Jemma

What kind of sleeping pill is being ordered for your moms after delivery? We have used Dalmane 30mg prn for years- pharmacy is suggesting to switch to Ambien.

What are others doing?- What is your concentration? What is your starting dose? How often is it increased? What is your maximum dose? Does anyone use a premixed bag? If so, what is the concentration?

Just wondering what protocols are used in determining which patients are drug tested in your labor rooms. Do you inform the patient that the test is going to be done? What is the usual followup with the newborns if the mom has a positive drug screen...

How are others caring for post-op patients with epidurals? Nurse to patient ratio? Are patients on any electronic monitoring? Are these patient on the general surgical floors? Before removal of epidural, are others getting Duramorph? Any complication...

We have a surrogate mother giving birth to twins due next month- the parents of the baby will be present to care for the babies, sign consents, etc. What are others policy on the ID bands on the babies? Do we band them with the birth mother or band t...

In this case the intended parents are the genetic mother and genetic father.

Looking for others policy on documentation of FHR during second stage of labor (with urge to bear down) if on continuous fetal monitoring- one source states "FHR must be evaluated every 5 min" Do others document a FHR every 5 min on the record? If no...

JCAHO standard says all medications poured into another container on a sterile field must be labeled-- how are others addressing this with local on Delivery Room tables? On our department local is only poured to a sterile med cup on the table for the...

We are getting ready for JCAHO survey and another nearby hospital said the surveyors were requiring documentation specific to recovery after epidural. I don't understand why- if has been discontinued,is it any different from routine recovery after d...

Has anyone been through a recent JACHO survey. Wondering what their focus is for OB units? Anything anyone could share about their survey would be appreciated. Thanks

We recently had a consultant visit to help us prepare for a future JCAHO visit. One important focus is Medication Management- she said it was necessary to mark (on the label ) every time a change is made in the dose (titration) of an IV medication - ...

We went through a mock survey with the new tracer method- it's going to be quite different from the past. Please let me know how your survey goes. One thing that came up was having the pharmacy mix the Pitocin for inductions/augmentations. Does your ...

In our OB unit we are discussing the OB staff circulating and scrubbing in for C-Sections. I would like to hear what other units are doing that do between 500-650 deliveries/year. What is your usual staffing like? RN, LPN, NA mix? Who cares for the ...

One of my friends (also an OB nurse) daughter-in-law delivered at a nearby hospital and we were surprised that they allowed the new mom to get out of bed immediately after delivery and sent her into the shower. We generally assist new moms to the BR ...

I have nurse buddy that is an elvis fan - How can I email her that attachment? What a hoot!

For years the productivity of the L & D in our unit has been only measured by # of deliveries- not taking into account length of time in labor room or acuity of patients ( inductions, MagSo4, etc.) With budget controls getting tighter and tight...

This was brought up to us by our anesthesiologist. Is anyone doing this with labor patients and how is it working compared to continuous epidural infusions?

We use acoustic stim during NST's. Policy says 2 stims at least 1 minute apart. Also used occassionally during labor to induce an acceleration if unsure of sleepy baby vs. nonreassuring strip.

Setups for delivery good for 24 hours where I work.

here's our rule: (50 deliveries per month give or take) bottom line rule is that we must have 2 nurses in the department at all times trained in l&d. if there are 4 on days and we flex down to 3, that nurse can be 40 min away, if there are 3 on ...