SmilingBluEyes

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

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All Content by SmilingBluEyes

  1. SmilingBluEyes

    Staffing guidelines without central monitoring

    SmilingBluEyes replied to babynurse357's topic in Ob/Gyn

    I would discuss the situation with the risk mgt department of your hospital, and really, really push for central monitoring to be put on the budget ASAP. I cannot see how it's safe to monitor 2...
  2. SmilingBluEyes

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

    SmilingBluEyes replied to Jiayou's topic in Ob/Gyn

    Recent literature actually recommends turning DOWN pitocin in the face of doubling and tripling contractions. Saturating oxytocin receptors too soon in labor can cause MORE dysfunction not less. And...
  3. SmilingBluEyes

    Dream job interview tomorrow!

    SmilingBluEyes replied to jlcole45's topic in General Nursing

    GOOD LUCK and I hope you get everything you worked so hard for, and
  4. SmilingBluEyes

    Hi my name is Jane, I'll be your glorified waitress today!

    SmilingBluEyes replied to AnnieOaklyRN's topic in General Nursing

    I understand and empathize with your pains. Have you tried taking a break from nursing, or perhaps, counseling/therapy? It might help you. Burn out in nursing (and other high stress jobs) is very...
  5. SmilingBluEyes

    Me Time- Katie5's Vent

    SmilingBluEyes replied to Katie5's topic in General Nursing

    I have found on any internet board like this, it's best to take the posts you can use and enjoy and use them. Discard the rest. Life is too short and like someone wiser than I said, PICK YOUR BATTLES....
  6. SmilingBluEyes

    Cant keep a watch working!

    SmilingBluEyes replied to CNA2day's topic in General Nursing

    You might be the rare person like me, whose watches quit working due to your body somehow killing the batteries. I could NEVER use a regular battery operated watch; every single one quit on me,...
  7. SmilingBluEyes

    The Risks of Not Breastfeeding for Mothers and Infants

    SmilingBluEyes replied to Marymoomoo's topic in Ob/Gyn

    "You cannot care more than the mother herself" WOW powerful words I will remember to live by. THANK YOU Klone. You sound like an excellent advocate and LC to
  8. SmilingBluEyes

    The Risks of Not Breastfeeding for Mothers and Infants

    SmilingBluEyes replied to Marymoomoo's topic in Ob/Gyn

    Klone: I believe Lactation consultants are the greatest gift to any unit and patient. I have the greatest respect and admiration for lactation professionals, whether they be in the unit, practicing...
  9. SmilingBluEyes

    Do you have a baby nurse at delivery?

    SmilingBluEyes replied to RNBelle's topic in Ob/Gyn

    That is not meeting the standard of care and might come back to haunt you in the case of a poor outcome. NRP standards are TWO attendants minimum: one for just the baby and the other the labor nurse...
  10. SmilingBluEyes

    The Risks of Not Breastfeeding for Mothers and Infants

    SmilingBluEyes replied to Marymoomoo's topic in Ob/Gyn

    There is also responsibility on the parts of our patients. They have opportunities to attend parenting and childbirth classes, where information about breastfeeding and why it's best is very...
  11. SmilingBluEyes

    The Risks of Not Breastfeeding for Mothers and Infants

    SmilingBluEyes replied to Marymoomoo's topic in Ob/Gyn

    I counsel such mothers when they first come in for their very first OB appt and again in childbirth classes. I guess what we are saying is we do know this already Mary. And it's our responsibility...
  12. SmilingBluEyes

    this makes me sick

    SmilingBluEyes replied to adpiRN's topic in Ob/Gyn

    Not one of our docs would have ruptured her. I would discuss the case with your unit manager and risk
  13. SmilingBluEyes

    drug screening patients

    SmilingBluEyes replied to moz's topic in Ob/Gyn

    To address the original post and questions (and not debate drug screening): Our OBs screen everyone when beginning care, no matter who they are or what their situation. They are told this both...
  14. SmilingBluEyes

    NCC Electronic Monitoring

    SmilingBluEyes replied to BabyRN1991's topic in Ob/Gyn

    http://www.proedcenter.com you will find a lot of courses there, including those by Lisa Miller, CNM and
  15. SmilingBluEyes

    The Risks of Not Breastfeeding for Mothers and Infants

    SmilingBluEyes replied to Marymoomoo's topic in Ob/Gyn

    BOTTOM LINE? Educate your patients and then let them make their own choices and never, ever guilt them into anything. That is being a true patient advocate. Doing less is doing a disservice to your...
  16. SmilingBluEyes

    What is appropriate nurse to patient ratio in stage 2 of labor?

    SmilingBluEyes replied to MVgal's topic in Ob/Gyn

    Appropriate monitoring of patients in pushing and epidural placement phases of labor IS one to one. I agree with the others; talk with risk mgt about this situation. Staffing appropriately is critical...
  17. SmilingBluEyes

    OBs doing unnecessary C-Sections and inductions

    SmilingBluEyes replied to a_wallace4's topic in Ob/Gyn

    Excellent post; thank
  18. SmilingBluEyes

    OBs doing unnecessary C-Sections and inductions

    SmilingBluEyes replied to a_wallace4's topic in Ob/Gyn

    THAT is
  19. SmilingBluEyes

    one of my biggest fear happened.. in need of some words of wisdom

    SmilingBluEyes replied to mctina_20's topic in Ob/Gyn

    You are NOT alone. In my first year, my preceptor sent a patient home who was not making cervical change only for us to see her come back with EMTs on a gurney with her baby in her arms a few hours...
  20. SmilingBluEyes

    Couplet care - how do you handle float pool nurses?

    SmilingBluEyes replied to klone's topic in Ob/Gyn

    Same
  21. SmilingBluEyes

    Managing decelerations

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    Also, please consider becoming an AWHONN member while you are at it. It's something I have never
  22. SmilingBluEyes

    Managing decelerations

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    Go to http://www.awhonn.org or http://www.proedcenter.com and look for educational courses you can attend ASAP. Also like babyktchr suggested, get the Fetal Heart Monitoring Principles and...
  23. SmilingBluEyes

    Managing decelerations

    SmilingBluEyes replied to jennf83's topic in Ob/Gyn

    It depends. IF it's an isolated late or variable and the overall strip is reassuring; I wait and observe to see all is ok. If the decels are recurring, then I do the usual resuscitation measures:...
  24. SmilingBluEyes

    Well-worn debate. Men in OB

    SmilingBluEyes replied to nt28's topic in Ob/Gyn

    Our unit would hire you. We have had men in before and the patients loved them. When i had my daughter, the best nurse I had was male. He was gentle and considerate and extremely professional. SO GO...
  25. SmilingBluEyes

    Finding the right words...

    SmilingBluEyes replied to lmc512's topic in Ob/Gyn

    I would prefer SNS over sticking a pacifier or bottle in a baby's mouth to quiet him or her because they are hungry. It really works! But I also agree never to guilt parents one way or the other. The...