L&D.RN

Latest Activity

1. Cytotec for Inductions

   L&D.RN replied to SteelTownRN's topic in Ob/Gyn

   We give Cytotec orally for induction purposes, never vaginally. We give 100mcg q 4-6 hours. Contraindications are grandmultip, prior uterine surgery, concomitant use of pit, non-vertex (duh), non-reassuring fetal status, presence of regular painful...

2. Cytotec for Inductions

   L&D.RN replied to SteelTownRN's topic in Ob/Gyn

   We use it, and it works well. Sometimes it really moves things along quicker than we're used to with our good ol' cervidil. It's great with a cervix that isn't ready for pit. We give 100mcg q 4-6 hours, but there are stipulations such as if they'r...

3. How realistic is this?

   L&D.RN replied to babynursewannab's topic in Ob/Gyn

   LOL, that reminds me of a determined student in my class when I went to school. She was cutting it close, and was contracting like mad during her finals, but she finished her finals, delivered that night, and was back for the following semester. I ...

4. The Circumcision Discussion

   L&D.RN replied to jmspeach's topic in Ob/Gyn

   I'm of the opinion that it is a good thing, both medically and socially. I also don't want to debate personal opinions, but after lots of research, I had both of my boys circumsized and watched the procedures. They hated being held down and screame...

5. Advice please, another vbac question

   L&D.RN replied to artlp's topic in Ob/Gyn

   They wouldn't let you at my hospital either...the other successful VBACs you had weren't with an overstretched uterus full of 2 babies either, that definitely increases the risk. I guess IMO, it wouldn't be worth the risk to me, but good luck making...

6. How do you NOT become cynical?

   L&D.RN replied to rn500's topic in Ob/Gyn

   It sure helps if you can switch to another hospital with different people, maybe that would breath fresh life into you! I agree, some days are tough, and sometimes when a coworker makes a crack about a not-so-upstanding patient of mine, it makes it ...

7. protocol for illegal drugs

   L&D.RN replied to Spidey's mom's topic in Ob/Gyn

   We notify CPS and they are placed in foster care, but that's usually very temporary...sort of depressing. On a side note, we have had babies that test positive when the mom has tested negative on a UDS. Not sure of the reasoning or who peed in the ...

8. Oh my god! I passed!!!

   L&D.RN replied to Dayray's topic in Ob/Gyn

   Congrats!! And they will not put you out on your own just yet. You'll still work with an experienced RN until you feel comfortable to be set out on your own. Even then, you can always get opinions from experienced RNs that you work with. Welcome ...

9. At what gestation do you stop treating PTL?

   L&D.RN replied to rn500's topic in Ob/Gyn

   None of the docs at my hosp will do anything if the pt is 36 weeks, but some will let 35 point somethings go without stopping labor.

10. Doulas

    L&D.RN replied to Mrs.B's topic in Ob/Gyn

    I have worked with good ones and bad ones, but I have found a good close friend is sometimes just as good, if not better, and they don't charge and they're happy to be there. My issues are when the doulas try to hand out medical advice, speak to me...

11. velamentous insertion ??

    L&D.RN replied to L&D.RN's topic in Ob/Gyn

    I would think it would also depend on where the insertion was if we could feel it or not. The OB was positive from the moment she felt it that it wasn't, but when she asked for the amni-hook, neither of us really wanted to hand it to her just in cas...

12. velamentous insertion ??

    L&D.RN posted a topic in Ob/Gyn

    Question here: Can you "feel" a velamentous insertion when you do a SVE? Reason I'm asking is this, last night at work I had a pt from he**, and it finally got so bad that another nurse came in to help me. The pt was more anxious than I have ever...

13. Birth Ball question?

    L&D.RN replied to NICU_Nurse's topic in Ob/Gyn

    Some people love them and say they are so helpful in labor, but others hate 'em. We can't use them once the patient has an epidural, so for the most part they are helpful with NCB patients.

14. labor/delivery "routines"

    L&D.RN replied to Browneyedgirl's topic in Ob/Gyn

    Our hospital sounds about the same as Deb's reply. I think I've seen 2 episiotomies in the last 2 years, and they were for fetal distress and they needed to get the baby out fast. Sometimes the FPs reach for the scissors and we give them "the look"...

15. Doctor Orders:)

    L&D.RN replied to THE_L&d_NURSE's topic in Ob/Gyn

    ...and if something went wrong, he'd deny he ever said it to you, and in a court of law you would be the bad guy for making those decisions and "practicing medicine" without getting his orders and approval first. I know sometimes we all have to do ...