Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    Denying Death As A Society

    Elvish replied to Kyrshamarks's topic in General Nursing

    Thanks for the reality check. I remember reading - in a book of writings by nurses - the line "the soul that we will not let go gracefully back to God." That's what this article evoked for me. Well...
  2. Elvish

    Tolerance and acceptace of gay nurses and patients

    Elvish replied to anon456's topic in Patient, Colleague Relations

    Conservative state, fairly liberal workplace. Have worked with several openly gay coworkers there; everyone knows, no one really cares. We talk about spouses, partners, etc. and it's no big deal....
  3. Elvish

    Methadone babies

    Elvish replied to gyp253's topic in NICU, Neonatal

    I don't know if you were referencing my statement or not (and if not I apologize :) ) , but I totally get that higher dose doesn't increase or decrease severity of sx. I've seen kids do great with mom...
  4. Elvish

    nicuguy is now LDRP&NICUguy

    Elvish replied to labordude's topic in Ob/Gyn

    Well done and welcome aboard!
  5. Elvish

    Males working in the NICU?

    Elvish replied to cph1993's topic in NICU, Neonatal

    Have worked with male RNs and NNPs many times over the years. Would not trade any of them in! Go for what you're passionate about and it will show in your work.
  6. Elvish

    Run-in with a doctor

    Elvish replied to Nurse_Gaby's topic in Ob/Gyn

    This. The bluntness works both ways. There are times at a delivery where the doc is taking his sweet time with a baby that is clearly one of the 1% who need resuscitation. I lose my politeness and...
  7. Elvish

    variable deceleration vs early ones

    Elvish replied to tsm007's topic in Ob/Gyn

    If there are variables that deep and long I'm hoping Mom is about to deliver!!!! But yes....given the rapid drop from onset to nadir I'd call them variables as well, regardless of where they are...
  8. Elvish

    Areas of nursing you would NOT like?

    Elvish replied to Nursetobe25's topic in General Nursing

    Before nursing school I wanted to do peds. After doing my peds rotation that changed! Too many sick kids and bad family dynamics. During nursing school I wanted to be in L&D. After graduating, I...
  9. Elvish

    Speaking of vomit

    Elvish replied to BSNbeauty's topic in General Nursing

    I've taken care of postop patients for 13 years. I wouldn't necessarily narrative-chart every single episode of postop n/v unless there were something unusual about it - frank blood, projectile,...
  10. Elvish

    New to special care

    Elvish replied to NeoPediRN's topic in NICU, Neonatal

    Congratulations! If you like working with the NAS population, then you are definitely where you are meant to be. Over the years I have found myself growing quite comfortable with these guys too. It's...
  11. Elvish

    Methadone babies

    Elvish replied to gyp253's topic in NICU, Neonatal

    If mom was on a bigger dose, I can see how sx did not show up until much later due to methadone's very long half-life. We keep our NAS for a minimum obs period of 5 days. Other posters made good...
  12. Elvish

    NRP

    Elvish replied to mommy2anangel's topic in Certified Nurse-Midwives, CNM

    I would absolutely agree with the PP who recommends STABLE as much as any other cert. It is an excellent class and the info will serve you well if you find yourself with an unstable newborn waiting on...
  13. Elvish

    Chorio management

    Elvish replied to holldog99's topic in Ob/Gyn

    Having done my share of 18- and 19-week chorio inductions, I agree. It sucks royally. There is really no way around chorio that early except inducing. While there isn't a 'good' outcome here, I view...
  14. Elvish

    East-Aisan Breastfeeding Practices

    Elvish replied to nursekate8's topic in Ob/Gyn

    There are several cultures - some of them Asian, if I'm not mistaken - which believe that colostrum is harmful to baby. I've run into it too. I absolutely agree with respecting someone's culture...
  15. Elvish

    Newborn Baths

    Elvish replied to leagrace18's topic in Nursing Student Assistance

    This was originally posted in Ob/Gyn....which is how I found it (I hang out there a lot) and, I suspect, how klone found it as
  16. Elvish

    Suturing

    Elvish replied to OwlieO.O's topic in Advanced Practice

    I don't know about in hospital settings, but I used to work in a community health center with FNPs and PNPs who sutured minor lacs all the
  17. Elvish

    Newborn Baths

    Elvish replied to leagrace18's topic in Nursing Student Assistance

    Ditto.
  18. Elvish

    unit "culture"

    Elvish replied to cayenne06's topic in Ob/Gyn

    I think someone on our unit just figured out a few months ago that we can admit our babies without a weight (our admit forms don't ask for length). For a long time it was just assumed that because the...
  19. Elvish

    Newborn Baths

    Elvish replied to leagrace18's topic in Nursing Student Assistance

    We wait for the bath until at least 6 hours, sometimes more if kiddo hasn't breastfed well yet or if parents don't want it. Some of our kids go home with no bath at all. Only exceptions are if mom...
  20. Elvish

    Patient families

    Elvish replied to morgan_porgan's topic in NICU, Neonatal

    Not specific to NICU, but anytime I've been fired by a patient in my 13 years I've had do an inner happy dance. I can get along with about 99.8% of the world, so when the occasional patient has fired...
  21. Elvish

    unit "culture"

    Elvish replied to cayenne06's topic in Ob/Gyn

    Teaching hospital, avg. 500 deliveries/month. Apart from the residents & attendings, two other practices deliver there too, one of which has CNMs. LDR, then PP. This doesn't help the L&D vs....
  22. Elvish

    IV gauge

    Elvish replied to debbiernbsn's topic in Ob/Gyn

    18 is standard, 20 if they are a hard stick. Baglady is right. OB hemorrhages are very bad when they happen (before, during, or after delivery). We don't mess around. The OBs are starting to get more...
  23. Elvish

    Help with suctioning neonate after delivery please!

    Elvish replied to PEDSOBRN's topic in Ob/Gyn

    I can think of maybe one time in the last 6 months that I bulb suctioned a baby. We just don't do it anymore, though the docs still hand us the bulb off the delivery table like we're going to use it....
  24. Elvish

    Designated delivery team

    Elvish replied to kejRN88's topic in Ob/Gyn

    Baby nurse at every delivery for resus/apgars/transition period. This is my job and I love it! 98% of the time I am just there to dry baby off, put a hat on, and put him skin to skin with mom until...
  25. Elvish

    MD-RN Relations -- There is Hope

    Elvish replied to Music in My Heart's topic in Patient, Colleague Relations

    Awesome! I have to say, I've found the same thing where I am, though they are not quite at the point of asking for reference from the nursing staff. Most of the docs are pretty easy to work with and...