Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    becoming a baby friendly hospital

    I think the BFHI is, on the whole, a good thing. There is such a thing as bad implementation, though, and that is what drives people away
  2. Elvish

    Tips for PP Moms and Urination

    It sounds ridiculous, but having them blow bubbles in water using a straw sometimes helps. Relaxes the sphincter and by golly, they can go
  3. Elvish

    Men in OB/Peds Nursing....Any thoughts?....

    I'm not saying you're completely wrong; however the trend is shifting in my neck of the woods (a conservative part of a conservative state). It's far more likely than it was even ten years ago to find...
  4. Elvish

    Men in OB/Peds Nursing....Any thoughts?....

    I work in the field and have been a patient. I don't care who my nurse is, or what their chromosomes are, as long as they are caring and know what they're doing. I've had male and female OBs, and it...
  5. Considering that many women breastfeed an older child while pregnant with another, and that oxytocin is one of two major breastfeeding
  6. Elvish

    Normal Birth

    I think you will find that most opposition to normal birth as you describe it does not come from the nursing staff. Most of the L&D nurses I have worked with in a couple different hospitals have...
  7. Elvish

    baby friendly questions

    This is what makes me the angriest. It doesn't even have to be a 12-pound baby. If I have a baby who lives at the breast and has a great latch but is jaundiced and has inappropriate urine/stool output...
  8. Elvish

    Taking work home

    The first fetal demise I took care of - what feels like forever ago - every time I closed my eyes for a week I saw that baby. I had to write a very very long, mostly non-specific, to get it out of my...
  9. Elvish

    Question about elective RCS and VBAC

    We almost never do general anesthesia unless it is a true crash and mom didn't have an epidural already in place, or mom is allergic to morphine. Beyond those two set of circumstances, I can't...
  10. Elvish

    Question for experienced L&D nurses

    Probably it's a good idea to start a new thread for that topic, it's a bit heady.
  11. Elvish

    Question for experienced L&D nurses

    H1N1, amniotic fluid embolus that led to DIC, sepsis that led to DIC. A couple were healthy pregnant women that came to the hospital to have their babies and never
  12. I don't recall specifically diagnosing myself with anything. But psych threw me for a loop, esp learning that most people's first psychotic break occurs before age 25. I remember thinking that I still...
  13. Elvish

    Eating Placenta????

    I know of one person (and I don't know her well at all) that ate a piece of her placenta after her daughter's birth because she was hemorrhaging. She says it worked. It is not for me, but it's not...
  14. Per the Terms of Service we all agree to as members, we are not allowed to make medical judgment calls such as this one. It's definitely something you should take up with your OB or midwife ASAP. I...
  15. Elvish

    Postpartum Depression

    As someone who had pretty bad postpartum depression after my first baby (thank goodness it was much more mild after #2), this is a topic I always make sure to go over. I include it in the list of...
  16. Elvish

    Are enemas making a comeback?

    Not where I work. I have heard of some midwives (no OBs I know) suggesting castor oil to kickstart labor. I've had a couple friends swear by it and many others say it did absolutely nothing except...
  17. Absolutely, you are right. Term healthy kids should stay with their moms, key there being term and healthy, and most fit that description. If there's an issue that needs closer monitoring, which is...
  18. Elvish

    Charting of infant's voids and BMs

    We chart frequency and type/color - meconium, transition, seedy, green, yellow. If I didn't see it, I ask the parents to describe it. There's enough space in the flowsheet to freehand a description if...
  19. Elvish

    Do foley bulbs work?

    I must be the oddball here, because they work pretty well on my unit, and a fair number of our IOLs are foley bulbs. It doesn't have quite the risk of Cytotec and saves the uterus (and baby) a few...
  20. My place works more or less like this too, and most of our warming - both immediate post-delivery and post-bath is done skin to skin with mom. If Mom understands how to keep baby close to her and with...
  21. We just use universal precautions and put a piece of tape at the foot of the crib that says "Not bathed". Personally I prefer to have a hospital gown to put on over my scrubs as well when handling, in...
  22. http://www.nachc.com/careercenter/PCASearch.aspx Hope this
  23. Tons of alcohol wipes, my steth, and my gel pens. And, of course, my brain sheet. I could probably make do without the steth but if I lose my brain sheet, I'm
  24. I said the 'r-word' at work once, and it was in fairly recent history. I said it in front of a nurse, who is a GREAT nurse, whom I respect and admire.....who has a son with severe mental/developmental...
  25. Elvish

    A Question about GTPAL (Pregnancy Codes).

    G9 (2 losses, 2 twin pregnancies, 5 term pregnancies = total 9 pregnancies) T5 (pregnancies carried to term) P2 (the twin pregnancies -remember you are counting pregnancies, not the number of babies...