strn96

strn96

Member

  • Content

    59

  • Visitors

    1,718

  • Followers

    0

  • Likes

    0

All Content by strn96

  1. OB/L&D nurses, some input, please...

    strn96 replied to AngelfireRN's topic in Ob/Gyn

    When you're talking about possible preterm labor, it is always better to be safe than sorry. I'd much rather have a pt come in for a "false alarm" than have her stay home and come in dilated to 4-5...

  2. Do foley bulbs work?

    strn96 replied to Double-Helix's topic in Ob/Gyn

    I have seen this done occasionally, and it sometimes works. I think if statistics were done, however, pts who had this procedure would have an incredibly high C/S rate because they tend to stop...

  3. Current Practices/Hospitals using AmniSure

    strn96 replied to bevseven's topic in Ob/Gyn

    We use it on a limited basis at our hospital...typically for pretermers with questionable ROM. We have used it for a couple of years now, and had a couple of definite false negatives when we first...

  4. Bicitra

    strn96 replied to mugwump's topic in Ob/Gyn

    We give ours straight. I usually give a few ice chips to "chase it down", but our anesthesiologists would throw a fit if we diluted

  5. Mag sulphate with preeclampsia

    strn96 replied to hmorgan's topic in Ob/Gyn

    The magnesium doesn't typically cause diuresis, but as mentioned above, closely monitoring UO is very important b/c both magnesium and preeclampsia affect kidney function. Typically, the eventual...

  6. baby not keen on breast and jiterry..what to do

    strn96 replied to raynienatasha's topic in Ob/Gyn

    I've actually had "Breast only - no formula/glucose water/artifical nipples" moms complain b/c we brought their screaming hungry baby in for them to feed when it had only been an hour since the last...

  7. GTPAL and Gravida Para need explanation?

    strn96 replied to studentnurse0221's topic in Ob/Gyn

    I have seen both ways of documenting parity for multiples. There is definite disagreement, both among textbooks & doctors. I have heard it explained both ways: that parity is the number of...

  8. Anyone start out med/surg?

    strn96 replied to sameasalways's topic in Ob/Gyn

    I worked Med/surg for about 1 1/2 years before transferring to OB (where I've been working for almost 8 yrs). OB is sometimes a tough field to break into, because directors typically give preference...

  9. Anyone with only 1 OR??

    strn96 replied to shortstuff31117's topic in Ob/Gyn

    I work in a rural hospital that only has 2 ORs for the entire hospital. And a lot of days both of those are booked simultaneously with "non OB" surgeries, leaving no open OR in case of emergency. To...

  10. Hospital Baby Blankets

    strn96 replied to michael79's topic in Ob/Gyn

    It is frustrating when people steal blankets, etc. At our hospital, staff nurses & volunteers buy sleepers, socks, mittens, etc at yard sales & thrift stores & donate them to the nursery...

  11. "true knot"

    strn96 replied to LouisVRN's topic in Ob/Gyn

    I have seen several in the almost 8 yrs that I've worked OB, with varied results. Had one term delivery with a knot with no issues whatsoever. One 37 wk fetal demise with a knot and the cord around...

  12. Patent Foramen Ovale

    strn96 posted a topic in NICU, Neonatal

    Hi! I'm an L&D nurse and had a question for you NICU nurses. When you have a NB with Patent Foramen Ovale, what is the rationale behind using continuous blow-by per NC? I think it has something...

  13. Curious

    strn96 replied to tvccrn's topic in Ob/Gyn

    At our hospital, we consider the time that induction was started as the beginning of latent labor, but do not consider the pt to be in "active" labor until progressive cervical dilation starts. We...

  14. Patent Foramen Ovale

    strn96 replied to strn96's topic in NICU, Neonatal

    Sats were only going into 80s, and only with feeding, and NB had good recovery when feeding was paused. Sounded to me more like poor suck/swallow/breathe coordination than really a need for O2. This...

  15. How do you feel about taking pictures with your patients?

    strn96 replied to nurse79's topic in Ob/Gyn

    I hate looking at pictures of myself (I'm also "cosmetically challenged"), but if my patients ask I don't mind posing with mom or baby, because I know that this is an occasion that they want to...

  16. Patent Foramen Ovale

    strn96 replied to strn96's topic in NICU, Neonatal

    According to the echo report, no PDA and only other findings were slight regurgitation at atrial and tricuspid valves. Only symptoms NB had (after initially needing NC O2 which was weaned after a...

  17. Help with Apgar Scoring

    strn96 replied to obnurse13's topic in Ob/Gyn

    I was taught that if baby is actively crying, you can assume HR is >100. Even if baby looks a little blue, I will not interfere with mom/baby bonding as long as it is crying. If not crying and...

  18. my Biggest fear.....

    strn96 replied to AfghaniPrinzess's topic in Ob/Gyn

    To address the fear of causing a pneumo, a lot of infant warmers have an airway pressure guage that you can hook up to the ambu bag to help you regulate how much pressure you're giving while bagging....

  19. Help with Apgar Scoring

    strn96 replied to obnurse13's topic in Ob/Gyn

    I agree, chart what you see. I've never actually given a 10/10. Never had a baby that I thought deserved it. I have given a few 9/10s, and quite a few 9/9s. It is frustrating when the doctor/midwife...

  20. LPN's in OB

    strn96 replied to obnurse13's topic in Ob/Gyn

    At our (small) hospital, LPNs are allowed to work in the Nsy and do Postpartum care, but can't really do much more than assist the RNs in L&D. The LPNs do newborn care at delivery -including...

  21. question

    strn96 replied to sweetieann's topic in Ob/Gyn

    Internal monitors should only be used when the benefits outweigh the risk, and are contraindicated if mom has HIV, Hepatitis, Herpes, etc, and used with caution with a GBS+ pt because they increase...

  22. Vaginal Exams

    strn96 replied to buckeyes24's topic in Ob/Gyn

    My advice would be to practice on a cervical dilation chart for awhile. Place your fingers on the outer edges of the circles on the chart to get a feel for how far apart they will be a 4,5,6, etc....

  23. Ebl??

    strn96 replied to KMP77's topic in Ob/Gyn

    At our hospital, anything 400ml or under is considered to be within normal

  24. Time between twins?

    strn96 replied to mommy2boysaz's topic in Ob/Gyn

    The longest I've experienced was a little over three hours between twins. Vertex/vertex presentation, but A baby was almost 2 lbs smaller than B baby and cervix had to dilate further for B to fit....

  25. does the FOB really get cursed out????

    strn96 replied to RNDreamer's topic in Ob/Gyn

    I've worked OB for a little over 3 yrs and seen FOB cussed out a few times; usually by the same women that are yelling "Get this F***ing thing out of me!" Actually had a FOB one time that pt said she...