Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    Illegal immigrant nurses can now be licensed in California

    Elvish replied to Guest07/13/15's topic in Immigration Advice

    If you think it is the unlawfully present who are stealing this country blind, instead of the trillions your elected officials have spent on sending our kids to die in unconstitutional wars and...
  2. Elvish

    Illegal immigrant nurses can now be licensed in California

    Elvish replied to Guest07/13/15's topic in Immigration Advice

    Plenty of other countries have immigration issues. Some deal with it more compassionately than others. If you pay even mild attention to world issues you will know this. Frankly, it is I who am sorry...
  3. Elvish

    Temperature methods in preterm babies

    Elvish replied to PAjama_Mama's topic in NICU, Neonatal

    We also do one rectal temp at birth to establish that they have an orifice (we had an imperforate orifice that got missed, so now....). I agree with the PP who said that it really doesn't establish...
  4. Elvish

    Illegal immigrant nurses can now be licensed in California

    Elvish replied to Guest07/13/15's topic in Immigration Advice

    Considering that USCIS/DHS refers to them as 'unlawfully present' and having 'entered without inspection', and considering that nowhere in USCIS/DHS canon are they ever called 'illegal aliens', then...
  5. Elvish

    Illegal immigrant nurses can now be licensed in California

    Elvish replied to Guest07/13/15's topic in Immigration Advice

    But we are talking about undocumented immigrants in the United States. Specifically, about undocumented immigrants who have already gone through nursing school in the
  6. Elvish

    Sleep

    Elvish replied to cayenne06's topic in Ob/Gyn

    Any way you can weigh baby earlier or later? When I worked m/b, I would weigh baby somewhere around 2200ish, and that gave me a chance to tuck everyone in for the night. Failing that, can it wait...
  7. Elvish

    Patients wants a back rub

    Elvish replied to Oceanpacific's topic in Patient, Colleague Relations

    Most of my patients are of the neonatal sort so I don't do a lot of back rubs now. But when I worked with adults I did back and shoulder rubs if I had a new mom that had an achy back from holding and...
  8. Elvish

    Maternal assisted cesarean birth

    Elvish replied to vickiewenzl's topic in Ob/Gyn

    We don't restrain Mom's arms either as a matter of routine, but anesthesia/OB do require that she have them out to the side on the armboards. My concern isn't that they'd get cold s2s with the warm...
  9. Elvish

    Maternal assisted cesarean birth

    Elvish replied to vickiewenzl's topic in Ob/Gyn

    Obviously it can be done, but I wouldn't know where to begin with the ins and outs. Whatever you do when writing your policy, make sure you involve risk management. Personally (and this is just me, no...
  10. Elvish

    Early Release of Mom's and Infants

    Elvish replied to ladytraviler's topic in Ob/Gyn

    I think home f/u is key as well. Depending on if it's 1st baby or 4th, if mom is breastfeeding, what kind of delivery, etc. I think algorithms could be set up depending on each dyad's clinical picture...
  11. Elvish

    What I learned this week (7/4/15)....

    Elvish replied to ixchel's topic in General Nursing

    That if one more stressful thing happens to me in the next couple weeks I am probably going to freak out and throw stuff. Seriously. I'm about at breaking point. Chipping away at what I can when I can...
  12. Elvish

    Ridiculous medical mistakes on TV

    Elvish replied to adventure_rn's topic in Nursing Humor

    It's not exactly the same thing but I remember reading a report of researchers who wanted to see what their ABGs would be at different altitudes. So, they did their own femoral ABGs along the way up...
  13. Elvish

    How do you spend your first day off?

    Elvish replied to richardgecko's topic in General Nursing

    Before NP school: Sleep, vegetate, and make sure my short people are pink and breathing. Now: Study and make sure my short people are pink and
  14. Elvish

    Ridiculous medical mistakes on TV

    Elvish replied to adventure_rn's topic in Nursing Humor

    Now, I am a huge fan of BBC Sherlock (see my siggy line and location) but I kind of shook my head at S3E3 when Sherlock is in the OR after being shot and they've stopped resuscitation. He's...
  15. Elvish

    What I learned this week (7/4/15)....

    Elvish replied to ixchel's topic in General Nursing

    I learned that there is only so much that one person can handle at a time, and that right now I'm about halfway between scared, crying, and RainMain in the airport level freaking out. My stepfather...
  16. Elvish

    Ridiculous medical mistakes on TV

    Elvish replied to adventure_rn's topic in Nursing Humor

    I hate all the pregnancy and baby crap on shows. The way they show someone's water breaking and OH MY GOD SHE'S HAVING THE BABY NOW! crap, esp if it is the character's first baby. And there's barely...
  17. Elvish

    Babies on a plane!! (and also cord clamping)

    Elvish replied to adventure_rn's topic in Certified Nurse-Midwives, CNM

    If this does ever happen, I just want you to dry your pink screaming baby off and keep him warm. Preferably between mom's breasts, and covered with a blanket or shirt. Don't worry about the cord or...
  18. Elvish

    What's the meanest thing a patient has said to you?

    Elvish replied to fangirl's topic in Patient, Colleague Relations

    Being the baby nurse at deliveries, I can say it's my job to make 100% of my patients cry, and I don't feel bad about it. They (the babies) probably think it's mean but I do love a pink screaming...
  19. Elvish

    Cytotec and FHR...what would you do

    Elvish replied to IDeliverRN's topic in Ob/Gyn

    Very carefully. In all seriousness, I have seen them manually separate the cervix just enough to insert the foley before inflating it, esp on stretchy multips...or sometimes they are able to snake...
  20. Elvish

    Nurses, how do you view your job?

    Elvish replied to 8*P23J's topic in General Nursing

    Oh, I forgot! We can fangirl all over the globe, we may have to start a geek commune and there may be multiple ecofriendly
  21. Elvish

    Nurses, how do you view your job?

    Elvish replied to 8*P23J's topic in General Nursing

    It's going to be different for just about everyone you ask. 100 nurses = 100 different answers. I love my job. I don't know how to be anything but a nurse, and I think I'm good at it. I enjoy my...
  22. Elvish

    Cytotec and FHR...what would you do

    Elvish replied to IDeliverRN's topic in Ob/Gyn

    Foley bulb and sleep, then pit in the AM. Very rare that we do anything
  23. Elvish

    Cytotec and FHR...what would you do

    Elvish replied to IDeliverRN's topic in Ob/Gyn

    We've stopped giving Cytotec at all for pregnancies with a live fetus. No way I'd give it with a HR that
  24. Elvish

    Vent: parents

    Elvish replied to Coffee Nurse's topic in NICU, Neonatal

    It's a fine line to walk sometimes. And sometimes when parents ask, "Why is s/he doing that [desatting, screaming his head off a la the NAS kids, not improving, whatever]?" on a kid when mom and dad...
  25. Elvish

    PNPs with Neonatals

    Elvish replied to loveflowers's topic in NICU, Neonatal

    We have PNPs in our NICU, but they work with the step-down babies, not the most critical ones. They also work in our well nursery. NNPs go to high risk deliveries as