Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    staffing issues...any suggestions?

    Elvish replied to hkraus_2000's topic in Ob/Gyn

    We do 4-5 couplets (possibly a stable antepartum in the mix), and 5 couplets can be hard, esp if there are issues with either mom or baby, or if one couplet is particularly needy. (And yes, I know...
  2. Elvish

    Bicitra in labor?

    Elvish replied to CEG's topic in Ob/Gyn

    Nope, not in my neck of the
  3. Elvish

    How long in bed for post C/S mothers?

    Elvish replied to MeditationPeace's topic in Ob/Gyn

    We get ours up as soon as they want to, but the very longest we'll let them go is about 18 hours, and even that is pushing it. Most people are at least willing to dangle and/or get up to the chair...
  4. Elvish

    Do pregnant nurses tend to go into labor earlier than most?

    Elvish replied to juliettesanchez's topic in General Nursing

    I wouldn't say so. I work with a lot of nurses and am a mother/baby nurse so have a fair number of nurses as patients. Most folks deliver around their due dates. :) Now, not getting enough hydration...
  5. Elvish

    Protocols for drug use in pregnancy.

    Elvish replied to crysobrn's topic in Ob/Gyn

    In addition to a UDS on mom and baby, we do abstinence scores with feeds on the baby to assess his level of withdrawal. If the scores get too bad (8 or higher for 3 consecutive scores) we start them...
  6. Elvish

    Earliest viable gestational age?

    Elvish replied to everthesame's topic in NICU, Neonatal

    Our NICU attends 20wk deliveries on the offchance that the dates are off and baby might require resuscitation. But they always discuss beforehand that before about 23 weeks, there is really nothing to...
  7. Elvish

    Maternal Intensive Care Unite***???

    Elvish replied to wife&mommyRN's topic in Ob/Gyn

    The Maternal ICU in my area takes cases like DIC post delivery, mag, and severe pre-E. It's kind of a catch-all for ante- and postpartum women who need more care than a mother-baby nurse with 3-4...
  8. Elvish

    Curious about nursing in Mexico

    Elvish replied to NightNurseRN's topic in General Nursing

    I have a friend who was a nurse in Mexico and who is now a phlebotomist. We used to work together at a community health center (me as a nurse, she in the lab) and I gotta tell ya - her clinical...
  9. Elvish

    Tubal Ligation Failure

    Elvish replied to KY RN's topic in General Nursing

    It's pretty widely known in OB/Gyn circles that BTLs aren't foolproof. We can try to circumvent Mother Nature, and sometimes it works, but she can be pretty persistent that things should work the way...
  10. Elvish

    Are there some areas of nursing that are more upbeat than others?

    Elvish replied to bluemorningglory's topic in General Nursing

    I don't know that there is any one place that is always 'upbeat' - there are going to be bad/sad/pitiful situations no matter where you go. I work in OB and most of the time it's good but when it's...
  11. Elvish

    Hepatitis B vaccine administration

    Elvish replied to debsto's topic in NICU, Neonatal

    We use the CDC information sheet, as it's federal law that parents receive this. Most parents are able to understand this and don't request any additional printed information, though some do want to...
  12. Elvish

    Doctors perform induction and then C/S on non-pregnant woman

    Elvish replied to klone's topic in Ob/Gyn

    Threads
  13. Elvish

    At what point do you stop trying to stop labor???

    Elvish replied to shortstuff31117's topic in Ob/Gyn

    It depends. Our docs do sometimes try to stop it if she's not ruptured. If she comes in ruptured and/or already in active labor, they usually go ahead and deliver. Do I think that's necessarily the...
  14. Elvish

    Doctors perform induction and then C/S on non-pregnant woman

    Elvish replied to klone's topic in Ob/Gyn

    I have been wondering all the same things as everyone else here. A cascade of ROYAL screwups. I'm with those who say you'd think a pregnancy diagnosis isn't one you'd think you have to check
  15. Elvish

    HELP...Health care considerations for the Amish culture

    Elvish replied to cluv2nurse's topic in General Nursing

    You may not be talking specifically about OB concerns, but 'A Midwife's Story' by Penny Armstrong is a great book. She was/is a nurse midwife who delivered babies for Amish families in Pennsylvania...
  16. Elvish

    VBAC for a Lady Who Has Had 2 Previous C-sections

    Elvish replied to BabyRN2Be's topic in Ob/Gyn

    I work at a hospital that's generally very supportive of VBACs and 2 prior c/s is not enough in itself to disqualify a woman for VBAC at my place. I've seen a good number of them go on to have great...
  17. Elvish

    period during pregnancy?

    Elvish replied to Ms.RN's topic in Ob/Gyn

    She wasn't my patient, but I don't remember hearing anything about it. Would have been
  18. Elvish

    period during pregnancy?

    Elvish replied to Ms.RN's topic in Ob/Gyn

    One of my coworkers has a bicornuate uterus, and apart from that, I've seen it twice or three times. I don't think it looks the same on u/s as a didelphic uterus but they're probably not very far...
  19. Elvish

    L&D skills checklist - what is 'phono'?

    Elvish replied to klone's topic in Ob/Gyn

    Wonder if they are talking about auditory stimulation? Just a wild guess, as I have never heard that term either. ETA - I looked it up and found it on checklists of several facilities that have posted...
  20. Elvish

    period during pregnancy?

    Elvish replied to Ms.RN's topic in Ob/Gyn

    If she had a didelphic uterus, it could be possible. But that's pretty rare. I think I've seen it twice in almost 5
  21. Elvish

    "Yinz"

    Elvish replied to oramar's topic in General Nursing

    I'm from the South and we say 'y'all' all the time, patients and nurses alike. Not one person has ever questioned our professionalism for that
  22. Elvish

    Health Care Bill

    Elvish replied to VerbalGrl715's topic in General Nursing

    A note from the friendly neighborhood moderator: This debate, while controversial, can indeed be had without resorting to attacks. Calling people stupid, calling them liars, and generalizing any one...
  23. Elvish

    child care w/ crazy hours?

    Elvish replied to httamli's topic in General Nursing

    I've worked weekends since my son was a baby for that very reason. :) It pretty much guarantees you won't have much of a social life but we never do anything on the weekend that we couldn't do the...
  24. Elvish

    Tell us what you want from your friendly NNP

    Elvish replied to SteveNNP's topic in NICU, Neonatal

    Ok, I'm not a NICU nurse but I have to call NNPs A LOT where I am because I work nights and if parents are using hospital peds, it's the NNPs that cover nights. All I ask is when I have to call you,...
  25. Elvish

    Fundus palping

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

    I always check a fundus & lochia, whether c/s or lady partsl. That's a pretty easy thing to do, and it can save you a lot of trouble later if you catch problems