Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Lunah - some South Americans speak their Spanish with the same kind of sing-songy accent, as there is a fair amount of Italian influence in that region (Argentina, Chile, Uruguay). So you can pretend...
  2. I notice a lot of typos here and elsewhere in my life...but then I go back, read some of my own posts, and realize how bad they sound. Double or triple that if I've posted while sleepy or mad or...
  3. Elvish

    OB

    What have you come up with so far in thinking about it? That will help us answer your question better. :) Moving to Ob/Gyn nursing
  4. Elvish

    big babies...

    I am almost positive my grandma had undiagnosed GDM with my uncle - pretty sure they didn't routinely (if at all) test for it 47 years ago. She had the classic metabolic-syndrome body type, and went...
  5. Elvish

    Hospital Infant Security Systems

    We use the Hugs bands, and we used to use the Kisses as well until they became more of a liability for our unit than an asset - false alarms, and storing them became a PITA because if you stored the...
  6. Elvish

    big babies...

    Largest lady partsl birth I've seen was 13lb, 4oz. The mom was okay - 2nd degree tear, but the baby's humerus was badly fractured. Biggest baby I've seen born on an intact perineum, 10lb 3oz, mom's...
  7. Elvish

    Diagnoses you never thought you'd see?

    We've had a few babies born - always to migrant farmworkers - with no
  8. Elvish

    What do patients say that irks you?

    I used to work in a community health center where we did a LOT of peds nursing, and this used to twerk me off so much. I got to the point where I responded to the parents - in front of the child - "We...
  9. Elvish

    Separating Gynecology from OB nursing: Is it time?

    We take overflow GYN pts as well, and sometimes we take the less complicated med-surg pts too - choles, pyelo, etc. (who sometimes turn out to be more complicated than we expect....oh well)....
  10. Elvish

    Volume parameters for feedings

    Our pedis don't get too worked up about it, as long as weight and output are appropriate. Some kids just seem to have different feeding patterns than
  11. Elvish

    A new student with questions!

    With a friend, I think it depends on the hospital policy, the staff at the time, and your relationship with the person giving birth. My hospital's policy is two people besides the baby's father...
  12. Obix for L&D charting, and eventually mother/baby will go to Obix as well, but currently still using paper there. Obix does not interface at all with the rest of the hospital's charting, which...
  13. Elvish

    Question for m/b/nursery RN's

    Moved to Ob/Gyn forum for discussion
  14. Elvish

    Adoption

    Our place is much like what's already been described. Birth mothers are allowed as little or as much contact with their babies as they'd like, and adoptive families are also involved as much as...
  15. VDRL test is a syphilis test. The letters stand for Venereal Disease Research Laboratory, which is kind of outdated but the abbreviation has stuck. (That lab is now called the Treponema Pathogenesis...
  16. Elvish

    Cervidil by labor nurse

    I think it depends on the nurse practice act for your state. In my state, we can't place any cervical ripening
  17. I've seen it work both ways; some will tell the truth to the doc, some to the nurse. I think it depends on whom the patient trusts - or, whom they think they can fool most easily. I used to work in a...
  18. Elvish

    dealing with a fetal demise

    Some FDs hit harder than others, and there may not be any rhyme or reason as to why. It's normal, and allow yourself to feel whatever you feel. I've found that families appreciate a few tears shed in...
  19. Elvish

    NICU letter to parents

    Storage/transport of pumped breastmilk Support groups for NICU parents (in-hospital, or outside groups) My hospital gives parents a binder as well, as NICU found that a letter wasn't enough to cover...
  20. Elvish

    Tightness in chest with uterine contraction

    Our Terms of Service don't allow us to dispense medical advice. We do encourage you to check with your obstetrician for any questions you may have, and we wish you well with the remainder of your...
  21. Elvish

    What makes a good L&D nurse?

    That is great advice that I wish someone had shared 10 years ago!!! I still remember the family, the doctor's name, how much the baby weighed, everything. I stood there blubbing like a fool, and the...
  22. Elvish

    What makes a good L&D nurse?

    A good strong backbone doesn't hurt either.
  23. Elvish

    Glucose Levels

    Assuming this is a fullterm kid (or near-term, even), anything under 40 in the first 24 hours, we report. After 24 hrs of life, we report anything under
  24. Elvish

    who transports your babies?

    From L&D to nursery after delivery, an L&D nurse or, very rarely, a tech. If mom wants to room-in, we don't transport at all. Otherwise, nurse takes baby out for the first visit, and...
  25. Elvish

    Help with Presentation on PRECIPITOUS DELIVERY

    Guys.... Hospital nurses have a hard job. Paramedics and EMTs have a hard job too. Unless we do both, we have no idea what the other guys have to deal with. It's scary as hell to see clots the size...