Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    LD nurse that never had children or vag birth

    Elvish replied to loving2's topic in Ob/Gyn

    I have pts ask me all the time if I have kids, were they lady partsl or c/section, or if I breastfed. I think, most of the time, people just want to know that on some level we can relate to them. None...
  2. Elvish

    The youngest new mother's you've seen

    Elvish replied to PeepnBiscuitsRN's topic in Ob/Gyn

    I think the youngest I've taken care of personally was 13 or 14, but we've had 10- and 11- year olds on our floor. I've had 18-year-old patients that still suck their thumbs, though. Always find it...
  3. Elvish

    The Wisest Thing I've Ever Heard on Allnurses ...

    Elvish replied to Liddle Noodnik's topic in General Nursing

    I had just miscarried and started a thread about going back to work after the fact. One very wise poster who had been there herself told me: When people say the wrong thing to you (and they will),...
  4. Elvish

    Things you'd LOVE to be able to tell patients, and get away with it.

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

    For someone not from the US, it is a little more understandable, and I have had plenty of immigrants not be aware of the requirement. Regardless, I am certain you (along with most other folks) handled...
  5. Elvish

    Things you'd LOVE to be able to tell patients, and get away with it.

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

    I have a brother who's an ED nurse and another one who's an ex-Marine. If you can say a cuss word I haven't heard already I might pay you to let me hear it. But don't roll up in here and try to...
  6. Elvish

    Timing of newborn bath

    Elvish replied to mugwump's topic in Ob/Gyn

    Policy says temps have to be >/= 97.8ax x2 consecutively before a bath can happen. Sometimes they'll stay nice and warm the entire 1-2 hours they're over in L&D, then when they get to...
  7. Elvish

    When your patient is complete...

    Elvish replied to violet_violet's topic in Ob/Gyn

    I am fortunate to work with docs (the private ones, anyway) who don't need to micromanage labors. And for the residents, the nurses are really good at saying, "She's a rim, Doc" and failing that,...
  8. Elvish

    Postpartum pit

    Elvish posted a topic in Ob/Gyn

    Our hospital has recently started orders that say our ladies have to have a bag of pit running for several hours (I think it is 4) postpartum. Previously, the orders just read to medlock when current...
  9. Elvish

    Postpartum pit

    Elvish replied to Elvish's topic in Ob/Gyn

    Babyktchr, that is kind of what I think too. It is certainly something to watch closely for, and even more closely when there are risk factors. We keep a PPH kit in each subsection of our floor as...
  10. Elvish

    Postpartum pit

    Elvish replied to Elvish's topic in Ob/Gyn

    Are you asking why it's an issue for me, or why it would be a big deal to do this? Just curious, so I can answer appropriately. :) Do any other OB units do
  11. Elvish

    Postpartum pit

    Elvish replied to Elvish's topic in Ob/Gyn

    It's standard to run in Pit immediately after delivery, in order to facilitate delivery of the placenta, but not for several hours afterward. Sometimes we'd leave the bag (if there was any hanging)...
  12. Elvish

    Pre-Nursing school immunization catastrophe!

    Elvish replied to DisneyNurseGal's topic in General Students

    I used this book as my 'bible' when it came to immunizations. I wouldn't have known had we not had access to it. Guess my point is that IMO every place who does immunizations should have a copy or...
  13. Elvish

    Pre-Nursing school immunization catastrophe!

    Elvish replied to DisneyNurseGal's topic in General Students

    You can give and read the PPD any time before or on the same day as MMR. However, theoretically, if you do it the other way around, the MMR can blunt a positive PPD. This is also true for other live...
  14. Elvish

    Pre-Nursing school immunization catastrophe!

    Elvish replied to DisneyNurseGal's topic in General Students

    Titers can be expensive, depending on which titer you get. I used to work in a community health center that drew lots of varicella titers for immigration physicals (we did those there) and they were...
  15. Elvish

    What becomes of them?

    Elvish replied to Penelope_Pitstop's topic in NICU, Neonatal

    Knowing what I know now after working in the field (and I don't want to ever be in this situation, believe me), I think my criteria have changed for at what point I'd want my infant resuscitated. It...
  16. Elvish

    Family Members and their pearls of wisdom...

    Elvish replied to R!XTER's topic in Patient, Colleague Relations

    I love it when people come up to my floor and ask, "Hey nurse (well, at least you got that part right), where's Boo-boo at?" Me: "Uh....who?" Them: "Boo-boo. Where's she?" Me: "Does Boo-boo go by...
  17. Elvish

    DEMEROL ... does Your unit use it?

    Elvish replied to jodyangel's topic in Ob/Gyn

    That's odd, because I have seen maybe one case in almost seven years. That's not to say you are lying...I believe you...just never seen it myself. It's almost like people who see extrapyramidal...
  18. Elvish

    DEMEROL ... does Your unit use it?

    Elvish replied to jodyangel's topic in Ob/Gyn

    We have standing orders for Demerol 12.5 if the shivering is really bad, but I have yet to use it; haven't needed to. Don't know anyone else who has either. We give our c/s pts Duramorph in the...
  19. Elvish

    Do you like the visiting IBCLC? How about doulas?

    Elvish replied to dahlialover's topic in Ob/Gyn

    What Baglady said. I work nights, and we have said over and over and over how much we'd love to have lactation work nights. We have bare bones staffing. No techs, no lactation and 4-5 couplets per...
  20. Elvish

    OB "Goodie" Bags for Moms

    Elvish replied to mommy2boysaz's topic in Ob/Gyn

    That sounds really cute! I will have to try it and see if I can make it work. Thank
  21. Elvish

    Question on skin to skin touching

    Elvish replied to germsjackson's topic in Emergency

    Yeah, there have (if I recall correctly) been studies done about how many bugs are being carried on stethoscopes that go in and out of rooms. The results were/are kind of scary, when you consider how...
  22. Elvish

    Question on skin to skin touching

    Elvish replied to germsjackson's topic in Emergency

    duplicate
  23. Elvish

    Question on skin to skin touching

    Elvish replied to germsjackson's topic in Emergency

    I work with both newborns and adults. If I am changing a diaper, changing pads on a fresh post-op section, emptying a foley/hat, or handling vomit, I wear gloves. Otherwise, I don't. (ETA - I also...
  24. Elvish

    Bedside report

    Elvish replied to babyktchr's topic in Ob/Gyn

    We do detailed report outside as we have always done, then at the end, we go in and introduce the next nurse and hit the high points (IV, duramorph/PCA, foley, etc.). There is no way in hades I would...
  25. Elvish

    Things you'd LOVE to be able to tell patients, and get away with it.

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

    Want to know why your baby is screaming and won't stop? Try going without your drug of choice [you know, the one your baby was exposed to for 9 months] for a good long time and see how you