SmilingBluEyes

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

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All Content by SmilingBluEyes

  1. SmilingBluEyes

    sex in the work place...really?

    SmilingBluEyes replied to Mr. Evans's topic in Patient, Colleague Relations

    Hospice, yep you bet. I think that is great. But between employees in the work place?
  2. SmilingBluEyes

    sex in the work place...really?

    SmilingBluEyes replied to Mr. Evans's topic in Patient, Colleague Relations

    WOW! I live a boring
  3. SmilingBluEyes

    sex in the work place...really?

    SmilingBluEyes replied to Mr. Evans's topic in Patient, Colleague Relations

    Watch General Hospital for
  4. SmilingBluEyes

    Pitocin Calculation

    SmilingBluEyes replied to babies_r_us's topic in Ob/Gyn

    I like our mix, 30units in 500 ml of NS. NO guess work. 1 to
  5. SmilingBluEyes

    Physiology of FHR monitoring

    SmilingBluEyes replied to butterball1980's topic in Ob/Gyn

    If in doubt, I put on a pulse ox to compare fetal heart rate to maternal pulse, picking up both and tracings on the FHM for the records and
  6. SmilingBluEyes

    Narcan administration in newborns

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    Elvish brings up a huge and important point. I always entreat moms to be honest if drug use is strongly suspected, because if they use a lot of opioids and we use Narcan , we can do a LOT of
  7. SmilingBluEyes

    Why lvn's /lpn's should not work in labor and delivery

    SmilingBluEyes replied to LNDBSN's topic in Ob/Gyn

    Because we don't have time for that. Again, RNs can and do assist in deliveries already.That is a very small part of our job. We assume total responsibility for the care of the patient, from head to...
  8. SmilingBluEyes

    Do we need to deal with the hypotension caused by lateral position?

    SmilingBluEyes replied to Jiayou's topic in Ob/Gyn

    This is why solid assessment skills are so important. What IS hypotension in any patient? Knowing symptoms versus just relying on numbers and machines is critical. It's the same, as for example, in...
  9. SmilingBluEyes

    Increasing maternal death rates - news story

    SmilingBluEyes replied to TXcatcher's topic in Ob/Gyn

    And it's wrong. Risking clots
  10. SmilingBluEyes

    Why lvn's /lpn's should not work in labor and delivery

    SmilingBluEyes replied to LNDBSN's topic in Ob/Gyn

    We have not had LPNs for years not because they are not "good enough" but due to scope of practice. We don't have time to push IV meds for them, do their assessments, etc. and the myriad other things...
  11. SmilingBluEyes

    Narcan administration in newborns

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    Remember, Narcan is short acting. Our babies must be observed in the special care nursery no less than 4 hours after Narcan is given for that reason. A baby can respond to Narcan and then be in...
  12. SmilingBluEyes

    Do we need to deal with the hypotension caused by lateral position?

    SmilingBluEyes replied to Jiayou's topic in Ob/Gyn

    I agree with not only worrying about numbers, but symptoms. Pay attention to how the mom feels and fetal
  13. SmilingBluEyes

    Pit Inductions---How much do you increase?

    SmilingBluEyes replied to LDR-RN's topic in Ob/Gyn

    This is why membership in organizations such as AWHONN is critical; you will know the current evidence-based practices are and where to find them. The journals you receive are packed full of...
  14. SmilingBluEyes

    Finally landed an interview!!!

    SmilingBluEyes replied to McBx3's topic in Ob/Gyn

    CONGRATULATIONS IMissed where you got the job...I am so happy for
  15. SmilingBluEyes

    Do we need to deal with the hypotension caused by lateral position?

    SmilingBluEyes replied to Jiayou's topic in Ob/Gyn

    I would simply put the patient in whatever position is optimal for best placental perfusion and leave it at that. For some babies, that is left, for others,that is right. You can't treat everyone the...
  16. SmilingBluEyes

    Taking RNC Inpatient Obstetrical EXAM HELP ME

    SmilingBluEyes replied to rnc-ob_2000's topic in Ob/Gyn

    HI there. I took and passed the RNC-OB in inpatient obstetrics studying Perinatal Nursing by Kathleen Rice Simpson and Patricia Creehan linked below:...
  17. SmilingBluEyes

    What does it take to be a triage nurse?

    SmilingBluEyes replied to zahryia's topic in Ob/Gyn

    This note will be long but I hope you find it useful: I wear several hats myself. First, I am a telephone triage nurse for a busy OB-GYN clinic/office as well as an inpatient OB-GYN nurse in an...
  18. SmilingBluEyes

    Finally landed an interview!!!

    SmilingBluEyes replied to McBx3's topic in Ob/Gyn

    SO happy for you. I see you got the job. WAY TO
  19. SmilingBluEyes

    Pit Inductions---How much do you increase?

    SmilingBluEyes replied to LDR-RN's topic in Ob/Gyn

    Jennifer Block also has a website: http://www.jenniferblock.com it's pretty
  20. SmilingBluEyes

    Pit Inductions---How much do you increase?

    SmilingBluEyes replied to LDR-RN's topic in Ob/Gyn

    PS we increase by 1mu/min every 30 minutes. I even push out to 40 like the literature says, particularly when contractions
  21. SmilingBluEyes

    Pit Inductions---How much do you increase?

    SmilingBluEyes replied to LDR-RN's topic in Ob/Gyn

    I would NOT do that. The literature does not support being so aggressive (6mu/min every 30 minutes) with pitocin. The receptors and woman's body NEED 40-60 minutes to adjust to each increase and once...
  22. SmilingBluEyes

    Postpartum confusion.

    SmilingBluEyes replied to guiltysins's topic in Ob/Gyn

    I cannot say I have. You can always refer to it as postnatal nursing, or couplet care and that may clear it up. Or just explain what you really
  23. SmilingBluEyes

    How to deal with "coupling" or "doubling" contractions?

    SmilingBluEyes replied to Jiayou's topic in Ob/Gyn

    Read the literature, Shortstuff. It discusses much more articulately what I am saying. You are RIGHT: coupling/tripling are associated with dysfunctional labor and positioning. Which is why "pitting...
  24. SmilingBluEyes

    The Risks of Not Breastfeeding for Mothers and Infants

    SmilingBluEyes replied to Marymoomoo's topic in Ob/Gyn

    Seems we agree, Marymoo, on what is best. This is the last post from me on this thread. I think we are preaching to a choir here. Good
  25. SmilingBluEyes

    Traditional postpartum care?

    SmilingBluEyes replied to eifan115's topic in Ob/Gyn

    Infection rates are not going to increase IF proper hand hygiene is used between patients and as recommended! We do couplets and post op GYNs and our infection rates are not any higher than the...