Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    What specific nursing skills do you use frequently?

    Elvish replied to Workitout's topic in Ob/Gyn

    In a clinic, I'd be shocked if you as the nurse did any pelvic exams. What is more likely: running NSTs, assisting with exams, vitals/rooming, dipping urine, drawing labs as needed, education, and...
  2. Elvish

    No vaginal exams??

    Elvish replied to jodyangel's topic in Ob/Gyn

    Where I am now, the nurses check pts in triage if they are term, otherwise the residents do it. Once they are admitted, they do want the residents to get practice but no one gets worked up about it...
  3. Elvish

    High risk pregnancy unit

    Elvish replied to DebCRNBSN's topic in Ob/Gyn

    We have a level 3 unit as well. We keep placental abnormalities - vasa previa, partial abruption, complete previa, etc. Preterm labor at any gestation, PPROMs, r/o pre-E (and some of them are pretty...
  4. Elvish

    Nurses visit allnurses.com for therapy...

    Elvish replied to Brian's topic in Nursing Humor

    What can I say? It's cheaper than
  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

    My job is not to be your friend. My job is not to be 'nice'. My job is to get you well so you can go HOME. No, I will not wipe your tail here. You wiped it at home and your sudden onset T-rex Syndrome...
  6. Elvish

    If you think you need to call the MD, CALL THE MD!!!!

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

    There are times when something is iffy, and I call a doc/NP to let them know, because it could evolve into something worse and I don't want the first they hear of it to be when the **** is hitting the...
  7. Elvish

    If you think you need to call the MD, CALL THE MD!!!!

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

    Yep, as a brand new nurse I got intimidated by calling docs in the wee hours of the night. Now that I am an old battle axe, I know I don't get paid to be the doctor's friend, though there are many...
  8. Elvish

    OB "Goodie" Bags for Moms

    Elvish replied to mommy2boysaz's topic in Ob/Gyn

    When I had my son 7yrs ago, they sent us home with a (nice) diaper bag full of newborn diapers, a rectal thermometer (!), a onesie with the hospital name, a plastic tube to measure whether a toy is a...
  9. Elvish

    Maternal Vancomycin

    Elvish posted a topic in NICU, Neonatal

    Hey NICU peeps, just wondering something... A mom asked me not too long ago (she was receiving IV Vanc) if the Vanc would have any effect on her baby's hearing after she delivered. I looked for the...
  10. Elvish

    Maternal Vancomycin

    Elvish replied to Elvish's topic in NICU, Neonatal

    I haven't seen it used a whole lot either - this was the first time, actually, but this pt had active MRSA in recurring genital abscesses that were not responding to ANYthing else. Interesting
  11. Elvish

    Maternal Vancomycin

    Elvish replied to Elvish's topic in NICU, Neonatal

    This particular lady was getting hers over 1.25-2 hours, depending on her dose (which of course depended on her levels). She had been on it multiple times and ID was at that point considering putting...
  12. Elvish

    Placenta Previa, Chronic/Acute/or both?

    Elvish replied to ASpe63464's topic in Ob/Gyn

    Do take into consideration that SOMETIMES a placenta will migrate up as the uterus grows. Fairly often I see charts that read placenta previa first trimester, now resolved. Kind of like if you mark on...
  13. Elvish

    baby friendly questions

    Elvish replied to Rhee's topic in Ob/Gyn

    Ah, no worries, mel. We actually do have close access to a milk bank so donor milk is not a problem for my facility, so you read well. I was actually asking more on behalf of others who might have...
  14. Elvish

    baby friendly questions

    Elvish replied to Rhee's topic in Ob/Gyn

    Yes, I agree completely. My coworkers and I have begged them for more staff. However, with admin pushing our management to cut costs, it doesn't look likely. I am curious. How do you supplement with...
  15. Elvish

    baby friendly questions

    Elvish replied to Rhee's topic in Ob/Gyn

    Oh, to have the time to be able to do all the above. It was mandatory for us a few years ago to watch the hand expression and spoon feeding videos and it's all great information. This is where 'bad...
  16. Elvish

    Epidural + Hypoglycemia

    Elvish replied to BellsRNBSN's topic in Ob/Gyn

    i don't think i've ever seen d50 given for hypoglycemia in l&d. (from my med-surg days, though, i agree with you on d50 in general. i hated it.) although i am personally in favor of letting people...
  17. Elvish

    Pts paying for night nursery care??

    Elvish replied to mombabyRN96's topic in Ob/Gyn

    Currently, double lights or less, post-circ checks, and isolette care (assuming baby isn't in NICU) can be done in mom's room in my neck of the woods. I think a nursery should be available in the case...
  18. 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

    Sometimes I want to tell the moms they can't eat with company around if they're letting their babies go hungry for the same
  19. 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

    You are in preterm labor on bedrest. No, I will not take you outside to go smoke. No, I will not call the doctor to get you an order to do so. No, you cannot come with me while I go check on my other...
  20. Elvish

    HIPPO Violations

    Elvish replied to Bortaz's topic in HIPAA Challenges

    You know what drives me even battier than reading it (HIPPA) on here? When management sends out emails and gets it
  21. Elvish

    Methotrexate

    Elvish replied to BellaInBlueScrubsRN's topic in Patient Medications

    We have given MTX on several occasions for confirmed ectopic pregnancies. If you're talking moral issue, no, I have no moral issue with giving it, since an ectopic is a life-threatening situation for...
  22. Elvish

    interesting article

    Elvish replied to cayenne06's topic in Ob/Gyn

    Erm, the link goes to a facebook
  23. Elvish

    Happy Nurses Week Cards...

    Elvish replied to Joe V's topic in Nursing Humor

    I was surprised to see that we are having food bought by mgmt and other nice things sponsored by the chaplaincy all week this
  24. Elvish

    How do you encourage rooming in.

    Elvish replied to gallicxy's topic in Ob/Gyn

    You are also going to have to get the OB offices/clinics on board with this, to start the education process well before your patients ever get to the hospital. Our clinics have a blurb in their...
  25. Elvish

    Love or hate your IV pumps?

    Elvish replied to steffimarty's topic in General Nursing

    Baxter smart pumps....hate them. They beep over the tiniest air bubble in the line, and they are not easy to program. God forbid you have to run a secondary