anitame

anitame

Member

  • Content

    177

  • Visitors

    4,444

  • Followers

    0

  • Likes

    2

All Content by anitame

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

    anitame replied to Texagain's topic in Ob/Gyn

    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

    anitame replied to califrn's topic in Ob/Gyn

    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

    anitame replied to obeyacts2's topic in Ob/Gyn

    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

    anitame replied to sheRN's topic in General Nursing

    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. This is "how" Nurses divert drugs for their own use.

    anitame replied to WriteStuff's topic in General Nursing

    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!!!

    anitame replied to fergus51's topic in General Nursing

    Wow!! Congrats!!!!!! and have

  7. Placenta previa - on bedrest & depressed

    anitame replied to louloubell1's topic in Ob/Gyn

    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. Can you be pro-life and an OB/GYN nurse at the same time?

    anitame replied to KarenAR's topic in Ob/Gyn

    Very well said Haze. I couldn't agree more.

  9. Crash Sections

    anitame replied to Mofe'ny's topic in Ob/Gyn

    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?

    anitame replied to OBNurseShelley's topic in Ob/Gyn

    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

    anitame replied to bigjay's topic in Ob/Gyn

    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

    anitame replied to bigjay's topic in Ob/Gyn

    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

    anitame replied to mark_LD_RN's topic in Ob/Gyn

    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?

    anitame replied to mark_LD_RN's topic in Ob/Gyn

    RN's don't AROM in Oregon

  15. Bag Balm

    anitame replied to momrn50's topic in Geriatric, LTC

    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...

  16. How long on pitocin until C-Section?

    anitame replied to Natalieboo's topic in Ob/Gyn

    We don't really have a set time for a C-Section in this scenario. Usually we will start IV antibiotics after a certain length of time (12-24hrs depending on the providor). We also keep lady partsl...

  17. Question about xfer of pt from ldr to pp

    anitame replied to indynurse's topic in Ob/Gyn

    All this has made me very grateful we do LDRP/couplet care! We take care of our delivered couplets for the remainder of the shift unless we're short on L & D staff and doing the revolving door...

  18. Older Child Terrified of Blood/Needles

    anitame replied to amblessing's topic in General Nursing

    EMLA works great! I put it on my daughter before a blood draw and she watched the whole thing. Didn't even flinch, not bad for barely four years old. The lab tech said EVERY kid should use it, he'd...

  19. How often do you document fht's?

    anitame replied to at your cervix's topic in Ob/Gyn

    We have a list of things our unit has designated as high risk including use of Pitocin, epidural, NRHFR, no PNC and a multitude of others I can't seem to dig out of my head tonight. All of our...

  20. cytotec, do you plaor do the docs do it?

    anitame replied to mark_LD_RN's topic in Ob/Gyn

    Nurses do it at my hospital. Hmmmmm, that sounded funny, huh? LOL The oral route sure would be nice, we still using only lady partsl.

  21. does anyone still us prostaglandin gel

    anitame replied to mark_LD_RN's topic in Ob/Gyn

    I haven't seen Prepidil used in a few years but we do have one midwife who uses Cervidil regularly. Usually is placed in the evening and Pitocin started in the AM if the Bishop's score is at least 7....

  22. Frequent Faller

    anitame replied to StormyCD's topic in Geriatric, LTC

    I just thought of something else that might help during the night. A baby monitor with the base in the patient's room. I can hear my 2 year old breathing, it would be very easy to hear if she was...

  23. Frequent Faller

    anitame replied to StormyCD's topic in Geriatric, LTC

    Well, I don't know if this will help but when I worked long term care we had a few patients similar to this. One of our maintenence guys rigged up a laser light alarm. It's been a while so I can't...