JaneyW

JaneyW

Perinatal, Education

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All Content by JaneyW

  1. Tom Cruise on Postpartum depression

    We were discussing this at work yesterday and many of us came to the conclusion that Tom is off his rocker. I would also like to point out that Andrea Yates was beyond PPD and well into psychosis. I...
  2. Cervical exam help

    I wouldn't waste my money, IMO. Just get opportunity. I understand that not all patients (those ruptured, those without an epidural) should have a bunch of hands in there, but you will learn best by...
  3. L&D acuity

    California has state guidelines. 2:1 in labor and then 1:1 when pushing. But, we all know that there are also outpatients and pretermers and inductions. I believe we counted outpatients as 3:1 and...
  4. MgSO4 patients on Postpartum

    I chuckled when reading your reply. It is the right reply to the OPs problem, but way off from what happens in the real world of community hospital OB. I just left that kind of facility for a teaching...
  5. What do patients say that irks you?

    I was 24 and married when I had my first baby--college graduate, out on my own for 5 years,etc--but when those labor pains started you better bet I wanted my Mom there. Momness is a powerful thing....
  6. Sudafed during pregnancy? Help, I'm miserable!

    My doc let me use a nose spray like afrin. He told me it wasn't truly systemic because it pretty much just acts on your nose. This is only my experience and not my opinion as a nurse. We usually...
  7. male labor and delivery nurses

    I intentionally chose a male OB doc. My SIL had had a female who just wasn't very sympathetic to her. I am a major baby and I wanted someone who would pat me on the back with a there, there. Mine...
  8. Perform CST on preterm pregnancy?

    Could her dates be wrong? If she is more like 29 weeks or 30 weeks, aren't the accels sometimes not as high? Was the variability good? It is so frustrating when docs want to do things like this....
  9. Are more babies born at night?

    Do none of you do inductions at night?? I have had that at two different hospitals. We do 5am and 5pm inductions. I used to work at a place that did midnight cytotec and cervidil on
  10. a rant (pts come to hospital for the littlest of things)

    I can see that you other night nurses share my frustration with those who don't seem to know why they are there at 3:30 am for something that has been going on for hours or days or forever. "What...
  11. Hi and a question!

    I have been a nurse for almost 3 years--all in L&D with cross-training to PP. I have only a little over 2 years of actual work experience because of being on disability twice. Once for 4...
  12. 16G or 18G for IV access?

    I would love to be more schooled in IV therapy. Thanks for the input. How do you choose/start an IV in order to ensure better blood flow arounf the catheter? Do you have a favorite area for L&D...
  13. Question about Bloody Amniotic Fluid?

    We don't send all placentas by c/s, but my guess would be because you were preterm and they were trying to figure out why. Maybe infection--sounds
  14. Stretching of Cervix

    She meant position changes or getting the pt vertical--not the
  15. Would you have called the doc? (LONG)

    I do spec exams all of the time to assess SROM and dilitation on possible PTLs. I am in CA. Is this a hospital to hospital
  16. Would you have called the doc? (LONG)

    Although I agree it was a good call to call the doc, I also know that I often get erroneous report on the phone from our ER. What they tell me on the phone can often be totally different when it...
  17. Stripping Membranes

    I have actually had a better experience with Dogpile.com as opposed to Google. I have found Google to be a bit difficult to weed through---it gives you almost too much info. I have to agree with...
  18. MDs overriding protocol?

    OK, I have only been doing this for about 2 years (nursing) and I fully admit to being very "by the book". I work NOCS in a small community hospital with a very busy OB unit (180/month). We are...
  19. MDs overriding protocol?

    Thanks for the replies. I thought that was the case, but we have a few nurses that are 'pleasers'. I have almost done 'pleaser' things myself for docs I trust and when I agree with the situation,...
  20. Stripping Membranes

    I would guarantee there is more to this story. I have personally had my membranes stripped and it worked like a charm--natural labor and birth three days later. It is usually done in the office when...
  21. 20 wk fetus, prom

    Minou--I believe you might hypothetically work where I do! It is kind of sad to me that these hypothetical things happen at other places as well. I have found a new job at a large teaching hospital...
  22. nurse assisted deliveries

    I work nights at a community hospital so this has happened to me a few times. There are forms to fill out for internal record keeping. This can reflect on the docs as well. We have one group that...
  23. Are unnecessary c-sections on the rise?

    What they said, and how!!! I have seen all of this. We have also had a lot of almost pre-eclamptic 34-37 weekers that are being amnioed for lung maturity weekly so they can be delivered at our...
  24. Standing orders for outpatients?

    We do 160 to 180 deliveries a month and that's how we handle our OBOP patients. Our docs don't seem to spend much time on education and we are constantly getting people who are contracting every...
  25. Epidurals

    Thankfully, I had a doc like that. I was only 2cm and intact when I got to the hospital at 6am to have my second. I was contracting but not hurting too much yet. We had to kind of strong arm the...