Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    variable decels...Thoughts?

    Elvish replied to BSNbeauty's topic in Ob/Gyn

    In 9 years of antepartum nursing, I've learned to not get too wigged out by the occasional variable. God only knows what those PPROM kids are doing with their cords in there. (TBH, I'm surprised more...
  2. Elvish

    When a Mom Miscarries

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

    I've had an early miscarriage as well, 6ish weeks. Four years down the road (mine was 8/24/10), I can look back and say it is one of the weirdest kinds of pain to have to explain to people. I had...
  3. Elvish

    If you accept a job, stay at least a year

    Elvish replied to Emergent's topic in Nursing Professionalism

    I went to work med-surg directly out of school. I worked full-time for nine months, at which point I went PRN to go work my 'dream job'. I didn't want to ditch my first employer totally, but I'd have...
  4. Elvish

    The best excuses for positive drug screens

    Elvish replied to rnaturcervix's topic in Ob/Gyn

    I have never had a parent refuse infant testing when I explain exactly what can happen during withdrawal from certain types of drugs. I don't hide things from parents or lie to them about it. Many of...
  5. Elvish

    Long-term Antepartum Care in the Hospital

    Elvish posted a topic in NICU, Neonatal

    The challenges are numerous. To begin with, the woman is facing something that is (in most cases) completely unexpected. They are trying to cope emotionally with an unexpected pregnancy complication -...
  6. Elvish

    Things you'd LOVE to tell coworkers...and get away with it!

    Elvish replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    Agreed. I'm in the South. Everybody uses it and nobody bats an eyelash. Now, for what to say to my coworkers? They are called Big Girl Panties. Put them
  7. Elvish

    Rhogam eval draw time

    Elvish replied to debbiernbsn's topic in Ob/Gyn

    We have to administer Rhogam within 72hrs after delivery. We have Rhogam studies drawn at whatever time is reasonable for the patient that will also allow us to get her Rhogam in her within that time...
  8. Elvish

    The best excuses for positive drug screens

    Elvish replied to rnaturcervix's topic in Ob/Gyn

    I've always wondered exactly how many poppy seeds/muffins one would have to eat to pop a + opiates; knowing my rotten luck I'd be one of those slow metabolizers that would be + on Saturday for a...
  9. Elvish

    The best excuses for positive drug screens

    Elvish replied to rnaturcervix's topic in Ob/Gyn

    We test when there is PTL or an abruption. We aren't required to get a consent before testing, but in practice I tell the patient what I need the urine for and why. I've never had anyone refuse, but...
  10. Elvish

    Certification

    Elvish replied to Amber6684's topic in Ob/Gyn

    I would probably do either low-risk neonatal or
  11. Elvish

    Mom jailed for refusing to feed her infant proper formula

    Elvish replied to RNIBCLC's topic in Ob/Gyn

    Do you mean soy milk or soy formula such as Prosobee? (asking for the sake of
  12. Elvish

    Inducing vs. Waiting

    Elvish replied to OrganizedChaos's topic in Ob/Gyn

    Unless there is a medical reason to do it - pre-E, chorio (in our PPROMers), cholestasis, etc. - then no, I wouldn't recommend an induction. Even the post-dates ones seem silly at just a hair past 40...
  13. Elvish

    Mom jailed for refusing to feed her infant proper formula

    Elvish replied to RNIBCLC's topic in Ob/Gyn

    I read the statement you quoted to mean that a baby eating a vegan diet is not appropriate, not a breastfeeding mother eating vegan. Veganism and breastfeeding are (as you stated) very much...
  14. Elvish

    NRP?

    Elvish replied to Tinker Bell RN's topic in Ob/Gyn

    Where I am they give you a certain amount of time in which to get your NRP cert. They don't expect you to have it when you're interviewing unless you've already worked in the specialty (which you have...
  15. Elvish

    Infant Thermoregulation

    Elvish replied to NewMotherBabyRN's topic in Ob/Gyn

    Assuming the infant is term, healthy, dry, and properly covered away from drafts, they should be able to thermoregulate pretty much from birth. If they're cold it indicates that something is off....
  16. Elvish

    A nurse who doesn't breastfeed

    Elvish replied to j0yegan's topic in Ob/Gyn

    I have several nurse coworkers who either had to supplement (diagnosed insufficient glandular tissue) or who never put baby to breast at all. Personally I loved breastfeeding (and hated pumping) and...
  17. Elvish

    Opening new unit

    Elvish replied to Lamp Lady's topic in Ob/Gyn

    Tubs? If the unit has already been constructed (or if you already have them) it may be a moot point, but if you don't have them and they are willing to redo a couple bathrooms that could make labor a...
  18. Elvish

    Couplet care/ discharge nurse/ baby friendly

    Elvish replied to PediatricRNTX's topic in Ob/Gyn

    We routinely do 4 couplets. As with anything there are days when its all hunky dory and days when you can't pee, eat, or sit down all day. What I would love is someone to just go around and make sure...
  19. Elvish

    What do NICU nurses consider "viability"?

    Elvish replied to Summers_Off's topic in NICU, Neonatal

    I know NRP says 23 weeks, but after seeing a 23-weeker be coded, I think my personal cutoff would be more like 26. Obviously a lot would depend on what happens at delivery, but if I'm honest I'd much...
  20. Elvish

    The Face of a Medical Error...

    Elvish replied to Music in My Heart's topic in Patient Safety Issues

    Honey, I agree with the others. I know what it's like to be 'that' nurse that makes a big mistake. Been there. It's hard to forgive yourself, and the self-punishment is way worse than just about any...
  21. Elvish

    Why I think L&D nursing really is best and hardest

    Elvish replied to lovemyjoblandd's topic in Ob/Gyn

    If you as an L&D nurse are competent in other areas of the hospital, it is not (with the possible exception of the OR/PACU) going to be because you're an L&D nurse. You admit to having done...
  22. Elvish

    The most ridiculous birth plans you've had the pleasure of reading

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Which some might actually prefer. I wish it were that simple, but there are still states out there in which it is ridiculously difficult for a woman to birth at home. My state is one of those. There...
  23. Elvish

    Why Can't Spouses and Families Understand The NOC Schedule?

    Elvish replied to NurseQT's topic in General Nursing

    It can be quite the challenge to get this through to family. My dad worked nights for a long time and so gets it. He never ever calls between Friday and Sunday (I'm a weekend option girl) unless...
  24. Elvish

    Quantifying blood loss (grrr...)

    Elvish replied to airwin.rnc's topic in Ob/Gyn

    Do you guys not have the disposable plastic pouchy thing that slides under mom that catches blood etc. as she's delivering? It has markers that will give you a rough EBL. That makes everybody's life...
  25. Elvish

    Admitting newborn at the bedside

    Elvish replied to PinkNBlue's topic in Ob/Gyn

    Depends on how grunty they are. If they're a little pale and a little grunty, we usually just watch in L&D (the ones doing the watching are nursery nurses so we know our own threshold, know what I...