debbiernbsn

debbiernbsn

ER/MIU/L&D

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All Content by debbiernbsn

  1. IV gauge

    debbiernbsn posted a topic in Ob/Gyn

    At both L&Ds I've worked at the practice was to place an 18 gauge cath. This was requested mainly by anesthesia. Is everyone else doing this too as standard practice? If not, do you have any...

  2. Rhogam eval draw time

    debbiernbsn posted a topic in Ob/Gyn

    When do you draw the blood for a rhogam work up after delivery? Our facility states that it must be within an hour but I'm having a hard time finding evidence for that. Thanks for any

  3. Rhogam eval draw time

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    Thank you that would be

  4. Rhogam eval draw time

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    Thank you. Do you know what reference they used to make that

  5. On call requirements

    debbiernbsn replied to mombabyRN96's topic in Ob/Gyn

    In both OB jobs that I have had there has been a call requirement. I worked 40 hours a week & took 5 8 hr calls in a 4 week period. Now I work 30 hours a week & take 3 8 hour calls in 6 weeks....

  6. L&D nurse at my wit's end....

    debbiernbsn replied to clb6885's topic in Ob/Gyn

    I think L&D is inherently a very difficult area to work in for several different reasons. 1) if you are a new grad then not only do you have to learn L&D info, but also basic med-surg skills...

  7. May be silly questions...

    debbiernbsn replied to mommybess's topic in Ob/Gyn

    I have found that these duties are usually snuck in your hospital's nurse job description under the little phrase "job duties as assigned!"

  8. Bicitra in labor?

    debbiernbsn replied to CEG's topic in Ob/Gyn

    Yep, we give this before an epidural. We also give IV pepcid & reglan, the same exact meds we give for all of the c/sections also. Seems like overkill for an epidural to

  9. Need help with my students on rotation

    debbiernbsn replied to Midwifemama5's topic in Ob/Gyn

    I am also a nursing instructor and work on the unit where I have students. If the student is truly shadowing the nurse, following her and watching everything she does, then they should not miss...

  10. L&D triage staffing/hours

    debbiernbsn posted a topic in Ob/Gyn

    I work L&D/PP in a hospital that currently does approximately 1200-1300 deliveries a year. We are about to open a new unit with a 5 bed L&D triage area, which we had not had before. I would...

  11. L&D triage staffing/hours

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    Thank you for your input. Our minimum staffing for L&D is 2 RNs, so I feel that we cannot keep the triage open 24/7 because we can't have 1 RN in L&D and 1 RN clear on the other end in triage....

  12. L&D triage staffing/hours

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    A little more info on the new triage area, it will have to be staffed separately from L&D because it is physically separated from it by a long hallway. Thanks for any and all

  13. IUPC scope of practice

    debbiernbsn replied to obgoddess's topic in Ob/Gyn

    I have worked in two different hospital's L&D's in Ohio and we could not place IUPCs in either

  14. Magnesium sulfate and procardia

    debbiernbsn replied to theamberdawns's topic in Ob/Gyn

    Procardia, when used with magnesium sulfate infusion, can cause a neuromuscular blockade (paralysis). I have heard it explained simply, that you don't use procardia when the patient is on magsulfate...

  15. "discovered" an IUFD the other day :(

    debbiernbsn replied to HappyNurse2005's topic in Ob/Gyn

    I'm so sorry that you and the patient had to go through that. There are very few things harder than telling someone that their baby is gone. I have been through a similar situation years ago, twins,...

  16. Mag Sulfate policy

    debbiernbsn replied to USA987's topic in Ob/Gyn

    We currently handle Mag patients about like I have read here. My question is though, do you have your patients on telemetry? We do not currently do that, but have heard that the standard of care is...

  17. Do you continuously monitor pregnant surgery patients?

    debbiernbsn posted a topic in Ob/Gyn

    Do any of you have to go to the OR and continously fetal monitor fetuses over the age of viability during routine surgical procedures? We have recently been asked to do that. My question is.... if...

  18. Do you continuously monitor pregnant surgery patients?

    debbiernbsn replied to debbiernbsn's topic in Ob/Gyn

    Yes, always before we got FHT's before and after the procedure. Now, a new anesthesiologist wants continous fetal monitoring due to legal risks, he says. But I have to wonder if this is really...