Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    Augmenting Labor (particularly before 39 weeks)

    Elvish replied to wilma30RN's topic in Ob/Gyn

    I tried to find a pucker-up smiley, but will have to settle for a waving one instead. There's a time for some/all of the interventions, but they are not for standard use on every single pregnant...
  2. Elvish

    Nursing School Vs Med School, no comparison

    Elvish replied to MedStudentNotRN's topic in Diploma, ADN, BSN

    But...but...I'm not sure I can since I didn't read the big doctor
  3. Elvish

    Augmenting Labor (particularly before 39 weeks)

    Elvish replied to wilma30RN's topic in Ob/Gyn

    Totally depends on the OB. Most of our docs would probably send a patient like that home after a fluid bolus if no significant change. We have a couple docs that are pushovers and if the patient...
  4. Elvish

    Nursing School Vs Med School, no comparison

    Elvish replied to MedStudentNotRN's topic in Diploma, ADN, BSN

    I read the thread over at SDN.....this one is way
  5. Elvish

    Nursing School Vs Med School, no comparison

    Elvish replied to MedStudentNotRN's topic in Diploma, ADN, BSN

  6. Elvish

    So 39 weeks is the full term cut off now?

    Elvish replied to perfexion's topic in Ob/Gyn

    Yes. I'm in a DNP program and we also learned this in our stats & design class. Which has taught me to be much more skeptical than I was
  7. Elvish

    So 39 weeks is the full term cut off now?

    Elvish replied to perfexion's topic in Ob/Gyn

    I'm not saying that every single 41-week induction is closed-thick-high, but a lot are, esp the primes. What I'm saying is that the study is artificially tilted toward better outcomes with a 39-week...
  8. Elvish

    What changes would you like to see from administration?

    Elvish replied to kbakrevs's topic in Nursing Student Assistance

    My current manager and supervisors do this. If it's crazy they're there taking patients regardless of shift, going to deliveries where we need NICU, etc. When we had our big Ebola scare, they asked...
  9. Elvish

    So 39 weeks is the full term cut off now?

    Elvish replied to perfexion's topic in Ob/Gyn

    We're participating in that study. They're inducing people with a favorable Bishop score at 39 weeks. Most of our 41 week inductions are closed/thick/high - duh. In my mind they're already starting...
  10. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    A worthy goal, but it seems like you're categorically writing off any degree obtained online as somehow less-than. I'm in total agreement that diploma mills need to be shut down, but just because a...
  11. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    I'm in school essentially nonstop from August 2014 until May 2017. Just short of three full calendar years, but three full academic years plus summers. If you wanted to take away the summers and add...
  12. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    My 'three-year bridge BSN-DNP program' is actually 8 semesters, it just looks like three years because they give us a full load in the intervening summer semesters as well as spring and fall. Most of...
  13. Elvish

    So 39 weeks is the full term cut off now?

    Elvish replied to perfexion's topic in Ob/Gyn

    I don't think anyone here said that's always the case. Of course there are exceptions that we all wish didn't happen. But the majority of the time when women go into spontaneous labor, it's at 39+...
  14. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    Using the title when and where appropriate isn't shoving it in anyone's face. I'm a big fan of the old saw about when you're really good, you don't have to brag about it. All the same, it is a title...
  15. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    As long as a nurse practitioner or an audiologist or a physical therapist (all possibly doctorally prepared) isn't representing him/herself as a physician, who cares? It can be a bit cumbersome to...
  16. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    But plenty of academic professors in many disciplines refer to themselves as 'Dr.' I call a couple of my instructors now (DNP holders) 'Dr.' One of my friends growing up had a mother who was an...
  17. Elvish

    HELP DNP vs FNP

    Elvish replied to nurseNsearch15's topic in Doctoral Nursing Degrees

    This kind of gripes me. If a person has an earned doctorate degree, s/he can be called 'doctor'. Do pharmacists or English professors run into the same eye
  18. Elvish

    So 39 weeks is the full term cut off now?

    Elvish replied to perfexion's topic in Ob/Gyn

    In a word, yes. Obviously everyone is an individual and some 37-weekers will do beautifully and some 40-weekers will not. Usually, if a 37-weeker comes on their own I don't worry so much. Bodies know...
  19. Elvish

    Neonatal assessment team

    Elvish replied to rdejong's topic in Ob/Gyn

    It's an industry standard so you should. (That's not a criticism of you, but your facility maybe needs to be take this more seriously.) Sure, most of the time baby is going to be pink and fine apgars...
  20. Elvish

    My first case of NEC

    Elvish replied to boardchic's topic in NICU, Neonatal

    (((hugs)))
  21. Elvish

    Neonatal assessment team

    Elvish replied to rdejong's topic in Ob/Gyn

    Dedicated baby nurse (that's me!) at all deliveries to catch baby, initiate skin-to-skin, and do initial assessments/VS/eyes & thighs. If preterm, crap strip, mec, suspected shoulders, or...
  22. Elvish

    Illegal immigrant nurses can now be licensed in California

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

    The flaw in our laws is not that her parents brought here. The flaw is that now she has no way to rectify her immigration status so that she's here legally, though her immigration status is not of her...
  23. Elvish

    Illegal immigrant nurses can now be licensed in California

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

    Just
  24. Elvish

    Illegal immigrant nurses can now be licensed in California

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

    Are you under the impression that people living here illegally do not take a chance that they'll be caught and suffer legal consequences? Millions of deportees and many thousands more detained will...
  25. Elvish

    Illegal immigrant nurses can now be licensed in California

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

    Well, if you want to get technical about it, every time a US citizen drives over the speed limit s/he is flouting the law as well. My husband is still considered an 'illegal immigrant' (the actual...