If his speech is impared, why can't he get in under speech? In Texas, there are many Dx that qualify a kid for special ed services. Many preschoolers get in under 'speech' then go on later to get...
I have 2 kids with PDD-NOS (mild autism). I guess because I'm a nurse I'm not so bothered by labels. I deal with diagnoses all the time. My attitude was, "call it 'purple-polka-dotted syndrome' if...
Perhaps you could look into working on a unit that takes care of more high risk PP moms that would challenge your skills more. But you ARE a real nurse.
We can wear all grape/purple or purple pants with the print top/jacket the unit chose as a group. The problem is that the tops are fading, it was a discontinued print, and now everyone is buying...
Perhaps take into consideration whether or not this is her first parturition. It seems primips get dizzy/fall/faint more than multips -- not saying multips can't be at risk, of course. Length of time...
33-weeker replied to shortstuff31117's topic in Ob/Gyn
Many hospital staff have bad attitudes toward home birth transfers. Some have good or at least neutral attitudes. Some home birth families and or midwives have bad attitudes - partly due to the...
33-weeker replied to StillBelieveRN's topic in Ob/Gyn
With all the fancy prenatal testing these days, can't they diagnose this? If it is Potter's (renal agenesis), couldn't they see that on US? I've known of pregnancies induced pre-viable for which it...
I don't have trouble getting single drops of blood for bedside glucoses - how small were the babies? I don't squeeze their 'legs', I encircle their heel with my fingers and thumb and squeeze in a...
Don't cut and epis (which weakens the tissue and predisposes mom to a bigger tear.) Continuously support the perineum as the baby emerges - especially if a small epis. has been cut. Don't use...
Our hospital has pre-printed discharge instructions in both English and Spanish. They are formated alike so we can fill in the blanks correctly even if we don't know Spanish. (ie. D/C weight, doc's...
There are latches that screw on the windows and can be taken off again. They leave no holes or anything. You can even adjust them to allow the window to be opened a couple of inches to let the...
How about: "We Deliver 24/7" and then get buttons made to wear on your shirts that say "OB Nurse... at your cervix" (this way you could remove the funny button if you were caring for a demise)...
Our limits are 35 weeks & 2000 grams, no oxygen needs, etc. Of course, if the baby develops any problems, gets cold repeatedly or can't nipple well, it goes to level II. On the one hand, I'm glad...
Actually... At the very first signs of it, if you wash your eyelashes well with a couple drops of (tearless) baby shampoo and rinse, you can often stop from getting a full-blown infection. This per...
In general, OBs seem to be cutting less these days, but one OB relatively new to our hospital, who is otherwise likeable, cuts such horrible episiotomies that I get sick in the pit of my stomach just...
Previous hospitals I've worked at all rounded down for .4 or under and up for .5 or over. This hospital puts the exact weight with the point.whatever. I hated it, but now the computer charting...
ER vs. the floor are not the only ones with this problem. We see it too in L&D vs. Post Partum. Some L&D nurses will hold on to their PP patients when there is no medical reason so that they...
He seems to do them if the mom is not pushing the baby out fast enough. I've seen multips birth too fast for him to get his scissors. Of the few I have seen him cut, most were not