Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Lots of patients. The first HIV patient I took care of as a nurse. He was 30-something and in what was at the time called full-blown AIDS. Being both gay and HIV+ was a recipe for being disowned by...
  2. Again. You did nothing to 'earn' your citizenship. You fell - as did I - out of the right person's uterus at the right time in history. Tell me again how that makes you a better person.
  3. Elvish

    So...What Kind of Nursing Task Do You LIKE?

    Ear wax irrigation. It used to gross me out but like the rest of you, it became gratifying to have all these huge chunks of wax come pouring out. AMAZING how much of that stuff could fit in one ear...
  4. 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...
  5. 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...
  6. Elvish

    Temperature methods in preterm babies

    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...
  7. 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...
  8. But we are talking about undocumented immigrants in the United States. Specifically, about undocumented immigrants who have already gone through nursing school in the
  9. Elvish

    Sleep

    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...
  10. Elvish

    Patients wants a back rub

    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...
  11. Elvish

    Maternal assisted cesarean birth

    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...
  12. Elvish

    Maternal assisted cesarean birth

    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...
  13. Elvish

    Early Release of Mom's and Infants

    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...
  14. Elvish

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

    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...
  15. Elvish

    Ridiculous medical mistakes on TV

    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...
  16. Elvish

    How do you spend your first day off?

    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
  17. Elvish

    Ridiculous medical mistakes on TV

    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...
  18. Elvish

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

    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...
  19. Elvish

    Ridiculous medical mistakes on TV

    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...
  20. 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...
  21. 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...
  22. Elvish

    Cytotec and FHR...what would you do

    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...
  23. Elvish

    Nurses, how do you view your job?

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

    Nurses, how do you view your job?

    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...
  25. Elvish

    Cytotec and FHR...what would you do

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