beachmom

I need suggestions please! Our hospital has encouraged skin to skin after birth for many years, and after lady partsl births this is happening. After C/S births, IT'S NOT. Our manager is all for us doing skin to skin in the OR, breastfeeding and keeping baby with mom all though the OR, PACU and back to her room. (If baby is stable and staffing allows.) The OB's, OR staff and PACU staff are all OK with this. The problem is, most nurses are still bringing baby to mom for a few minutes after the C/S then taking baby to the nursery to do the weight, meds etc. Some will then get the baby to mom in PACU. Others will keep the baby in the nursery while they do their paperwork and not get baby to mom until she is back to her room. Grrr. It is much easier on the nurse to bring the baby to the nursery. And it's an ingrained habit. We've had many forced changes by management lately, I think encouraging a change in practice would come better from a coworker (me) than from management. I'm on practice council, and this is one of our goals. I put a flyer on the bulletin board, but I need something more effective. I'm thinking a slideshow or video at the unit meeting, maybe? Do you know a good video? Any suggestions for me would be greatly appreciated. :)

Here's a whole list of names, with pictures. :) 19 Nonsensical Names That Nobody Should Have To Live With | RealClear

No, we don't have a 24/7 OB. Luckily all our OB's live 5-10 minutes away, and they can park right next to LDRP. The clinics are across the street - 2 minutes away. Our peds live farther away, 10-20 minutes. All of us are expected to be skilled with NRP. The next nearest LDRP is 2 hours away, so we do our best. Some of are CRNAs (anesthesia) live 15 minutes away, and that's scary. We have a "stat C/S box" in case the Dr. needs to get a baby out with a local. We all hope and pray we don't have to use it. It was used once in the past, and it was quite traumatic for the pt and the nurses. We have about 600 births/year. Not enough to pay for a 24/7 Dr. or CRNA. Although there is a 24 hour hospitalist if we have a medical problem. Doctors don't have to be in house for epidurals or inductions. Never heard of that. They have to see the pt. at teh start of an induction, and they all answer their phones quickly. Doctors and anesthesia both have to be in house or at the office (2 min away) if we do a VBAC. We have sleep rooms if they need it.

Lots of green in the Portland area and lots of rain to keep it green. Snow and skiing on Mt. Hood. Nice clean water from Mt. Hood melt-off. About two hours from the beach. Lots of culture, arts and diversity. Lots of environmentalists, and health conscious people. I heard it's one of the most livable large city. It has some excellent schools, others not so much. Excellent variety of restaurants and shopping. More parks than most big cities. You need to look into which part of Portland or metro area you live. Some areas aren't very safe. Other parts are much better. LOTS of traffic. Good bus system. I lived there 35 years and then escaped to a small coastal town. I hated the crowds and traffic and love my sleepy little town. If you were a hospital nurse, I would recommend St. Vincent for employment. I have relatives who work there. For a mental health NP, I would have no idea what to recommend.

I know they are different. I'm just saying you can cure strep. Why can't you cure MRSA? If the antibiotics kill the MRSA enough for the wound to heal, why is the person still colonized and infectious?

If someone has a MRSA infection and is on Vanco and Zosyn, and the wound heals, do they still have MRSA? If someone has strep, and they are treated with antibiotics, after 24 hours, they are not infectious anymore. Is MRSA different?

If someone has a MRSA infection and is treated with IV Vanco, when he gets out of the hospital, is he still able to spread MRSA to others? If a person has strep, after 24 hours of antibiotics they are considered not contagious anymore. But with MRSA, I have heard it said people may be carriers forever. I had a relative treated for MRSA, and the doctors just told us to "wash our hands a lot and we will be fine." I thought, no way. If he still has MRSA on him, if he touches ANYTHING in my house, and then I touch the same thing, I can now become colonized with MRSA. But if he is treated with Vanco, and the wound heals completely, is he still colonized? Can he still spread it to everyone he touches? So what's your opinion? If you invite someone in your home who was treated for MRSA, would you disinfect everything he touches?

I can't count the number of women that come in planning on a totally natural birth who decide, at 6 cm, to go with the epidural and are very happy they did. I always tell them I'll support whichever direction they go. I don't know the exact statistics, but I've done PPV on enough natural birth babies to know that just doing things natural does not guarantee a perfect baby. Personally, I've had a C/S and two VBAC's, two with epidurals one natural. There are pros and cons to all the different choices. There are risks to whatever a woman chooses. At home, the woman risks an unexpected postpartum hemorrhage. At the hospital, she risks a spinal headache from her epidural.

I knew a man with a first name of "Fuk." It was pronounced "Fuke". Too bad it wasn't spelled the way it was pronounced. He was an immigrant from one of those small, south Asian countries. I'm sure it was a fine name in his country, just an unfortunate English spelling.