Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    how are NAS babies cared for in your nicu?

    Elvish replied to shelsby1992's topic in NICU, Neonatal

    A lot of it must depend, like NICURN29 said, what they are using, and who is doing the using. If the folks using aren't the same ones birthing babies, I guess that is the silver lining. Just as an...
  2. Elvish

    how are NAS babies cared for in your nicu?

    Elvish replied to shelsby1992's topic in NICU, Neonatal

    I'm in a level II nursery...we have a level IV but the NAS babies stay with us unless they're We start q3h morphine for 3 scores greater than 8. Some NPs want it started for 3 consecutive high...
  3. Elvish

    Postpartum-Tucks and Spray

    Elvish replied to babaloo's topic in Ob/Gyn

    When it's a homework question, the instructor probably wants the student to think critically instead of asking someone else to feed them an answer. That helps no one become a better
  4. Elvish

    Interesting cases anyone?

    Elvish replied to Humbled_Nurse's topic in NICU, Neonatal

    We had two babies born within the space of a short time with no eyes. They had brows, sockets, and lids, just no eyeballs. Both to migrant farmworkers. I can't help but wonder if it was some pesticide...
  5. Elvish

    Postpartum-Tucks and Spray

    Elvish replied to babaloo's topic in Ob/Gyn

    Is this a homework assignment? I am sorry if this response comes across as harsh but we do have lots of people post similar questions looking for an easy answer rather than
  6. Elvish

    Nurses role in C-section

    Elvish replied to youl1021's topic in Ob/Gyn

    Your average hourly wage nurse is not going to make any more money in assisting at a c/section (and she did a fine job describing all the ways nurses do that) than assisting at a lady partsl birth....
  7. Elvish

    Baby Friendly Question

    Elvish replied to AngelicaHibbs's topic in Ob/Gyn

    Ditto here. Most parents think it's pretty cool. If someone requests a bath anyway, we do it under the warmer so as not to cold stress baby. There are a few exceptions on our end to the delayed bath...
  8. Elvish

    My first case of NEC

    Elvish replied to boardchic's topic in NICU, Neonatal

    I sent a kid from newborn to NICU not too long ago. Term kid, 3.7kg and about 6 hours old when he started acting up for me. If his mother weren't diabetic we would likely not have caught it before it...
  9. Elvish

    Baby Friendly Question

    Elvish replied to AngelicaHibbs's topic in Ob/Gyn

    We delay our baths too (6+ hours) and bathe our kids with the tags on all the time. Never had an issue. I'm curious as to what type of tags you use.....we use the Hugs system, zero problems. We keep...
  10. Elvish

    Question about fetal heart beat

    Elvish replied to medsandmargaritas's topic in Ob/Gyn

    When I was pregnant with #2 my OB said the earliest he ever got someone's FHTS with a Doppler was 8+5....and he was the go-to guy for difficult heart tones. Agree with other posters that there could...
  11. Elvish

    Baby Friendly- getting a tad over the top

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Environmental contaminants do bind to breastmilk. Many contaminants are lipophilic, and are found in the high fat content of breastmilk. While a healthy lifestyle free from as many contaminants as...
  12. Elvish

    Best medications to give postpartum woman after vaginal delivery?

    Elvish replied to kriistaa16's topic in Ob/Gyn

    Are you being told it's unsafe for breastfeeding or that it somehow affects milk supply? It's an NSAID, which is not known to affect milk supply. According to Dr. Hale, who's considered the go-to guy...
  13. Elvish

    Baby Friendly- getting a tad over the top

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    The other components of BFHI are largely an issue of hospital culture change. From the Baby-Friendly USA website (Baby-Friendly USA) There is nothing particularly controversial about any of this. -...
  14. Elvish

    Baby Friendly- getting a tad over the top

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    11 ounces on a 9+10 baby should not be freak-out level, still a bit away from 10% of birth weight. If output is ok, I'd be inclined to leave well enough alone, but since there are already several...
  15. 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

    "There is a list of people in this world whose opinions of me matter to me.....and you ain't on
  16. Elvish

    Nurse as a patient-how not to be a PITA???

    Elvish replied to redmorgan's topic in Ob/Gyn

    Relax, ask for what you need, and enjoy your baby. You don't need to feel beholden to 'be' on or act a certain way. Common courtesy is enough. Also, know that no one will hold anything you say in...
  17. Elvish

    Supplementing ?

    Elvish replied to RN520's topic in Ob/Gyn

    Nah, not at 7%. We don't even bring up supplements until they hit 10% or more. Agree with other posters....so much to consider. Is mom an experienced breastfeeder? Will she have fairly immediate (1-2...
  18. Elvish

    High frequency vents on your unit

    Elvish replied to katierobin23's topic in NICU, Neonatal

    I don't work NICU but I do know that our NICU (level IV) only uses
  19. Elvish

    Don't Bother Me While I Sleep! Never Mess With A Sleeping Nurse

    Elvish replied to Joe V's topic in Nurses Rock

    My kids don't know any different, as I have worked nights for as long as they remember. Their list of approved conditions under which they are allowed to wake me up is similar to meanmaryjean: Cops...
  20. Elvish

    What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    Elvish replied to yazisizit's topic in Nursing Humor

    Been there, done that. I tell people I have worn more bodily fluids working with newborns than I ever did working with adults. At least adults (most a & o adults, anyway) will most likely aim for...
  21. Elvish

    "Get out of here... go do some 'doctor' stuff..."

    Elvish replied to Music in My Heart's topic in Emergency

    I am blessed to work with some really awesome docs too. Not too long ago an attending with 30yrs of experience helped me turn and clean up a patient after we rapid responsed her. (She was ok when all...
  22. Elvish

    Cops and Nurses

    Elvish replied to GundeRN's topic in General Nursing

    Me to my very nice patient's very nice LEO husband: "So, Mrs. Patient tells me you're a member of the city PD." Him: "Mrs. Patient is telling the truth." Me: "Well, if you ever catch me speeding, do...
  23. Elvish

    What nursing habits do you take home?

    Elvish replied to Brian's topic in Nurses Rock

    I, like everyone else, sign 'RN' behind my name on my checks sometimes. Did for my son's school papers not too long ago too....fortunately, it was something that had to go back to the school nurse, so...
  24. Elvish

    What is your opinion on getting the flu shot?

    Elvish replied to Surg-OncRN's topic in Holistic

    I get it and will continue to do so. For starters, I don't like the flu. We know the vax doesn't protect against 100% of flu strains in 100% of people, but 60% protection is better than 0% protection...
  25. Elvish

    Shutdown

    Elvish replied to SoldierNurse22's topic in Government, Military

    As usual.....the folks in charge act like complete morons and the wrong people bear the brunt. Thumbs