Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    Are you supposed to check a boy's foreskin during a physical?

    Elvish replied to SydneyKidney's topic in Nurse Practitioners, NP

    The AAP doesn't recommend retracting at all until the foreskin is fully retractable, and even then only gently. Physicians in countries where circumcision is not the norm- who are used to dealing with...
  2. Elvish

    Wireless monitors: Monica/Novii, other telemetry

    Elvish replied to yinzerlabornurse's topic in Ob/Gyn

    Our L&D unit had/has similar experience with the Novii. Doesn't pick up FHR well at all & almost impossible to detect patters. It was supposed to be a New Great Thing because it could go in...
  3. Elvish

    Organizing Emergency supplies at Delivery

    Elvish replied to ruralscnurse's topic in NICU, Neonatal

    L&D has radiant warmers in each room where they stock hats, diapers, cord clamps, neopuff masks/tubing, suction tubing, extra bulb syringes, & intubation equipment in all sizes (00/0/1 blades...
  4. Elvish

    The flu shot making people sick

    Elvish replied to psu_213's topic in Disaster Preparation

    When people tell me they feel crummy for a couple days after getting a flu shot (and a lot of people do), I always say, "Fantastic! That means your immune system is responding to the flu vaccine...
  5. Elvish

    Why do we do codes?

    Elvish replied to scrubs0204's topic in General Nursing

    Some people do make it. I have coded newborns at birth that went home with their moms two days later perfectly fine. If it's a witnessed code the person has much better chances, as do children...
  6. Elvish

    Health Care is Not a Right

    Elvish replied to Tetra's topic in Activism, Healthcare

    Most of the rest of the industrialized world disagrees with you. Countries in the industrialized world (and some in the developing world) whose health policy views healthcare as a universal human...
  7. Elvish

    Nursing, Hurricanes, and Floods.

    Elvish replied to CardiacDork's topic in General Nursing

    Thanks to both of you for keeping us updated. So glad you are both home and safe. Peace and
  8. Elvish

    Are you supposed to check a boy's foreskin during a physical?

    Elvish replied to SydneyKidney's topic in Nurse Practitioners, NP

    Fair point. My son, for his part, prefers a female provider. When he started hitting puberty I asked him if he wanted me to take him to a guy instead, and he said no. He likes/trusts his NP and for...
  9. Elvish

    Which is it? Coolest and most glamorous nursing jobs

    Elvish replied to Flyboy17's topic in General Nursing

    I get to watch new people be born and am one of the first ones to touch them. If they're pink and screaming I stand there and am a well paid cheerleader. If they're blue and unhappy to be earthside, I...
  10. Elvish

    Nursing, Hurricanes, and Floods.

    Elvish replied to CardiacDork's topic in General Nursing

    Cardiac, I'm in eastern NC so we get hurricanes fairly frequently thanks to our geography. About a third of my town was underwater when Matthew hit and my kids didn't have school for a week because...
  11. Elvish

    Nursing, Hurricanes, and Floods.

    Elvish replied to CardiacDork's topic in General Nursing

    I live in NC, and we get ice storms as well as hurricanes. I can't think of any extra advice to give you beyond what you've already gotten. Just
  12. Elvish

    Balancing Nurse Practitioner School/Career and Motherhood

    Elvish replied to melp4's topic in Student Nurse Practitioner

    Student loans. Not ideal, but I dropped to 3/4 time at work and used loans to make up the difference. I'm the primary breadwinner so I viewed it as a temporary
  13. Elvish

    Are We Still Holding Back Baby's Head?

    Elvish replied to Kooky Korky's topic in Ob/Gyn

    Never seen it happen. Nurses will deliver a baby if
  14. Elvish

    Recognition of illness/condition by smell?

    Elvish replied to Misstika's topic in General Nursing

    Chorioamnionitis. Never misdiagnosed it based on
  15. Elvish

    What do you prefer to be called?

    Elvish replied to Alexxoxox's topic in Doctoral Nursing Degrees

    Academically? Call me Doctor. I worked hard for my title and I'm gonna use it. At the bedside? People call me by my first name, like they always have. I'm lucky to work in a place where we're on a...
  16. Elvish

    Breastfeeding support

    Elvish replied to ama3t's topic in Ob/Gyn

    I second the skin-to-skin as much as possible and hand-expressing if baby isn't latching. Hand expression can be done anywhere and isn't as overwhelming as a pump and all the accoutrements can be,...
  17. Elvish

    What time do you do vitals at night on mother baby

    Elvish replied to BSNbeauty's topic in Ob/Gyn

    For moms we did: q30min x 3 on admit, then q4h x 3, then BID. For all VS we also did fundal checks. I usually tried to get at least one head to toe in on my shift, then just VS/fundus the rest of my...
  18. Elvish

    Viability cut-off in other countries?

    Elvish replied to adventure_rn's topic in Ob/Gyn

    Several years ago during another AN debate on infant mortality around the world I asked my Finnish friend the surgeon what their guidelines are and she says they usually do 23 weeks/500g as the cutoff...
  19. Elvish

    new NRP guidelines

    Elvish replied to Surfandnurse's topic in Ob/Gyn

    We too have been using newer guidelines for mec ever since they came out. I've only ever seen one mec baby who didn't immediately do well and had to go to NICU for aspiration (knock on wood). We've...
  20. Elvish

    Getting FNP and DNP

    Elvish replied to Twinsplusone's topic in Doctoral Nursing Degrees

    East Carolina does DNP/FNP
  21. Elvish

    Should NP training be standardized?

    Elvish replied to orangepink's topic in Nurse Practitioners, NP

    If you'll notice, I included 'terrible clinicians' in there as well. The question that's worth pursuing is, is the increased rigor of medical school going to make a difference in patient outcomes?...
  22. Elvish

    L&D--what are your patients like?

    Elvish replied to auson16's topic in Ob/Gyn

    Oh man, yes. The daddies get me every time! I kind of expect mothers to be overwhelmed, because they've done a lot of hard work carrying and birthing this baby....but when the daddies cry or sing to...
  23. Elvish

    Should NP training be standardized?

    Elvish replied to orangepink's topic in Nurse Practitioners, NP

    I don't know, I've seen some pretty awful physicians out there too, terrible clinicians and terrible people. It would be nice if (as MDs can) NPs could hold a board-certification in their subspecialty...
  24. Elvish

    Anybody else dealing with pertussis?

    Elvish replied to Kittery's topic in School

    I don't mean to pick on you, but I'm not sure asking someone with pertussis not to cough is realistic. It would be like trying to stop Niagara Falls; you can try, but it ain't gonna happen. Coughing...
  25. Elvish

    Anybody else dealing with pertussis?

    Elvish replied to Kittery's topic in School

    To address a couple points made here: Most vaccines are not shed, and those that are (generally the live viruses) are not considered to be risky enough to present a contraindication for household...