Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    VBAC: new insights

    Elvish posted a topic in Ob/Gyn

    I got a flyer in the mail for this conference and thought I'd pass it along: http://consensus.nih.gov/2010/vbac.htm I signed up for the webcast since a trip to Bethesda isn't an option; normally I'm...
  2. Elvish

    So my heart broke when I saw this patient....

    Elvish replied to Da_Milk_of_Amnesia's topic in General Nursing

    I did that once as a brand new nurse, and I think I've related on here before. My pt was a young fellow, end stages of AIDS, was on isolation for all kinds of bugs, cachectic, in horrible neuropathy...
  3. Elvish

    Vaginal Breech

    Elvish replied to mamafeliz's topic in Ob/Gyn

    We have a few attendings that will allow for lady partsl TOL of breech, but they are few and far between, and mostly the older docs. The other night we had a multip come in complete with a double...
  4. Elvish

    Do you push Fentanyl on the floor?

    Elvish replied to General E. Speaking, RN's topic in General Nursing

    Yep. Not all the time but on the occasion we have a PP hemorrhage requiring a manual placental extraction we'll give 50-100 mikes. Helps out a lot with the pain of the extraction and doesn't last...
  5. Elvish

    Pain medication in Postpartum

    Elvish replied to LuvofNursing's topic in Ob/Gyn

    Our c/s patients get duramorph (most folks) or PCA morphine/fentanyl (rarely). All our sections gets Toradol q6h x 24hrs. Once the Duramorph/PCA is gone they get Percocet 1-2 q4h around the clock x 24...
  6. Elvish

    sucrose for sedation

    Elvish replied to soprano3's topic in NICU, Neonatal

    THANK YOU! I have caught all kinds of heck for suggesting that we use it for a withdrawing baby on occasion, when they are absolutely incorrigible. Our policy says it's to be used prn for...
  7. Elvish

    Relationship between H1N1 vac and resp distress?

    Elvish replied to TooterIA's topic in Ob/Gyn

    I too would be wary of basing a conjecture on such a small number. I'd want to know if other places are seeing the same thing in significant numbers, and what Whispera said - how many babies in resp...
  8. Elvish

    Co-bedding twins - telling the difference!!

    Elvish replied to LuvofNursing's topic in Ob/Gyn

    If I have a set of twins that are cobedding, I unwrap them and check the ID band so I know whom to label, then put a piece of tape with 'A' or 'B' as appropriate on their blanket, so while they're...
  9. Elvish

    Help! How do I sign my name??

    Elvish replied to Epona's topic in General Nursing

    When I sign my name while charting I just write Elvish, RN. I have a BSN, and I'm glad, but all that matters for my charting is that I have a nursing license. Nobody where I work has degrees on their...
  10. Elvish

    Charting Bloopers

    Elvish replied to AHarri66's topic in Nursing Humor

    Kay Ciel = KCl = potassium
  11. Elvish

    Finally an OB job

    Elvish replied to schack's topic in Ob/Gyn

    Welcome aboard!! It will be a steep learning curve but well worth it. If I didn't like it I wouldn't be here x 4+ years now after 4 years of med/surg, then community.
  12. Elvish

    Prioritizing Patients - Please Help!

    Elvish replied to sblivefree's topic in Ob/Gyn

    Personally, I'd go see: Ortiz, Smith, Linden, Douglas - but you could also make a good argument (as JoPACU and Emergency have done) for seeing Smith first. Ortiz I'd go see first briefly - quick check...
  13. Elvish

    How to cope after a serious med error

    Elvish replied to gardengal1's topic in General Nursing

    It has happened to all of us, or will at some point. I know all too well that horrible feeling that you get in the pit of your stomach as soon as you realize you've done something wrong. Not a fun...
  14. Elvish

    Do you keep your license(s) in your wallet?

    Elvish replied to phoenixrn's topic in General Nursing

    P_RN - once a nurse, always a nurse. :) My state did away with plastic licenses a couple years ago, so no - I don't carry one. I carry my BLS & NRP cards with me, just because a wallet-size card...
  15. Elvish

    How To Document Sleeping On Night Shift

    Elvish replied to Iggy123's topic in General Nursing

    "Pt in [enter position here], eyes closed, respirations even and
  16. Elvish

    Alzheimer's in my family

    Elvish replied to country mom's topic in General Nursing

    My granddad died last year, and he had Alzheimers for about the last decade or so of his life. He had a violent streak most of his life and the disease just exacerbated that. He was never mean to me -...
  17. Elvish

    Baby warmers in PACU?

    Elvish replied to NM_Nurse's topic in Ob/Gyn

    I'd definitely kick it up to risk management. If standards of care are to have resuscitation equipment available for every delivery (and they are), then this is a clear violation. It's one thing to...
  18. Elvish

    sucrose for sedation

    Elvish replied to soprano3's topic in NICU, Neonatal

    We have, on occasion in our unit, used it for a withdrawing baby that is absolutely inconsolable with anything else (swing, sling, swaddling, paci, bouncy seat, and meds), a few drops at a time with...
  19. Elvish

    Welcome to Mother-Baby Musings!

    Elvish replied to Elvish's topic in NICU, Neonatal

    StephB, thank you for sharing your story. I am so sorry for the loss of your baby and wish you all the best as you start your career.
  20. Elvish

    High-risk long-term antepartum patients, what do you do?

    Elvish replied to studentnurserachel's topic in Ob/Gyn

    If we have someone on continuous monitoring OR mag (either ante- or post-partum) they stay in L/D constantly. This may mean that inductions get pushed back but oh well. We have 10 L/D rooms plus 3...
  21. Elvish

    Men in L&D

    Elvish replied to forgop's topic in Ob/Gyn

    Everybody has their own level of comfort, and the only thing that bothers me is inconsistency - that is to say, being okay with a male OB but not a male nurse. That's what bothers me. Personally, I...
  22. Elvish

    IM/Rhogam Injection Gone Wrong?

    Elvish replied to cougSN's topic in Ob/Gyn

    Some injections you give people are going to hurt worse than others, and everyone's reaction to an injection is going to be different. I got a Bicillin shot in my dorsoglute once and couldn't sit for...
  23. Elvish

    Neonatal nursing

    Elvish replied to HopefulNurse90's topic in NICU, Neonatal

    Feel free to come check us out in the Ob/Gyn Nursing forum. I for one really enjoy my job. I do a little wellbaby and a little sickbaby on the side but mother/baby is fun
  24. Elvish

    When the tables are turned (nurse on the receiving end of care, acted like a fool)

    Elvish replied to Born2BWild's topic in General Nursing

    I think people somehow have this image of how a nurse is 'supposed' to act at all times, including when they are the patient. You are a human being, and you had a human reaction. I wouldn't worry...
  25. Elvish

    Elective C-sections- moms idea or the providers?

    Elvish replied to JulesNC's topic in Ob/Gyn

    I don't want to pin the blame on one source, because I truly think it is multifactorial. Too complex an issue to say is caused by just one thing. One thing is sure, I would not want a c/s for any...