strn96

strn96

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All Content by strn96

  1. weight gain/loss durring pregnancy

    strn96 replied to Trs024's topic in General Nursing

    You might try doing a web search on this. MSN.com has had some articles on this recently. There is some new research that suggests women should aim for the lower end of the previous weight gain...

  2. Help please! Second stage/delivery questions

    strn96 replied to mandykatrn's topic in Ob/Gyn

    I would also suggest asking your preceptor what happens if you do have a bad baby. Do you have NICU available for help? What will your responsibilities be in a neonatal code? Who will be helping you?...

  3. A phantom poo

    strn96 replied to vrhodes's topic in Nursing Humor

    When I worked M/S I had a pt with explosive diarrhea p bowel prep. One time after she had filled the BSC, one of the legs on the commode broke. When we came to see what made the crash, poor pt was...

  4. wearing scrubs out in town?

    strn96 replied to Imissthefall's topic in General Nursing

    Where I work (L&D) we have to provide and launder our own scrubs. Since I live 30 min from work (rural area) and the town where I live is too small to have any shopping places, I will sometimes...

  5. breast feeding with nipple sheilds

    strn96 replied to crissrn27's topic in Ob/Gyn

    We have a terrible pump set-up. We only have one electric pump, and the patient charge for the disposable bottle/tubing set-up is around $100 (for a pump set-up that pt will only be using for a day...

  6. RhoGam question

    strn96 replied to GingerSue's topic in Ob/Gyn

    Where I work we do test whether Rh- moms have been sensitized. We have only had 2 pts that I know of who have not received RhoGAM because they were sensitized. I don't know if this is standard...

  7. breast feeding with nipple sheilds

    strn96 replied to crissrn27's topic in Ob/Gyn

    At our hospital, nipple shields are used quite a bit. Overused IMO. We are a small hospital, around 550 births per year, and no LC. I will give them to new moms who have really flat or inverted...

  8. Do You Have Any Favorite OB Myths?

    strn96 replied to BabyRN2Be's topic in Ob/Gyn

    I took care of a home delivery t/f pt (PN care with a lay midwife) who, when asked whether she'd been tested for GBS said "no, but I did the garlic clove thing" when the admitting RN asked what that...

  9. Ephedrine

    strn96 replied to Bonnierose's topic in Ob/Gyn

    The staff RNs at my hospital are allowed to give ephedrine IVP, but the CRNAs have to stick around for at least 30 min p epidural placement so they're usually still there to give it if needed. I have...

  10. job and personal life?

    strn96 replied to love2shop's topic in Ob/Gyn

    As a childless single with no current prospects on the horizon, I have to say that working OB (esp Nsy) can be both the trigger for and/or cure for baby fever. I've always loved taking care of...

  11. Umbilical Cord Blood Donation

    strn96 replied to JenTheRN's topic in Ob/Gyn

    I've had very little experience with cord blood donation. The couple that I took care of provided the kit for us (they said the cryobank shipped it to them free), we collected the blood and weighed...

  12. Blood in the IV

    strn96 replied to sunshineonleith's topic in Emergency

    The only time I've ever seen this is when one of the nurses I was working with loaded the tubing through the pump backward and the pump was actually pumping blood out of the pt into the tubing/bag...

  13. epidurals

    strn96 replied to babyktchr's topic in Ob/Gyn

    We let our pts up as soon as they get full sensation in their legs. Of course we make sure a staff member is with them their first time

  14. aren't there any uncomplicated births anymore??

    strn96 replied to MIA-RN1's topic in Ob/Gyn

    Please don't confuse my earlier post as encouraging you not to speak out about an unsafe situation. I certainly think that you should do your best to draw attention to any situation where pt safety is...

  15. aren't there any uncomplicated births anymore??

    strn96 replied to MIA-RN1's topic in Ob/Gyn

    Hang in there! It will get better. My second year as an OB nurse I had the "black cloud" thing happen to me. First year in OB (LDRP) was great; nice healthy deliveries with the only exceptions...

  16. Fetal Doppler

    strn96 replied to Happy-ER-RN's topic in Ob/Gyn

    Sounds like you were hearing some sort of maternal circulation. (Not sure what the "second beat" you heard was) I haven't ever heard of mom and baby beating together. If I'm unsure what I'm hearing...

  17. Getting an epidural (with fentayl) may hinder breastfeeding (new study)

    strn96 replied to mitchsmom's topic in Ob/Gyn

    You said it! It seems a lot of my pts assume that since breastfeeding is natural that it will always be easy. When baby doesn't reach out, grab the breast and stick it in his mouth they get...

  18. Getting an epidural (with fentayl) may hinder breastfeeding (new study)

    strn96 replied to mitchsmom's topic in Ob/Gyn

    All of our epidurals are fentanyl/bupivicaine. Haven't really noticed a difference with breastfeeding. Not saying there's no effects-I don't know. The babies (and moms) that I seem to have the most...

  19. Disagree with the Dr

    strn96 replied to q12RN's topic in Ob/Gyn

    In this particularly case, I probably would have told doc "I have to chart what degree the epis it" and made him give me a number. If he didn't say third, I would have charted "x degree MLE per Dr...

  20. driving after birth

    strn96 replied to paintedbison's topic in Ob/Gyn

    Wow! Sounds like there is a serious need for more discharge teaching. We go over dc instructions, they sign they understand them, and they get a copy, which we have to chart that we gave them. Our...

  21. limit to number of csections?

    strn96 replied to MIA-RN1's topic in Ob/Gyn

    It sounds to me like he was trying to prevent further scarring since the baby was IUFD. Probably the biggest concerns of docs about VBAC is that if the uterus ruptures baby can die (Chance of rupture...

  22. Pitocin induction-pit rates

    strn96 replied to HappyNurse2005's topic in Ob/Gyn

    Our P/P is typically start at 1-2 and up by 1-2 q 30min. One of our docs will occasionally write for start at 6 and up by 6 q 30 for primips. I have a new question for you though. One of our FP...

  23. Cpd???

    strn96 replied to nurse79's topic in Ob/Gyn

    I've had many patients that have labored much longer than what you are describing and had a successful vag delivery. Our docs will let pts labor for at least 48 (and sometimes 72) hours as long as...

  24. Neonatal blood sugar checks

    strn96 replied to NurseBean's topic in Ob/Gyn

    I've found that if you take a washcloth, fold it in fourths to make a long strip, and run it under warm water and then wrap it around the baby's heel it works really well. A lot better than heel...

  25. Thoughts on Maternity nursing.

    strn96 replied to Nurse AllBetta's topic in Ob/Gyn

    OB nurses have a different set of skills they keep honed than other nurses. That certainly doesn't make us "lesser" nurses! I worked Med/Surg before I started OB, and although I certainly cared for a...