Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    Having a celebrity as a patient

    Taken care of a couple local celebrities; both were extremely nice, unassuming, very down-to-earth. I liked them both a whole lot. I did give the relative of someone whose name everyone here would...
  2. Johnson/Gray. Best solutions to issues that I am passionate about, so not a lot of nail-biting about the
  3. Elvish

    Is it made of acid? Fire? Cactus stickers?

    Yeah, I always do it and 'apologize' up one side and down the other...."Oh honey, I'm so sorry for touching your armpit. I know that's so terrible for you." And if it's a cool family, go on about how...
  4. Elvish

    How do you feel about male nurses in OB/GYN/NICU?

    I respect your perspective, and would absolutely respect your preference for female nurses if you wanted them, but who says that only feminine men want to work in OB? None of the men that I've worked...
  5. The ones that are fourteen pages long and spell out every minute detail are irritating....probably as much because the tone seems to be that I am incompetent and incapable of using common sense to...
  6. Elvish

    How do you feel about male nurses in OB/GYN/NICU?

    We have had male L&D nurses as well as male mother/baby nurses on my floor. Right now there are several male NICU nurses. All the guys are great to work with and consistently get great reviews...
  7. I was thinking maybe some uterine anomaly as well. It sounds out there to me as well but we have all seen things that no one would believe if we told
  8. Elvish

    Ethical Issues in Neonatal Care

    I think the Netherlands doesn't resus before 25 weeks. That's the only one that I could find that definitely would not do anything at 24 or before. I agree that better preventive care and access...
  9. Elvish

    Ethical Issues in Neonatal Care

    Since the original parameters were 23-24 weeks, that's what I looked for. This is what I found: http://www.ncbi.nlm.nih.gov/pubmed/11060524 An article from 20 years ago in the UK, suggesting that...
  10. Elvish

    Ethical Issues in Neonatal Care

    Which part of the post are you referring to? My place or other
  11. Elvish

    Ethical Issues in Neonatal Care

    It would depend on which countries you're referring to. I did some looking into that a while back after hearing this repeated several times on allnurses and found that many places in Europe...
  12. Elvish

    The flu shot making people sick

    I wasn't trying to be nitpicky; I was pretty sure of what you meant. It was more a clarification for other readers, especially lurkers who may or may not be
  13. Elvish

    The flu shot making people sick

    Just a quick point of clarification: the nasal spray (FluMist) is live, but it is also a vaccine. The killed virus is found in the injectable vax. There are live vaccines that are injectible (MMR,...
  14. Elvish

    The flu shot making people sick

    I was talking to my kids' former PNP (she is no longer in practice but we keep in touch) and she mentioned this as well. The acellular pertusses (the 'aP' part of DTaP or TdaP) tends to cause fewer...
  15. Elvish

    Evidence based practice for newborn care

    We do our first bath 6 hours after delivery, or after first good breastfeeding (if it takes longer than 6 hrs). Obviously if mom has HepB/C or HIV we bathe as soon as baby is stable. We wash with...
  16. Elvish

    Assess fetus or mother first?

    I always assess Mom first. Ideally, like another poster said, you try to throw her on the monitor while checking her out, but if you can't, Mom comes first. Something else to think about - I'm not...
  17. Elvish

    Can i be a mother/baby nurse if I have never had kids?

    You'll be fine. I think when people ask if you have kids it's their way of knowing if you've been where they are. I can tell a BFing mom that I know what that first latch feels like when you 'know'...
  18. If you work nights turn off your phone, black out your room, disable your doorbell, and buy a box fan for white noise. Some skills will come naturally to you. Others will not. Practice the ones...
  19. I work a weekend of nights and a weekend of days. I like the staff on both shifts, and because it is the weekend the suits aren't around. It's possible to have crappy days as well as crappy nights, so...
  20. Elvish

    FHT question, where is the variable on this strip?

    If you are calling a variable 15x15, then I'd agree with you the only one I see is where you saw it as well. However, depending on the gestation if you are using the 10x10 criteria, then a case could...
  21. Elvish

    8s vs 12s; night shift or day shift?

    I started out as a new grad doing 2 8s and 2 12s, night shift. I hated it...partly because my body doesn't do well on nightshift, and partly because of the environment. I don't know that it's 'easier'...
  22. It's a flipping Colace. I don't care whether or not you take it. Just make up your mind and tell me yes or no, because I don't have 20 minutes to stand here while you talk yourself into and out of it...
  23. Elvish

    Is postpartum a lower stress specialty?

    I work in a high-risk facility that does couplet care, exception being for NICU babies. We are responsible for 3-5 couplets (read: 6-10 patients) and depending on the shift it is either a cake walk or...
  24. Elvish

    Male RN's in the delivery room.

    There are some pts who for whatever reason will ask for a female rather than male RN/doc/whatever in L&D. But by and large our pts have responded well to our male L&D/mother-baby nurses....
  25. Elvish

    Post Partum nurse Pt ratio

    We range anywhere from 3-5 couplets, charting/teaching/labs for both mom and baby. It does indeed suck to have 5....go home after that feeling like I gave everyone the bare