beachmom

beachmom

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All Content by beachmom

  1. Recovery for vaginal delivery

    At our hospital we don't time recoveries. Sometimes the labor nurse does recovery and takes them as a couple for the rest of the shift. When she's done with the busy part of recovering mom and...
  2. What are your thoughts on AROM?

    AROM's are pretty common in my hospital. It seems like we have SROM's that start labor, OR we have labor where pt. comes to the hospital and then gets an AROM. Docs do it sooner than midwives. It is...
  3. Birth Doulas

    We like them except if they try to prevent us doing our thing. We have one in our town, and she is great helping laboring women. I haven't worked with her, but the other nurses like her because she...
  4. People you "know "coming to your unit for care

    If a pt. is my friend or relative, I will tell the charge nurse not to assign me to them. I wouldn't feel comfortable, and neither would they. Or if they are someone in the community who I know and...
  5. What ever happened to "mother nature"?

    Had a wonderful "mother nature" birth last evening. We had a woman really wanted a VBAC with no meds. Her first baby was C/S d/t being ten pounds and too large to come out. This baby was supposed to...
  6. "pit to distress"

    We never purposely put our babies in distress. If pit causes distress, pit is slowed. Sometimes there is a fine line between upping it to get good contractions vs. lowering it to make baby happy. I...
  7. Do I need a certain personality to work in the ER?

    You have to be able to think quickly and be calm in emergencies. You've probably had plenty of experience with emergencies in ICU, just a different kind than in ER. I'm a good floor nurse, but in...
  8. You should find out first what the volunteers do. At my hospital they sit by the front door and direct people to patients rooms. They help in the gift shop. They pass out newspapers. The only...
  9. Info on cross-trained staff

    We have about 60 babies/month. Everyone does couple care and GYN surgeries. A few part-time per diems just do those only. Most of us specialize in either nursery/NICU or labor. A few do everything....
  10. Pregnancy Denial-- a real psychological disorder?

    I asked a doctor once if she had any patients who didn't know they were pregnant. She said only a few, mostly teens who were in denial. One, however, was a woman who was told she could never have...
  11. How far would you go to help someone.

    Great informative reply nerdtonurse! Honestly, and unfortunately, I think I would freeze. I'm by nature not assertive. It took quite awhile for me to learn at work to deal with agitated patients or...
  12. Have we sunken so low? Would you?

    It's all in how you look at it. It's a plastic surgery clinic, and it sounds like they are just offering free care as a perk to those who work there. They don't get it until they've worked there three...
  13. Chest Tubes "Help"

    If the chest tube wasn't in the correct spot, then yes, the lung could collapse. For example, if the chest tube migrated a bit and was sucking on tissue rather than the space between the lung and the...
  14. Ultrasound in L&D

    We can use an ultrasound any time without an order, but we can't officially diagnose anything. For example, if we check a woman and think it feels odd, like maybe breech but we're not sure, we can...
  15. Vaginal triplets

    I love their blankies. I want some like
  16. Medical termination of pregnancy.

    I'm not Catholic. I am pro-life, and I wouldn't help with an elective abortion. If a mother's life was threatened, I would help with that abortion. While I would want to save the baby's life, in an...
  17. "The Disruptive Behavior of Doctors"

    We have an OB doctor who ordered Norco IV. The nurse informed her, "It doesn't come IV." Dr. said, "Well, give it IM, whatever!" (Norco is hydrocodone and tylenol - PO only) She also wanted to order a...
  18. Fine line of abuse

    Had an 81 YO pt. tonight with dementia. At times we had her in four point restraints, giving her IM zyprexa twice. She was hitting, yelling and trying to bite. (Tried all the re-orienting,...
  19. The caption under the video was dated March, 2008. It says "In the new 2008 book edition of Guinness it is reported that he is still alive continuing to break the record nearly 10 years after this...
  20. Christopher Wall was born in 1975 with his heart outside his chest. Here is a fascinating video made of his life by the Guinness book of world records folks. He is an adult now. His heart is inside...
  21. What the Heck Moments!

    We had an OB pt. who had a seizure due to eclampsia and was on a magnesium drip. She wanted to smoke real bad. Her friend, AN ICU NURSE, told her it was no problem. She should just sign the AMA form...
  22. I am sure this is a silly question but I am truly curious.

    Depends on the type of crying. When the pt. or family truly touches you, and you cry, that proves you are human. When I have built a repore(sp?) with a family, and then the beloved family member...
  23. Maggot Debridement Therapy

    I worked for a doctor who used MDT. They come in containers labeled "sterile," as in non-germy. They definately turn into flies, as we found out when one of the nurses disposed of some of them in the...
  24. Have you helped/saved anyone while off duty?

    Not as exciting as some of the others, but here goes: A good friend called me asking me to "lance his boil" for him. He had just finished chemo. He had gone blackberry picking the day before and fell...
  25. Charting Bloopers

    My friend's gramdma had a reaction to Demerol. The doctor wrote in large letters: DEMERAL = CRAZY Several times I have seen doctors write "foley to gravity" What other kind is there? Put...