debbiernbsn

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 evidence to show that it's not necessary to have that b...

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 help!

Thank you that would be great!

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

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. It seems to be usual to have to take call with th...

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 and time-management. 2) we are worrying about not o...

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

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 me.

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 anything. It is frustrating for me to check on my studen...

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. That leads me to think that there should be desig...

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 love input as to how those of you with L&D triag...

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 input!

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

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 because the procardia is a calcium channel blocker,...

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, found one heartbeat, having a terrible time finding...

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 going to continuous tele on Mag pts. Do you currentl...

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 the OB doc isn't rapidly available, what are we goi...

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 necessary or even possible sometimes....