Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Only you can decide what's best for you. I am married to a Mexican, born and raised in Mexico and did not come to the US 'til he was 27....so I think I understand what kind of issues you are talking...
  2. Elvish

    Hanging up my stethescope

    Marines say 'Once a Marine, always a Marine.' I think nurses can say the same thing! :) I am sorry to see you not working anymore and pray you'll find a new 'creative outlet' wherever you go/whatever...
  3. Elvish

    labor/postpartum UTI

    Agree. We do assess for it, but it is really rare. I've done postpartum for 4+ years now and can count on one hand the number of UTIs I've seen, out of all the foleys/I&Os they get in L&D. I'm...
  4. Elvish

    OB for NICU Nurses :)

    The only thing I will add to all that is to consider gestation. For a baby under 32 weeks the standard for an accel is lower (10 bpm in a 10 sec span) than for 32+ weeks (15 x 15). Unless, of course,...
  5. Elvish

    Hospital Rejects Birth Plans

    While they're within their rights, it's not very evidence-based, and that rankles me (and I'm guessing a lot of folks, though I can only speak for
  6. Elvish

    Cocaine in breastmilk?

    Our moms that take methadone are encouraged to breastfeed/pump. I'm not on the NI side of the nursery so I'm not sure if the story is the same over there. We do most of the methadone withdrawals in...
  7. Elvish

    OB "Freebies"

    We do Christmas stockings for the 12/24 and 12/25 babies
  8. Elvish

    If you've ever cried at work...

    I've cried at work numerous times - and yes, most of the time felt better afterward. I've never gotten through a fetal demise without crying but also cried after my first code, and after taking care...
  9. Elvish

    Never been an OB nurse help!

    Estimated fetal weight is just that - an estimate. Measuring externally, it's virtually impossible to make more than 'good guess.' Even ultrasounds - which measure femur length, crown-to-rump length,...
  10. Elvish

    Travel nursing -- is it dead?

    Let's live and let live with spelling errors, shall
  11. Elvish

    Hospital Rejects Birth Plans

    Although I seriously dislike the attitudes of these physicians regarding women and their bodies, I'd rather them be up front about it rather than string these women along for nine months only to tell...
  12. Elvish

    fentanyl in labor

    We use it a lot in our L&D and anecdotally, see far fewer babes with respiratory issues than with Nubain or
  13. Elvish

    Welcome to Mother-Baby Musings!

    LuvofNursing, it's a blog here on allnurses; however, it has just a few entries, as real life sometimes takes over and I don't get to it as much as I'd like. Thanks for your interest!!
  14. Thank you for your story. You gave this lady a great gift by not allowing her to die alone. I have held babies by rights not even old enough to live outside the womb while they died, and it is amazing...
  15. Elvish

    How much is too much for student loans?

    I graduated from nursing school with about $17k in student loans. 5k was from Perkins loans, which got cancelled at a certain percentage each year I worked full-time, and after 5 years, they were all...
  16. Elvish

    What if I get a "C" in Patho?

    Not one of the places I applied as a new grad cared what my patho grade had been. Not one. Having said that, patho is a building block for almost all the other classes, so doing poorly in that might...
  17. Elvish

    Discouraged L&D RN

    Absolutely you can refuse the Pitocin. I wish more people
  18. Moderator note: We welcome the exchange of info. However, we do not allow names of specific individuals (such as nursing school instructors, physicians, and the like) to be included in the body of...
  19. Elvish

    Wondering what other policies are re: Warming Bottles

    The only policy we have is for storage of formula and breastmilk....and no microwave. No official policy on warming it up.
  20. Elvish

    Wondering what other policies are re: Warming Bottles

    For formula we have the ready-made bottles that we don't warm up. Room temp for those. If we have breastmilk in the fridge, we put it in a clean plastic container/syringe (or empty out a bottle of...
  21. Elvish

    If You Knew Then What You Know Now

    It's a tough call. I probably would, but I'd have gone in with a lot more realistic view of things, not the idealized version. Taking care of people is all I know how to do,
  22. That's pretty standard OB-speak, often abbreviated 'IUP.' Pregnancies can establish themselves elsewhere, and especially in a pregnant woman's death you'd want to know that the pregnancy was...
  23. Elvish

    Subutex withdraw

    Anecdotally, I have not seen Subutex result in less withdrawal and/or lower scores. Probably about 1/3 to 1/2 the babies we withdraw have moms who were on Subutex and I can count on one hand the...
  24. Elvish

    stupid mom

    There are a lot of dynamics in an abusive relationship and while I'd certainly rather anyone leave an abuser than stay with him/her, it's not as easy as it sounds. Those who've never been there are...
  25. Elvish

    This morning I sat with a patient as he died

    Sue, I am so glad you were there when this man made his transition. I know he knew you were there. I held a baby while he died a couple weeks ago...and believe me, they know. They go faster and more...