Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    Spanish for nurses

    Elvish replied to Robublind's topic in Emergency

    If there is a Spanish-speaking community anywhere close to you, I highly encourage you to make a few friends and practice your Spanish with them. Shop at the tiendas and maybe see if you can go to a...
  2. Elvish

    Orientation...blechhh

    Elvish replied to beeble's topic in General Nursing

    Being an ass: "Shut the **** up, I can't go any faster." Being assertive: "I can't speed it up. I don't want to make
  3. 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

    Poi, you cruel and heartless nurse, you! Don't you know we nurses are supposed to be angels of
  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

    Would you rather a pressure dressing that may be a bit of a PITA to take off or would you like to continue bleeding? (I actually did say that one.) No, I am not in the business of 'ripping'...
  5. Elvish

    Pain medications post partum

    Elvish replied to CoppertopRNC's topic in Ob/Gyn

    I saw that - it looks really cool. I will have to ask anesthesia next time I see them come up to check on folks
  6. Elvish

    Pain medications post partum

    Elvish replied to CoppertopRNC's topic in Ob/Gyn

    I have seen pts come to me with PCA epidural Fentanyl, no bupivicaine (our standard numbing agent) so they can get up and walk around and do pretty well. That said, I am surprised anyone can keep an...
  7. Elvish

    Pain medications post partum

    Elvish replied to CoppertopRNC's topic in Ob/Gyn

    Vag deliveries: Motrin 600mg q6 prn, and either Percocet or Norco 5/325 1-2 q4 prn. We give topical dermoplast spray and witch hazel pads. We find the witch hazel pads work really well for laceration...
  8. Elvish

    How many patients do you typically have (day/night)??

    Elvish replied to 2011nursetobe's topic in General Nursing

    I work mother/baby and we usually have 4-5 couplets, so 8-10
  9. Elvish

    Gastric lavage in healthy term newborn??

    Elvish replied to flarson's topic in Ob/Gyn

    I've seen it and done it, but maybe twice, and it's been several years since the last time. Definitely not the norm, and I'd be worried if it
  10. Elvish

    "That's where they keep big needles to stick bad little boys."

    Elvish replied to raianne's topic in General Nursing

    They do it because (in my experience anyway) they have few other methods of controlling their kids' behavior. I used to work in a clinic that did peds and every time a parent would tell their kid...
  11. Elvish

    Painless labor?

    Elvish replied to Stephanie D's topic in Ob/Gyn

    My mother's labor with me was painless per her report, and I was a 9-pounder. "I've had bowel movements that hurt worse," she tells me. Also, her labor (primigravida) was under 5 hours. What I would...
  12. Elvish

    how do you night nurses do your assessments?

    Elvish replied to redredrose's topic in General Nursing

    The best way for me to keep them stable is to check them first thing....that way if something changes I can catch it at 2400, rather than coding them dead in the bed at 0300. I'd much rather cheese...
  13. Elvish

    Tattoos and nursing

    Elvish replied to PrincessJessica's topic in General Nursing

    One of my best friends from childhood is in her third year of med school (went back at age 30 - ). She also happens to be covered in tattoos much like the dude in oklahomagal's pic. Everything but her...
  14. Elvish

    how do you night nurses do your assessments?

    Elvish replied to redredrose's topic in General Nursing

    Some hospitals have a policy that states that patients must be assessed within a certain amount of time from the beginning of shift. At my place it's within two hours. I know patients don't like to...
  15. Elvish

    "true knot"

    Elvish replied to LouisVRN's topic in Ob/Gyn

    I just remembered a mom I took care of who had an IUFD of mono/mono twin girls. Cords all knotted together, which they were certain caused the FD. Mom kept a pic of those cords alongside the pics of...
  16. Elvish

    My baby's poo

    Elvish replied to raynienatasha's topic in Ob/Gyn

    I did post mine on facebook with a warning on the picture right before it: "If you are easily grossed out, close your eyes and click twice on that arrow beside this pic." My nurse friends thought it...
  17. Elvish

    more meconium???

    Elvish replied to babyktchr's topic in Ob/Gyn

    Neither of my kids was induced, both came on their own between 39-40 weeks and both had mec. I haven't noticed an increase in mec deliveries, and haven't seen any mec kids that are any sicker than...
  18. Elvish

    "true knot"

    Elvish replied to LouisVRN's topic in Ob/Gyn

    I think I've seen maybe two or three. I think all were born lady partslly and none detected
  19. Elvish

    My baby's poo

    Elvish replied to raynienatasha's topic in Ob/Gyn

    LV - I did the EXACT same thing. The doc mentioned something about it being 'sort of big', so I sent my husband over to take a photo while Little Girl was skin-to-skin. I had wanted to bring it home...
  20. Elvish

    Critical Hgb value changed

    Elvish replied to ukjenn231's topic in General Nursing

    We don't transfuse until they're We have a fair number of pts with sickle cell trait who live around 9, so a fall to 7 postpartum/postop is not as big a jump as, say, 12 to 7, and they are able to...
  21. Elvish

    "Hidden" cameras on the floor--do you have them??

    Elvish replied to linzjane88's topic in General Nursing

    We have them on my floor. They number in the double digits. Security sits at the front desk and watches all of them. He even showed me how they can zoom in. I don't mind, being that we have babies in...
  22. Elvish

    As a nurse, do you ever......

    Elvish replied to Queen2u's topic in General Nursing

    There are plenty of days I think to myself, 'Ok, now what is the first thing I'm going to do if the crap hits the fan? Who will I call?' And then I pray all shift that the crap doesn't hit the fan....
  23. Elvish

    Interview ob/gyn clinic

    Elvish replied to promote.health's topic in Ob/Gyn

    This is by no means an exhaustive list, but it's a start, besides what has already been listed. You will need to know what is normal and what is not normal during each trimester of pregnancy, and...
  24. Elvish

    What would you rather do than go into work this weekend?

    Elvish replied to kool-aide, RN's topic in General Nursing

    Hang out with my babies. Both the 7yo and the 5-month-old are growing up WAY TOO FAST. Spend a couple hours piddling around at yard sales or the farmer's market with them and their hot daddy. Sipping...
  25. Elvish

    Thoughts on using donor breast milk in NICU?

    Elvish replied to HeartNIC's topic in NICU, Neonatal

    We have a milk bank at my hospital. We use it IF the parents consent. Most do, esp those who have EL/VLBW babies. I think the cutoff at which we no longer use DBM is 32 weeks (of course, mom's EBM is...