Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. The first several births I saw, I cried....a lot. There are still some moments at work that make me get misty-eyed in a good way. There's a good way to do it - with a couple Kleenex and staying in...
  2. Elvish

    splattered with CellCept in first trimester

    You should definitely do an incident report ASAP if you haven't already. The next person to contact is your primary OB. S/he is the one best able to assess your risk and advise you as to a plan of...
  3. Elvish

    BSN Now or ADN Later?

    Personally, I'd go the BSN route just to have it done. It might or might not make a difference in your job search now but it will give you more options should you decide to move away from the bedside...
  4. Elvish

    Postpartum pericare

    Oh....and just for clarification... I don't do sitz baths for infection issues. I just remember they gave me one after my son was born (long 2nd degree tear) and it felt so darn good, I wanted to hug...
  5. Screwed up sleep from working nights Taking care of people whose life choices I really really disagree with Decisions about how I do my job made by people who haven't done it in decades, if ever Not...
  6. Elvish

    New to Ambulatory Clinic

    I probably sounds like a preacher or a broken record, but I highly recommend the CDC's pink book if your clinic does vaccines. You may already have one there, but if not you can sometimes get them...
  7. Elvish

    I cried

    I used to cry in the car on the way home, at home, at work, anywhere. Done it many times. You are not a robot and your emotions don't get shut off just because you're at work. It's a perfectly normal...
  8. Elvish

    L&D nurses: Advice please!

    'Tis the season for babies, it seems! This is the second or third similar thread this week. I'm 38 weeks with #2 myself so I'm with you. Very impatiently awaiting labor. :) If you have something...
  9. Elvish

    Cocaine in breastmilk?

    If methadone is compatible with breastfeeding, as you've stated over and over and no one is disagreeing, how exactly does it go against evidence-based practice for us to allow it, and why does that...
  10. Elvish

    Cocaine in breastmilk?

    BabyLady - I'm not at all sure what you read, but my post clearly says we encourage our moms on methadone to breastfeed or pump (note I didn't say pump and dump). We withdraw way more kids in our...
  11. Elvish

    Let's give nurses a break: How do the rest of the staff dress?

    Nipple rings combined with a too-tight shirt. I won't say who but it wasn't a
  12. Elvish

    Postpartum pericare

    Honestly, the antibacterial soap/betadine thing sounds like a bit of overkill. We have our pts use the peribottle each time they go to the bathroom, and wash with regular soap and water once daily...
  13. Elvish

    Short-Term Disability/Maternity

    I see your point, and agree. Pregnancy per se isn't a disease and recovering from a normal delivery is, well, normal. But I also think that parents (mothers AND fathers, I do think it should be equal)...
  14. Elvish

    Short-Term Disability/Maternity

    Considering the crap maternity leave women in the US gets as compared to the rest of the developed world, most of it unpaid, and considering that I've paid for my STD insurance for about six years...
  15. Elvish

    Discharging a baby with abnormal labs?

    We wouldn't have sent kiddo home until the 48hr blood cultures came back negative. Based on the first couple sets of labs, the peds would have at least instituted q4h vitals/assessments with call...
  16. Elvish

    L&D Nurses...a comment and a question.

    I'm in agreement with those who say it's not too late. A then-and-now photo would be a fantastic idea! :) Nurses love to see how 'their' babies are doing. My unit got a card last Christmas from one...
  17. Elvish

    Short-Term Disability/Maternity

    I am getting ready to take maternity leave, and will be using short term disability once my sick time is used up. It kicks in after 30 days at 60% of my base pay. I work weekend nights, so it will be...
  18. Elvish

    L&D nurses - can you look at my birth plan?

    Most of the stuff in the labor section and all of the postpartum stuff is standard operating procedure at my place anyway. The stuff that's NOT standard can be done easily enough. ETA -...
  19. Elvish

    Opening OR for VBAC

    Our L&D unit has 3 dedicated ORs so I'm not sure I can help you if your hospital does ections in its main OR. But no, we don't keep an OR open/set up just because a VBAC pt is in active labor,...
  20. Elvish

    Increasing ER visits because of no insurance!

    Moved in to general nursing
  21. Elvish

    HAPPY BIRTHDAY Florence Nightingale

    She was a smart, tough, no-nonsense cookie, that's for sure. And she probably wouldn't take very kindly to me calling her a 'cookie', either.
  22. Elvish

    What career step got you into OB?

    Are you talking mother/baby or L&D, or does it matter to
  23. Elvish

    how did they pass theyre boards??

    OP - please realize that people in general, whether on a discussion board or in real life, do not take kindly to being told something that's blatantly untrue. It is one thing to present a situation...
  24. I sleep from about 9-4 on days when I have to go back. After my last shift, I sleep from about 9 til whenever I feel like getting up. Usually it's between 4-5, and I can usually go back to sleep at a...
  25. 3 in a row if you can swing it, for all the reasons already mentioned. About the noise and light - I have two floor fans that I turn on. They work great as they are at slightly different 'frequencies'...