SmilingBluEyes

Specializes in L/D, newborn, GYN, LTC, Dialysis

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All Content by SmilingBluEyes

  1. SmilingBluEyes

    RN use of ultrasound in fetal demise cases

    SmilingBluEyes replied to April Tyler's topic in Ob/Gyn

    Where I work, this would be out of my scope and I would NOT do this. I understand the reason/intention,but the legal issues are too deep for me to tread. I would have the physician come in and talk...
  2. SmilingBluEyes

    What do some L&D nurses have against doulas?

    SmilingBluEyes replied to anon456's topic in Ob/Gyn

    I think the key is cooperation and communication. I love working with the majority of doulas and think they are a wonderful asset to the unit and moms who are aspiring to achieve natural labor. I...
  3. SmilingBluEyes

    I'm sure this has been said.. MA's calling themselves Nurses

    SmilingBluEyes replied to AprilN's topic in General Nursing

    No, that is not just the way it is. Not if we educate the lay public about the differences. And we owe it to them to do
  4. SmilingBluEyes

    I'm sure this has been said.. MA's calling themselves Nurses

    SmilingBluEyes replied to AprilN's topic in General Nursing

    In many states, this is ILLEGAL. Yours is probably one of them. Might want to mention this the next time someone who is not a nurse is calling themselves
  5. SmilingBluEyes

    Breastfeeding support by HCPs

    SmilingBluEyes replied to mappers's topic in Ob/Gyn

    I have another issue that really bugs me as a nurse: Now, I will break my back (literally) to help ANYONE truly dedicated to breastfeeding. I get a fair share of women who are NOT committed, 100%....
  6. SmilingBluEyes

    Magnesium Sulfate Policy in your hospital

    SmilingBluEyes replied to sdrn04's topic in Ob/Gyn

    Yes, the q 15 minute monitoring is generally the requirement for mag bolusing or loading doses and in L/D. After that, q 2 hours is what the policy has been in all 4 hospitals at which I have
  7. SmilingBluEyes

    Magnesium Sulfate Policy in your hospital

    SmilingBluEyes replied to sdrn04's topic in Ob/Gyn

    This sounds about like our
  8. SmilingBluEyes

    Use your call light - Wisely

    SmilingBluEyes replied to abbaking's topic in Patient, Colleague Relations

    I would MUCH rather they use their call light than send family/friends to the desk, however. THAT un-nerves me a
  9. SmilingBluEyes

    CMS Visit: "Your in my way - My patient is more important than this petty bull"

    SmilingBluEyes replied to abbaking's topic in General Nursing

    I am with Leslie. Admire your advocacy, but your tact is lacking and its not the way I would handle nor teach others to handle, such situations. I bet you are a great bedside nurse. But you want to...
  10. SmilingBluEyes

    Pitocin and Decels

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    Do you have your certification in OB nursing? If not, you should go for it. It forces you to keep on all the latest literature and evidence-based practices out there. And the latest literature...
  11. SmilingBluEyes

    Pitocin and Decels

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    REALLY: If you are in doubt, why on earth take chances? Turn off the pit! You can always turn it back on if things prove to be ok. I don't get when we put O2 on, fluid bolus people and the like and...
  12. SmilingBluEyes

    Pitocin and Decels

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    If you are talking to me, here is what I believe: In the face of repetitive late decelerations,: There exists a school of thought that states if you need supplemental oxygen, fluid boluses and other...
  13. SmilingBluEyes

    If I'd only known....

    SmilingBluEyes replied to LuvofNursing's topic in Ob/Gyn

    Get hold of a couple books: Perinatal Nursing By Simpkin et. al Core Curriculum for Inpatient Obstetric Nursing Susan Mattson These books will help you so much and they are a wonderful
  14. SmilingBluEyes

    Pitocin and Decels

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    I agree with the above: Get extra help in the room asap, then: Intrauterine rescuscitative measures: turn OFF pit, Move to left side, O2 by nonrebreather mask, scalp lead on, IV open for a fluid...
  15. SmilingBluEyes

    Tips and Recommended Readings?

    SmilingBluEyes replied to Nicole2010's topic in Ob/Gyn

    There are tons of good books listed in the above sticky, Recommended Reading List. I highly recommend Perinatal Nurse By Simpson et al. Also Core Curriculum for Inpatient Obstetric Nursing Wonderful...
  16. SmilingBluEyes

    Vaginal Delivery May Be OK After C-Section

    SmilingBluEyes posted a topic in Ob/Gyn

    Our c-secton rate in the USA is out of control. I am glad to see the ACOG discussing TOLAC/VBAC for the truly viable option it is for the majority of women. And I am glad to work in a facility that...
  17. SmilingBluEyes

    Vaginal Delivery May Be OK After C-Section

    SmilingBluEyes replied to SmilingBluEyes's topic in Ob/Gyn

    Also, in the cases where I know of hospitals that did not "allow" TOLAC, most often, it was because there was an unwillingness to provide IN HOUSE, OB- dedicated 24/7 anesthesia coverage for the case...
  18. SmilingBluEyes

    Vaginal Delivery May Be OK After C-Section

    SmilingBluEyes replied to SmilingBluEyes's topic in Ob/Gyn

    BUT c/s is not automatically "safer" and, honestly, the ONLY uterine rupture I saw (knock wood) was on an UNSCARRED primiparous uterus! I think so many of our problems stem from an inappropriate use...
  19. SmilingBluEyes

    RN That Seriously Wants to be a L&D/OB Nurse

    SmilingBluEyes replied to cutegrltoyaRN's topic in Ob/Gyn

    For now, try to get a job any way you can. THEN network, network, network, letting everyone you know of your desire to work in OB. Anytime a position opens up, apply and follow up . Networking for me,...
  20. SmilingBluEyes

    new grad in ambulatory surgery center? what do you think

    SmilingBluEyes replied to shuubie's topic in General Nursing

    GO FOR IT. I started out in OB which everyone told me I should not do. 13 years later, no regrets. Med-surg is EXCELLENT experience for new graduates, but not mandatory for success. I think I am proof...
  21. SmilingBluEyes

    Separating Gynecology from OB nursing: Is it time?

    SmilingBluEyes replied to Texan_Gal's topic in Ob/Gyn

    Not necessarily. In smaller hospitals like mine, we will ALWAYS be taking GYN surgical patients as well as OB patients. That is not about to change. I don't find it all that hard to keep on it all....
  22. SmilingBluEyes

    Intervention for low HCT, Hgb, and Lymphocytes

    SmilingBluEyes replied to peachmouse's topic in Ob/Gyn

    You have to know the ENTIRE clinical picture....some people are symptomatic with such drops; others not so affected. What was the H/H and CBC like when they came in? What is going on with your...
  23. SmilingBluEyes

    Question for Electronic charting for Labor, Delivery and beyond

    SmilingBluEyes replied to CarrieRNC's topic in Ob/Gyn

    We are a small community hospital, doing only about 650-700 del/year. We are an LDRP so we do it all. And we use QS for triage, labor/delivery, post op c/s recovery (ALDRETE scoring) and Post partum...
  24. SmilingBluEyes

    Post emergency C-Section information needed

    SmilingBluEyes replied to peachmouse's topic in Ob/Gyn

    AND if the uterus is deviated,I agree, you need to know why and what the proper intervention would be like Klone said. There are several that come to my
  25. SmilingBluEyes

    Post emergency C-Section information needed

    SmilingBluEyes replied to peachmouse's topic in Ob/Gyn

    Another reason to keep patient in LF: Keeps blood pressures stable after regional