Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    Refusing food offered by patients

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

    Totally depends on the setting. I used to work in a community health center where we had a high # of migrant farmworkers. Often they'd bring us stuff they'd picked but that the farmer couldn't use as...
  2. Elvish

    Am I just being a baby?

    Elvish replied to nicki23's topic in Ob/Gyn

    Does risk management know about this? It has been my experience that kicking something to them gets results faster than just about anything
  3. Elvish

    CHG prep for all vaginal deliveries?

    Elvish replied to ocmama's topic in Ob/Gyn

    That just seems like overkill....our place doesn't prep anything on a vag delivery. ETA - and come to think of it, our CHG bottle says specifically that it is NOT for use in the genital
  4. Elvish

    It's about time!

    Elvish replied to Esme12's topic in General Nursing

    Especially considering that a coworker of mine got assaulted on a mother/baby unit last
  5. Elvish

    L&D nurses - different viewpoints on birth

    Elvish replied to KMLSanDiego's topic in Ob/Gyn

    I work with many many RNs who support natural med-free childbirth who also support women's choice to get an epidural or IV pain meds if that's what she wants. I think it is awesome when women do it...
  6. Elvish

    Newborn call parameters

    Elvish replied to Elvish's topic in Ob/Gyn

    *I* get all that you're saying, and it is not a problem for me. I am going to be on the phone with a physician. And this is not just a blood sugar thing. I'm talking, temp, pulse, respirations,...
  7. Elvish

    Newborn call parameters

    Elvish posted a topic in Ob/Gyn

    Hi friends, I'm just wondering....do your normal newborn orders include a set of vital sign call parameters? Ours don't, and I've thought about it for a while now. We all know what normal VS are, and...
  8. Elvish

    Are we tyrants?

    Elvish replied to Bortaz's topic in NICU, Neonatal

    My bad, then. Sorry,
  9. Elvish

    Are we tyrants?

    Elvish replied to Bortaz's topic in NICU, Neonatal

    Can we please set aside the political definition of 'tyrant'? No one, not one of the posters here (and least of all Bortaz) is the second coming of Stalin. I can promise you, even having never had...
  10. Elvish

    Are we tyrants?

    Elvish replied to Bortaz's topic in NICU, Neonatal

    I am not NICU....but I do care for babies and moms. I tend to be a bit, um....territorial....when it comes to them. If you are not there to really help, then get out. This goes for anyone, including...
  11. Elvish

    Not picking up murmurs in newborns

    Elvish replied to BSNbeauty's topic in Ob/Gyn

    The other thing that makes it difficult is that neonatal murmurs come and go, as it sometimes takes a while for a PDA/PFO structure to fully close. So you may not have heard it because it may not have...
  12. Elvish

    Newborn call parameters

    Elvish replied to Elvish's topic in Ob/Gyn

    We don't do blood sugars on normal healthy kids as a matter of routine. We can, however, check one if the kid is overly lethargic, cold, or jittery. And what would be fine at a few hours after birth...
  13. Elvish

    Infant or Pediatric Scope?

    Elvish replied to RN-BSNheather's topic in Ob/Gyn

    I prefer pediatric, as do all the NPs I work with. We have a neonatal steth floating around but I never see anyone use
  14. Elvish

    Question? PA vs NP to work with healthy newborns in OB?

    Elvish replied to siroisco's topic in Ob/Gyn

    At my hospital, we have PNPs and FNPs that work for the neonatology department and see babies in the newborn nursery and intermediate care nursery, as well as in the outpatient peds clinic that we...
  15. Elvish

    Oh my goodness....!

    Elvish replied to RN520's topic in Ob/Gyn

    I learned BUBBLE-HE too....Breasts, Uterus (fundus), Bowel, Bladder, Lochia, Episiotomy/lac, Homans, Emotions. I don't do Homans anymore, as my understanding is that it's not really recommended. But...
  16. Elvish

    And the award for most asked question goes to...

    Elvish replied to Bortaz's topic in NICU, Neonatal

    Maybe glycerin chips PR? Have seen it very
  17. Elvish

    How does your hospital handle twins?

    Elvish replied to seemerun's topic in Ob/Gyn

    It was inadvertent, and fortunately it was with a doc that's great at lady partsl multiples. Mom got complete and baby A descended so rapidly, there was really no choice but to catch! After that, he...
  18. Elvish

    How does your hospital handle twins?

    Elvish replied to seemerun's topic in Ob/Gyn

    lady partsl if A is vertex, and they deliver in OR. In recent memory we had a lady partsl triplet delivery,
  19. Elvish

    Vaginal Birth after two consecutive C-Sections

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Yep, we do it too.
  20. Elvish

    Hypoglycemia In The Newborn

    Elvish posted a topic in NICU, Neonatal

    While in utero, glucose from the maternal bloodstream crosses the placental barrier and into fetal circulation to be used for growth. The fetal pancreas functions much as would an adult pancreas; that...
  21. Elvish

    Hypoglycemia In The Newborn

    Elvish replied to Elvish's topic in NICU, Neonatal

    We encourage all moms to feed as soon as possible, whether they deliver lady partslly or c/s. A lot of moms nurse in the PACU or even in the OR. Regarding your particular situation, I wouldn't freak...
  22. Elvish

    How do you clear a newborn's airway?

    Elvish replied to kythe's topic in Ob/Gyn

    Yeah, no spanking at my place
  23. Elvish

    Small children visiting patients in the critical care setting... thoughts??

    Elvish replied to TigerGalLE's topic in Critical Care

    Having been on both sides.....as a nurse, I LOVED when our hospital (along with others in the state) implemented the no-visitors-under-12-period rule when flu season was so bad. It really cut down on...
  24. Elvish

    Where do your postpartum Mag patients go?

    Elvish replied to lovemyjoblandd's topic in Ob/Gyn

    Anyone who needs to be on mag goes to L&D, ante- or postpartum, regardless of how far out she is, unless she is actively seizing or in
  25. Elvish

    RhoGAM

    Elvish replied to murse23's topic in Ob/Gyn

    If mom is Rh negative, they should be collecting a cord blood on the baby, which should then be analyzed for type and Rh. If baby comes back Rh neg, then there is no need for postpartum Rhogam. If mom...