Elvish BSN, DNP, RN, NP

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All Content by Elvish

  1. Elvish

    2 Wks Postpartum Bleed in ER

    Elvish replied to flyingchange's topic in Ob/Gyn

    It sounds like she may have had some retained placenta or membrane fragments keeping her uterus from contracting all the way. It's unusual for it to manifest that far out, but not unheard of. At that...
  2. Elvish

    Religion in the Room

    Elvish replied to SeeTheMoon's topic in Spirituality, Religion

    Arctic, if you are not comfortable praying with patients who ask, it is perfectly appropriate to tell the pt you'll call either the chaplain or their own clergy to come up and pray with them. If they...
  3. Elvish

    Things Patients Have Taught Me NOT To Do

    Elvish replied to Trixxy's topic in Nursing Humor

    If you're going to privately pick a surrogate to carry your baby, you should probably make sure she is not ingesting any substances from which your new baby will have to
  4. Elvish

    While you're at it...can you clean my poop too?

    Elvish replied to Miller86's topic in General Nursing

    I agree with you that there was something more going on but I don't even think ANYONE needed to help her. Not me, not her husband. Her hands worked perfectly fine, so I drew the line and said no. I'm...
  5. Elvish

    While you're at it...can you clean my poop too?

    Elvish replied to Miller86's topic in General Nursing

    This was not an acutely ill individual. She had just had a baby and was perfectly capable of getting up to the bathroom on her own. It's not like she even had 'accidents' in the bed. Sorry, I draw the...
  6. Elvish

    Religion in the Room

    Elvish replied to SeeTheMoon's topic in Spirituality, Religion

    I've prayed for/with patients if they've asked, but only if they've asked. Usually it's the family that's just experienced a fetal loss that asks for it; not too many healthy families of healthy...
  7. Elvish

    While you're at it...can you clean my poop too?

    Elvish replied to Miller86's topic in General Nursing

    Yeah, I had a patient a day or two post c/section whose mother told me that she (the patient) would need help wiping her bum after a bowel movement. (She had IBS or something that caused her stools to...
  8. Elvish

    NPO/clear liquid status during labor - evidenced-based?

    Elvish replied to ischialspines's topic in Ob/Gyn

    At the hospital where I delivered my kids, most recently my daughter, the OB told me I could have clears during labor as long as I promised to sip, not chug them. This last time around, I progressed...
  9. Elvish

    C-section vs. letting Mom go naturally

    Elvish replied to JRP1120, RN's topic in Ob/Gyn

    Some things - like HDN - are rare enough to begin with in untreated infants that I can't spend time getting worked up about parental refusal, unless parents also want the kid circed. I'm honestly more...
  10. Elvish

    C-section vs. letting Mom go naturally

    Elvish replied to JRP1120, RN's topic in Ob/Gyn

    I can respect where you're coming from, but the problem with telling people to either get stuff or stay home is that home birth in my state is even less safe because CPMs aren't legally allowed to...
  11. Elvish

    Breastfeeding/Pumping

    Elvish replied to diosa78's topic in General Nursing

    I'd approach him/her sooner rather than later and let them know your plans. Let them know you're willing to be flexible and pump (if you can) when there is downtime. I think most people's objection to...
  12. Elvish

    C-section vs. letting Mom go naturally

    Elvish replied to JRP1120, RN's topic in Ob/Gyn

    You are right, it is state law in many states, but parents can still decline it. Ditto the Vitamin K. We have people decline one or both pretty routinely where I work (and it is state law here) and...
  13. Elvish

    C-section vs. letting Mom go naturally

    Elvish replied to JRP1120, RN's topic in Ob/Gyn

    When my cousin was pregnant with her 2nd, she called me very upset. Her doctor had done an ultrasound and recommended a c/section for her because they suspected macrosomia. This makes me really mad...
  14. Elvish

    I just feel that I would feel in much better hands if I had nurses that were sexy

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

    This is the kind of moron that hits on the nurse while his wife is delivering their baby. I worked too damn long and hard for my degree and I still work too damn long and hard, and spend too much...
  15. Elvish

    Leaving facility AMA...

    Elvish replied to JenTheRN's topic in Ob/Gyn

    Oh, I didn't mean to imply that he'd have had a great life going home with Mom. That we'll never know. But he became a ward of the state, and who knows if he was adopted after that. Who knows if the...
  16. Elvish

    Best MD note

    Elvish replied to beckster_01's topic in Nursing Humor

    We had some specialty consult on a newborn once - can't remember if it was urology or ENT - fill out the standard hospitalwide consult form punctuated thus: "Social hx: Pt has no history of alcohol,...
  17. Elvish

    Best way to give report...

    Elvish replied to Mary C's topic in Ob/Gyn

    A couple other ideas, feel free to take them or leave them :) time of delivery type of delivery -
  18. Elvish

    Induction of Labor Policy

    Elvish replied to nurse mojoe's topic in Ob/Gyn

    I've seen this happen too. I was grateful to have an OB with this last pregnancy that did NOT do that. My pressures were high-ish most of the pregnancy (130s/80s most of the time) and being that my...
  19. Elvish

    Induction of Labor Policy

    Elvish replied to nurse mojoe's topic in Ob/Gyn

    I'm no risk management person, but IMO if the policy is clear that 'elective induction' should only be done at 39+ weeks, he is still covered should the earlier induction be a medically necessary one....
  20. Elvish

    Done with work!

    Elvish replied to Tait's topic in General Nursing

    I know just how you feel, Tait! It feels great, doesn't it?! Hoping for a great delivery and a great maternity leave with your new baby!
  21. Elvish

    How does your facility deal with fetal demise?

    Elvish replied to anggelRN's topic in Ob/Gyn

    Ours is the same as above. Some babies never go to the morgue, and the family takes the remains home and buries
  22. Elvish

    Any 22 weekers out there?

    Elvish replied to mauigal's topic in NICU, Neonatal

    Well-said, littleneo....very
  23. Elvish

    What is the worst thing you see on your floor?

    Elvish replied to jennifers's topic in Ob/Gyn

    It's still in OB/Gyn, but it gets viewed by everyone on allnurses.com's home page, so lots of people post to it. It's all good.
  24. Elvish

    Interesting thoughts on autonomy

    Elvish posted a topic in Ob/Gyn

    I came across this blog and think it points out some interesting things regarding autonomy and maternity care. Thoughts/comments, etc.? http://rixarixa.blogspot.com/2011/06/what-is-autonomy.html...
  25. Elvish

    HELLP

    Elvish replied to jennifers's topic in Ob/Gyn

    It seems we get lots of bad things - HELLP/DIC, term IUFDs, etc - in spurts. We won't see any for a couple months then we'll get 4-5 in a week. FWIW, I don't like pre-E or HELLP either. Those women...