SmilingBluEyes

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

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All Content by SmilingBluEyes

  1. SmilingBluEyes

    Assessing labor

    I know what you mean about reluctance to do this in some physicians. But I put it to them like this: IF we get this gal some relief the chances are, we won't be bothering the dr again so soon. If we...
  2. SmilingBluEyes

    venting: fetal demise

    I think the key here is, you never get over it. To expect you will is setting yourself up for a high standard that is simply not possible to achieve for most of us. What you do do, is, You "get on...
  3. SmilingBluEyes

    Advice Needed for Labor/Delivery

    Sorry I was on vacation when you posted your question. I see you received excellent advice. I agree with the above suggestions. I also want to add, networking is critical. Tell everyone you know, meet...
  4. SmilingBluEyes

    kiss that job goodbye?

    WAY TO GO!!!! Please let us know how things go and where you DECIDE (yes I said DECIDE) to work! Best of
  5. SmilingBluEyes

    kiss that job goodbye?

    I agree, DO NOT GIVE UP so easily. I would call up again, and even follow up with a note explaining what happened and requesting another interview and would not give up until I had reason to (that the...
  6. SmilingBluEyes

    How to handle newborn hypoglycemia?

    Rninwich brings up a good point. IF things were concerning enough to drop an OG, where I practice, we best have already involved the NNP/Pediatrician ANYhow. Really, if you are that concerned, the...
  7. SmilingBluEyes

    Assessing labor

    For prodromal labor patients who are very uncomfortable, with their permission and consent, we ask for therapeutic rest. This usually will consist of giving pain meds IM such as Morphine/Phenergan or...
  8. SmilingBluEyes

    How to handle newborn hypoglycemia?

    I agree with you. Treating them like healthy termers is a really huge mistake with potentially bad outcomes just around the corner. And I am sorry, but 41mg/dl at 1 hour age, especially in such a...
  9. SmilingBluEyes

    venting: fetal demise

    I will never forget a few years back, having a poorly-controlled TYPE I diabetic come to the hospital in acidosis. Her respers were about 40 a min! Anyhow, she had gone and spent a (rare in Seattle)...
  10. SmilingBluEyes

    Had my first experience with a fetal demise today (m)

    I remember my first year (10 years ago) in OB and my first demise was about 1 month into my new job. I cried my eyes out, carrying that little baby into the nursery. I was not ashamed (nor am I now...
  11. SmilingBluEyes

    Refusing "Hospital Protocal"

    It depends on the intervention being refused. It's not a huge hairy deal to refuse IV if the mom is low risk and healthy. Nor it is unreasonable to refuse continuous EFM unless they are high risk or...
  12. SmilingBluEyes

    Babies overnighting in moms room

    PS, one of the keys to having moms get rest is reminding them they have EVERY right (and I daresay OBLIGATION) to limit numerous visits during their short stays at the hospital. No better place then...
  13. SmilingBluEyes

    Babies overnighting in moms room

    We base our couplet care on the reference cited by Arwen. ALSO you can always get your pediatricians and lactation personnel (if you have them) on board, along with staff, to write the policies, based...
  14. SmilingBluEyes

    Kind of Off-Topic, but Here is why you have not seen me much lately:

    You are right; good nurses need good vacations and reminders of how hard we work, doing so much for so many for very little, often in return. I feel better already. Amazing what the beach does for my...
  15. SmilingBluEyes

    Kind of Off-Topic, but Here is why you have not seen me much lately:

    Understaffing is a problem everywhere, it would seem, including where I am---------especially since our hospital was bought by a new corp, pennies are squealing like piglets. They are always looking...
  16. SmilingBluEyes

    Why I am thankful I am a nurse

    Peg,this is a great post and a great reminder for some of us who may need it. Thanks so much and I am glad to see you feel this way. I bet you are a wonderful
  17. SmilingBluEyes

    a CNM who hasn't given birth

    Like said before, following that logic, I should never, ever become an oncology nurse due to the fact I have not yet experienced cancer. You follow your dream. I have seen amazing nurses in men and...
  18. SmilingBluEyes

    itching after cesarean section

    That is all fine and good, but the purpose of these threads is not to dispense or receive medical advice. Please, keep that in mind. Thank
  19. SmilingBluEyes

    What is a "dry birth"?

    No such
  20. SmilingBluEyes

    labor and delivery nurse

    Hopefully, if you go through nursing school, as you do your clinical rotations, you will see more clearly what may work for you. OB surely is not for everyone....but neither are ICU, ER, or other...
  21. SmilingBluEyes

    suction setting at your hospital

    80-100.
  22. SmilingBluEyes

    labor and delivery nurse

    Thread moved to the OB forum, for better exposure/participation. WELCOME TO
  23. SmilingBluEyes

    Real tips for patients

    Be yourself and keep your mind open. And be assertive in expressing your needs. Really, you don't have to do more. Congratulations and good luck to you. I wish you the very
  24. SmilingBluEyes

    Curious

    We count induced active labor as time, even w/o cervical change, yes. Inductions are treated a bit differently than naturally/spontaneously-occuring
  25. SmilingBluEyes

    determining station

    We are placing IUPC and FSE but definately NOT in our scope to AROM anyone as an