY HEALTH. one more thing look at the cost to provide health care to smokers it costs MORE. which drives up insurance and health care costs for everyone.AND THAT IS A PROVEN FACT!
  8. congradulations on your test:) 75 questions is goodthing. only 2 ways to get 75 questions one is to do really well the other is to do so bad you had no chance. I am sure that is very unlikely:)
  9. mark_LD_RN posted a topic in Ob/Gyn
    I was wondering if anyone had any helpful advice with dealing with loss of a patient. I recently had a patient that i was her nurses a while back for first delivery. she was going to be induced and asked me if i would come in and had told her no i could not related to my schedule ,she understood. well to make a long story short her labor went horribly wrong. she ended up in ICU almost died and the baby did not make it. I came in and took care of her in the ICU. a while has passed since mom is recovered by what i call is a miracle. but I still have trouble sleeping at times and get awakened from sleep in a cold sweat. I can still see here looking up at me intubated as i worked furiously to care for her. it seems to be getting better with time.just wondering if anyone had some input on the matter thanks:)
  10. mark_LD_RN replied to Tess RNC's topic in Ob/Gyn
    it is a great way to assess adequacy of labor and monitorinr for hyperstim. if we have a patient that is not progressing welll despite what appears to be adequate labor. we may place IUPC and do MVUs to your suprise a lot of the time you will find what appeared to be and adequate labor pattern actuallly was not.:)
  11. mark_LD_RN replied to Brob's topic in Ob/Gyn
    that is your right as a patient and your choice. to me it is important that each person has the opportunity to have the birth of their choice if possible. that includes who attends your birth. some prefer males some prefer females others it don't matter. in my opinion it really should not matter what gender race or orientation is. but especially during labor and birth the patients comfort is of utmost importence to me. so i always honor their wishes:) from my experience I have been overwhelmed by the number of patients that request and compliment me.I thank god for that blessing everyday.
  12. it takes determination and work but it can be done. it consists mostly of lots of pumping and or nursing. some herbs have been found helpful as well as reglan. hope that helps:)
  13. mark_LD_RN replied to Brob's topic in Ob/Gyn
    that is a concern but few realize that the most sued gender is in ob in a recent study is female. so it only makes sense if one is worried about lawsuits that they require females as well as males to use escourts during exams:)
  14. mark_LD_RN replied to Brob's topic in Ob/Gyn
    man I been away fro months and come back to this topic again.It feels like the movie ground hog day:) I am a male L&D rn and my patients really like me:) when i have more time i would be glad to share experiences with anyone interested. it is good to be back here and see some of the old timers still here:)
  15. well the biggest reasons are cultural and that dads want their sons to look like them.often they do little research it seems before forming an opinion.
  16. general rule is 2 attempts for first nurse,2 attempts for second nurse, then one attempt for best stick in house. 5 attempts total uless it is an emergency
  17. I personal think angel suzie has the wrong mindset and attitude to be a nurse or CRNA, she starts out asking about money then if she has to clean patients. if you are above cleaning patients you need to find another line of work. as far as money if you choose your profession solely based on money you will not be happy.especially with anything to do with nursing JMHO
  18. they are free at our hospital, paci's are provide by our formula companies. and as far as the non-nutriative sucking at the breasts, my wife did it and she does not have breasts of steel:)
  19. there is no medical reasons for routine circumcision that good hygiene will not take care of:). unless foreskin cannot be retracted r/t tightness which is rare. it is more socially accepted now than in the past. I have been in plenty of locker rooms and gym classes and hardly ever witnessed any of the teasing that is claimed. it is a personal decision you need to make. as far as the pain goes, how can we be sure the pain has no effect, a few yrs a go I worked with a doc who thought babies less that a yr where not affected by pain and would not give pain meds to his pt that had surgery! if circ is done there are many methods to help alleviate some of the pain be sure the use them. and most of all do not watch:)
  20. CYBERKAT.. affluent area does not equal informed consent. all to often the patient gives coherced consent. or they do something because they think that is what the nurse or the doctor wants. you will never know how many times I heard will I am being induced because my doc told me to, or I am getting pain meds or epidural because i don't want to be a bother to the nurses or doc,or don't want to make a fool of my self etc. and the interventions refered to are not just pain control issues, its AROM,social inductions, short pushing times,forceps,vaccum,c/s ,pitocin,c/s etc all to often the attempt is made to deliver on the docs schedule not the moms or baby's as it should be. I have worked all around the country in lots of hospitals and have not seen much of the interventions being truely choosen or suggested by the patient. show me a patient that if given the option to deliver with out forceps would choose them if not suggested or some supposed benifit is told to them. most often it is presented to the patient in a way that makes it sound benificial. ie. going to give you a little pitocin to speed things up, give an episiotomy to speed up delivery or to prevent damage ,( now thats a real good one:) ), or after a primp pushes for an hour the pt being told well we not make progress lets go for c/s. and the list goes on and on. the patients will often go along with what ever is suggested to them. I know this from personal experience or first birth went the way the doctor suggested , my wife did it because she did not want to upset the doc. and we were from affleunt families and area and well educated. but because doc suggested it, wife ended up with pitocin,demerol,epidural, 3 rd degree episiotomy with forth degree extention after a forceps delivery. baby had bruising from forceps, wife had long difficult delivery of 7 lb baby. the next two we changed docs decided to do it our way , I delivered our last 2 babys 8LBS and 8 LBS 15 oz wit h14 1/2 inch head myself no meds no pit no epidural intact perineum and home in 12 hours with second one and 4 hours with third one. even during those births the doc and nurses often suggested pain meds or pitocin etc to help things along. funny thing is all her labors were 17 -17.5 hours :) well enough of my rambling:)
  21. we considered home birth with our last baby,but i was too scared. I guess knowledge of what could go wrong affected our decision. I still think home birth is a viable option if it is a low risk pregnancy, birth attended by certified midwife with proper nrp training and equipment. and in resonable distance from hospital. ideally my opinion is birth is best done at free standing birth center near a hospital. just about everyone here knows my opinion on all the interventions we do to laboring patients, social inductions etc. we have way to many interventions and inductions and i believe a lot of the problems are caused by that. pitocin can stress the baby out more than just letting it occur naturally. I really hate it when they AROM a patient at 1-2 cm. that just burns me u and the pushing thing , yes a lot of the women can just rely on the contactions to labor the baby down,but some do have to push. I know some docs that want you to start pushing at 8 cm. another item i don't agree with. my opinion is birth is usually best if allowed to occur and progress on it's own time. DAYRAY I see you pointed out one of my favorite stats. that the US has the highest infant morbidity and mortality of any developed country:)
  22. the nurse escourts them down and makes sure they put baby in corificeat correctly. we do not install the car seat or place the baby in it though
  23. the nurse escourts them down and makes sure they put baby in corificeat correctly. we do not install the car seat or place the baby in it though
  24. that is what makes it all worth while:) whay to go!
  25. that is what makes it all worth while:) whay to go!

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