Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    Admitting newborn at the bedside

    Elvish replied to PinkNBlue's topic in Ob/Gyn

    We have baby nurses who go to deliveries, do the initial resus/apgars and skin to skin. We do vitals on Mom's chest and then flip him over to his back so we can assess him while he's still on Mom....
  2. Elvish

    Thanks

    Elvish replied to Bortaz's topic in NICU, Neonatal

    Best wishes to you in the next thing you do. Just know that you've touched a lot of lives and it has not been in vain. Glad you are doing what's best for
  3. Elvish

    Those who work in clinics who serve low income patients...

    Elvish replied to LTCNS's topic in Ambulatory Care, Clinic

    I'll second that recommendation. Very eye-opening. I read it about 15 years ago, so probably should give it a
  4. Elvish

    Those who work in clinics who serve low income patients...

    Elvish replied to LTCNS's topic in Ambulatory Care, Clinic

    I worked in a CHC for several years before my current job; the clinic's focus was migrant and seasonal farmworkers, and most of our patients were Spanish speakers even if they weren't farmworkers....
  5. Elvish

    Deployed Army Nursing: 101 Things I Learned While Deployed

    Elvish replied to Lunah's topic in Government, Military

    My brother's Marine days are (thankfully) over, but it makes me feel better about his time there in retrospect knowing that good folks like you had his back. Welcome
  6. Elvish

    (Not so) Daily Affirmations

    Elvish replied to Bortaz's topic in NICU, Neonatal

    Man, Bortaz. That sucks. I know exactly what you mean, though, because it's happened to me too. I hope you find peace and get back to NICU sooner rather than later. Hugs, my
  7. Elvish

    Can't find many NNP programs anymore - What's going on?

    Elvish replied to beccabeth741's topic in NICU, Neonatal

    Maybe that's just the FNP/AGNP concentration, then. Pretty clearly stated on their website that they won't accept applicants unless the applicant commits to completing the clinical components in NC....
  8. Elvish

    Can't find many NNP programs anymore - What's going on?

    Elvish replied to beccabeth741's topic in NICU, Neonatal

    East Carolina University offers it online, but the catch is that you have to complete all your clinicals in the state of
  9. Elvish

    There has to be a BETTER WAY to obtain a blood sample.

    Elvish replied to lady3's topic in NICU, Neonatal

    We do transcutaneous bilis to screen....but if the result is high enough to warrant phototherapy, we still have to do a serum. They do not always correlate, and sometimes the difference is a couple...
  10. Elvish

    Nicotine withdrawal

    Elvish replied to TigerGalLE's topic in NICU, Neonatal

    No doubt. Some of our worst kids have been those whose moms smoke. God forbid they also be withdrawing from opiates
  11. Elvish

    Nicotine withdrawal

    Elvish replied to TigerGalLE's topic in NICU, Neonatal

    One of our neos said that nicotine withdrawal (and SSRI withdrawal) isn't treated because a) it's self-limiting and passes fairly quickly without long-term harm; and 2) can't be treated with opiates...
  12. Elvish

    There has to be a BETTER WAY to obtain a blood sample.

    Elvish replied to lady3's topic in NICU, Neonatal

    When I have a heel stick in the hospital, I get the heel nice and warm with a warmer and wrap the baby up so he's swaddled with only his foot hanging out the bottom of the blanket. Tilt the head of...
  13. Elvish

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

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    You know, women who birth in the hospital throw themselves at the mercy of whatever L&D nurse she gets, whatever OB happens to be on call, or if they aren't private, whichever resident happens to...
  14. Elvish

    The Potential Dark Side of the Routine Newborn Vitamin K Shot

    Elvish replied to The Pain's topic in Pediatric

    My first response to this article: Vitamin K - Newborn Nursery at LPCH - Stanford University School of Medicine Second response: I find it interesting that he calls a Vitamin K shot a 'vaccine' when...
  15. Elvish

    Grunting

    Elvish replied to j0yegan's topic in Ob/Gyn

    Part of the issue is that people use the term 'lay midwife' to mean different things. To me, a lay midwife is someone who catches babies without any sort of certification, license, or anything. To me,...
  16. Elvish

    Are research nurses considered authors of papers?

    Elvish replied to chemokine's topic in Research

    If you helped with the research study, or assisted in screening patients for a study, you are likely to be listed as a co-author or co-investigator. It's definitely not as sexy as being the principal...
  17. Elvish

    Evidence-Based Practice by Nurses for Nurses: Encouraging Waiting Spontaneous Labor

    Elvish replied to AHRQ's topic in Ob/Gyn

    There is always the situation where medical/surgical intervention is necessary/good/life-saving. Yours sounds exactly like that. You don't need to feel bad or beaten up because you had a necessary...
  18. Elvish

    Complications of gestational diabetes??

    Elvish replied to caregiver1977's topic in Ob/Gyn

    Worst? Uncontrolled GDM, preterm baby born weighing 4.9kg (not a typo). Preemie heart and lungs unable to keep up with such a large
  19. Elvish

    Personal fertility issues a detriment in OB Nursing?

    Elvish replied to Baubo516's topic in Ob/Gyn

    One of my best OB classroom instructors, wrote textbooks, and was a phenomenal clinical instructor, had never had children of her own d/t infertility
  20. Elvish

    Pros and Cons of Induction in L&D

    Elvish replied to whitescrubs2012's topic in Ob/Gyn

    Yeah, one of the things lactation showed us a few years back is to assess how much fluid mom had gotten in labor. If it was more than a couple bags we were taught areolar compression, which...
  21. Elvish

    Postpartum nose bleeds?

    Elvish replied to j0yegan's topic in Ob/Gyn

    Sometimes it takes a while for those hormones to get straightened out. If they were frequent or lasted a long time it might be worth it to get her platelets
  22. Elvish

    Grunting

    Elvish replied to j0yegan's topic in Ob/Gyn

    Agreed. There was a lot that went wrong in this scenario, but homebirth was not to blame. And it ended in a totally avoidable tragedy. Abx can be given at a homebirth, although my personal comfort...
  23. Elvish

    Interesting cases anyone?

    Elvish replied to Humbled_Nurse's topic in NICU, Neonatal

    We had a full-term kid who'd had a stroke in utero. First sign was that she wouldn't stay warm under a radiant
  24. Elvish

    Bedside shift report

    Elvish replied to Tonyac303's topic in Ob/Gyn

    When we admit the pt we tell her that we do bedside report (and explain what that is). We give her the option to participate or not, and if she wants us to do report outside the room, that's fine too....
  25. Elvish

    NRP (Neonatal Resuscitation Program)

    Elvish replied to j0yegan's topic in Ob/Gyn

    The DVDs definitely help. A lot of it does seem like stuff you won't ever use, but eventually you will get a baby that quits breathing and will need to know what to do. You're not likely to ever...