Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    Satisfaction from wiping POO? GASP!

    Elvish replied to iluvhrts's topic in General Nursing

    I don't particularly enjoy cleaning up poop, but I do like my patients (adult and newborn) patients to be clean. Most of the adults are continent walkie-talkies and able to do peri-care on their own,...
  2. Elvish

    After vaginal birth, recovery!

    Elvish replied to CrazyMommy's topic in Ob/Gyn

    It's been my experience that moms tend to find it less painful after the first delivery than after subsequent deliveries as well. There are some nurses who press harder than others, but as a nurse...
  3. Elvish

    Australian Home Birth Advocate Dies After Childbirth

    Elvish replied to Not_A_Hat_Person's topic in Ob/Gyn

    We see bad maternal cases, too, the bad maternal HB transfers. But people die in hospitals, too, and I have seen bad things happen to moms and babies that wouldn't have happened (or wouldn't have been...
  4. Elvish

    Funniest thing you've ever seen happen to a doctor

    Elvish replied to Guttercat's topic in Nursing Humor

    First nursing job, had a LOL patient who came in septic from a UTI, and with the help of antibiotics and IVF, perked up. By the time she left she was a&o and looked a thousand times better than...
  5. Elvish

    Swearing: hugely unprofessional, mildly irritating or a normal part of speech.

    Elvish replied to loveoutloud's topic in General Students

    For what it's worth, I barely cussed at all until I'd been a nurse for about five years, no rap music to blame there. Personally, I believe it depends on context. If I'm with my nurse colleagues, and...
  6. Elvish

    Australian Home Birth Advocate Dies After Childbirth

    Elvish replied to Not_A_Hat_Person's topic in Ob/Gyn

    What do I think? In all seriousness, I think I want to know more. Did she fall into any high-risk category other than age*? Did her midwives suggest a hospital transport at any point? I wonder if it...
  7. Elvish

    Gravida para and twins!

    Elvish replied to MadpeysRN's topic in Ob/Gyn

    Per the AWHONN definition, para only counts the number of pregnancies. So, when you use the full GTPAL system, it is G1 T1 P0 A0 L2. If it were a 28-week quad delivery and all 4 babies are still...
  8. Elvish

    Adoption ethics

    Elvish replied to DebblesRN's topic in Ob/Gyn

    I know people who have adopted babies we've (or they) have taken care of, but both instances were after first-mom was legally no longer in the
  9. 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

    Stop getting into relationships with active users while you are in drug rehab. Nothing good came of it the first three
  10. Elvish

    Flu shot reactions vs side effects

    Elvish replied to eden's topic in Public, Community Health

    Hard to know, exactly. The timing does seem to make it related to the vaccine, but it seems to be a soft call either way. I will say, only anecdotally, that my daughter got her flu vax at 6mo this...
  11. Elvish

    holding legs during pushing

    Elvish replied to mamawof2's topic in Ob/Gyn

    Some of our L&D nurses think like you do too. "She's a rim, Doc." :) I'm surprised to see no one has mentioned side-lying pushing yet. Obviously not everyone can do it, but in labor I found it a...
  12. Elvish

    Duramorph and foley removal...

    Elvish replied to shortstuff31117's topic in Ob/Gyn

    I have never had a c/s patient be unable to pee due to Duramorph in 6.5 years, and that's almost exclusively what our sections get. Our orders say to pull the foley in the AM on POD #1, regardless of...
  13. Elvish

    Why do I feel guilty for not going in when called...

    Elvish replied to Do-over's topic in General Nursing

    I don't feel guilty. We've had lots of people out on FMLA and but it won't kill mgmt to get their hands dirty and staff the floor. I screen my calls and only call back to say yes if I want
  14. Elvish

    Sesame Street Breastfeeding: Moms Push To Bring Nursing Back To TV Show

    Elvish replied to lrobinson5's topic in Ob/Gyn

    Overheard from my stepfather while at home over the holidays, as I sat on the couch nursing the baby: "Breastfeeding is something that we saw all the time as children. Ask anyone my age [he is over...
  15. Elvish

    The OB ICU - Does It Exist?

    Elvish replied to gracieD's topic in Ob/Gyn

    There is one in my state as well, I think it is small - under 5 beds. They see stuff like emboli, DIC, PP cardiomyopathy, eclampsia, etc. The ICUs at my hospital have pregnant women in their unit...
  16. Elvish

    Sesame Street Breastfeeding: Moms Push To Bring Nursing Back To TV Show

    Elvish replied to lrobinson5's topic in Ob/Gyn

    I understand if someone doesn't want to breastfeed and I am fine if they don't. I'm the last person to get in someone's face for not breastfeeding. But to my knowledge most cultures around the world...
  17. Elvish

    Sesame Street Breastfeeding: Moms Push To Bring Nursing Back To TV Show

    Elvish replied to lrobinson5's topic in Ob/Gyn

    I am all for it. I firmly believe that if we are (as a culture, not any one individual) going to get over this weird thing we have about breasts equalling sex, it has got to start when kids are Sesame...
  18. Elvish

    Who's Afraid of the Big, Bad Psych Patients

    Elvish replied to rn/writer's topic in Psychiatric

    I remember my psych instructor (a fantastic instructor and human being) walking up to someone on our psych unit - a unit I was terrified to be in, as it housed the most ill as they got stabilized on...
  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

    Tell me everything you want me to bring you - the first time. I got too much **** to do for you to to decide when I bring you diapers that you need apple juice, and then pads, and oh by the way, can...
  20. Elvish

    What's your nursing kryptonite?

    Elvish replied to ktliz's topic in General Nursing

    I cannot do eyeballs, ear wax, nor trach sputum. GI Bleed poop I can do but I have to psych myself up for
  21. Elvish

    Odd requests

    Elvish replied to CapeCodMermaid's topic in Geriatric, LTC

    I had a father ask to take a picture of his baby's first meconium diaper. It was the first and only time I've ever had anyone request that. However, there was a decent reason. He was a veterinarian...
  22. Elvish

    Was asked if I was bisexual?!?!?

    Elvish replied to caregiver1977's topic in Ob/Gyn

    Nope, not just a 'STD smear'. Testing for the same cellular changes around the orifice and rectum that might suggest cancer as is done in cervical smears. Not so bogus. :)...
  23. Elvish

    Was asked if I was bisexual?!?!?

    Elvish replied to caregiver1977's topic in Ob/Gyn

    Yeah, I agree, it sounds like an inappropriately worded question. Someone could be gay but only having sex with their spouse. Now, I used to work in a community health center with a NP who was the...
  24. Elvish

    How to explain depression/PTSD to young children

    Elvish replied to verivici's topic in Patient Education

    My son is 7 and adores his uncle, who also has PTSD from time spent in Afghanistan. I've explained it to him like this: A while back we had tornados rip through our area - very scary. For a long time...
  25. Elvish

    Rupture of an unscarred uterus?

    Elvish replied to 2curlygirls's topic in Ob/Gyn

    It is pretty rare. I have seen it twice since I've been in this field, and neither had had a previous