anitame

anitame

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About anitame

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  1. Odd, unusual, or silly events during exams..

    I was taking care of a patient who had a lady partsl delivery with a 3rd degree laceration. The physician was doing a rectal exam to check for sphincter involvement. I had told the patient to take...
  2. number of nurses in delivery room

    We always have 2 RNs for lady partsl deliveries as per the NRP guidelines. The 2nd RN stays until things are stable and the primary RN is able to assume care of both mom and babe. For C/S the OR...
  3. fetal monitoring

    It can be more difficult to detect the contractions with heavier patients but it's not impossible. You just need to find the best spot; sometimes this takes some time. Then you need to reposition...
  4. low census

    Wow sheRN, this sounds like a horrible setup for the employees and great for the hospital. Your hospital must not be union? At my hospital the situation you described would NEVER fly. Our census has...
  5. Thank you Bonnie for sharing your story :) It takes a lot of courage to discuss something as serious with this. I think it's WONDERFUL that you're educating and helping people. :) And reminding...
  6. I Got The Nicu Job!!!

    Wow!! Congrats!!!!!! and have
  7. Placenta previa - on bedrest & depressed

    I'm sorry to hear this Louise. It's got to be hard being on bedrest and worried sick with 3 little ones. Well, at 22 weeks you're definitely too early to deliver and there is a wide variation in...
  8. Very well said Haze. I couldn't agree more.
  9. Crash Sections

    We were talking about this at work recently. The nurses who have been involved call it "splash and slash" c-sections. Apparently it happens every 4-5 years around here. I've never seen it and it...
  10. IV meds for Labor, what do you use?

    We almost always use Fentanyl as a first choice drug for pain meds, it's a standing order on our labor order sheet. Even if they have planned an epidural, they often get the Fentanyl while waiting....
  11. IM Progesterone Injection

    Lots of good points. I always change needles too. My four year old had to have blood work, we used the EMLA and she watched the whole thing. Didn't even flinch. The lab tech was absolutely blown...
  12. IM Progesterone Injection

    A very smart and well respected CNM I work with recently gave me this tip. I tried it with my last two injections and it seemed to work. From the time you inject the needle until you remove it, use...
  13. fetal scalp electrodes and groupBstrep

    This was discussed recently on a perinatal list I subscribe to. The general consensus is that the the insert that comes with the ISEs will list the manufacterers recommendations. Most indicate they...
  14. AROM- do you do it?

    RN's don't AROM in Oregon
  15. Bag Balm

    I vaguely remember learning at a wound care conference years ago about Bag Balm. If my memory serves me right, since it's manufactured as a vetrinary product, it is not held up to the standard of a...