SmilingBluEyes

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

Member

  • Content

    20,964

  • Visitors

    79,887

  • Followers

    11

  • Likes

    4,993

All Content by SmilingBluEyes

  1. SmilingBluEyes

    Silly Episiotomy Question

    SmilingBluEyes replied to TheCommuter's topic in Ob/Gyn

    Yes, some do refuse, because locals can really swell up the very tissues they are trying to cut and make it difficult to do well. Very often, the tissues during pushing and contraction are burning...
  2. SmilingBluEyes

    What type of epidurals on your unit?

    SmilingBluEyes replied to mitchsmom's topic in Ob/Gyn

    The epidural drip contains a standard dose of bupivicaine, mixed by pharmacy, dated and kept in our fridge for use. The majority of our MDAs do add fentanyl to this drip after the initial loading dose...
  3. SmilingBluEyes

    Birthing on all fours

    SmilingBluEyes replied to eden's topic in Ob/Gyn

    I agree, and learn a lot here myself,
  4. SmilingBluEyes

    labor and delivery nurse-patient ratio

    SmilingBluEyes replied to magz53's topic in Ob/Gyn

    If nobody is watching a given active labor patient, then standard of care is being violated. I would be documenting each and every single incident of this (as well as other clearly unsafe practices...
  5. SmilingBluEyes

    labor and delivery nurse-patient ratio

    SmilingBluEyes replied to magz53's topic in Ob/Gyn

    We take our own specimens to lab as well. This is very common in smaller hospitals, particularly on nightshift when volunteers are
  6. SmilingBluEyes

    Adoption option?

    SmilingBluEyes replied to lannisz's topic in Ob/Gyn

    I distinctly remember a teen mom doing her algebra homework during labor, between contractions. She was determined she would not only graduate high school, but already had her sights set on a state...
  7. SmilingBluEyes

    Newborn Pain Assessment

    SmilingBluEyes replied to darynash's topic in Ob/Gyn

    We are required to do this with our shift assessments, so at least qshift, or more often as
  8. SmilingBluEyes

    Birthing on all fours

    SmilingBluEyes replied to eden's topic in Ob/Gyn

    Its not hard to "catch" a baby in this position, at least, no more difficult than it is in the traditional lithotomy position so many are in in the hospital. With experience, it's not hard at all. But...
  9. SmilingBluEyes

    Watchchild - again

    SmilingBluEyes replied to tntrn's topic in Ob/Gyn

    emar is simply one of the most dangerous programs in nursing
  10. SmilingBluEyes

    Birthing on all fours

    SmilingBluEyes replied to eden's topic in Ob/Gyn

    The only link I could see is if the baby "came down the pipe" too fast and was somehow "shellshocked" after birth. All fours delivery (AKA "Gaskin maneuver/positioning") Can be very beneficial,...
  11. SmilingBluEyes

    labor and delivery nurse-patient ratio

    SmilingBluEyes replied to magz53's topic in Ob/Gyn

    Ratios are defined very well in AWHONN. Check AWHONN Homepage I do know 1:2 in active labor (not very high risk) is the standard they currently recommend. How is teamwork where you are? That is the...
  12. SmilingBluEyes

    Any L&D nurses here?

    SmilingBluEyes replied to flygirls2's topic in Ob/Gyn

    I wish you the best. Let us know how it
  13. SmilingBluEyes

    Silly Episiotomy Question

    SmilingBluEyes replied to TheCommuter's topic in Ob/Gyn

    some use it;others not if there is a good epidural going, they do not use it at all. but if the epidural is not working they might. they use it more often for lac/epis
  14. SmilingBluEyes

    Hysterectomy: Necessity or Convenience

    SmilingBluEyes replied to outcomesfirst's topic in General Nursing

    That is for the doctor and patient to decide, not me. I just care for them in my GYN
  15. SmilingBluEyes

    How do u work nights and have a life?

    SmilingBluEyes replied to luv4nursing's topic in General Nursing

    It's hard if not impossible.That is why after 9 years on and off working nights, I am
  16. SmilingBluEyes

    Most inappropriate DR's visit EVER!

    SmilingBluEyes replied to naijanurse's topic in General Nursing

    Report this to the state medical
  17. SmilingBluEyes

    Insurance: The Urban Legend.

    SmilingBluEyes replied to Zizka's topic in General Nursing

    NO difference in care or accomodations where I am. Actually I think a huge proportion are on either uninsured or using public assistance or of some sort in both hospitals in which I am employed. But...
  18. SmilingBluEyes

    Elementary School Teacher thinking about Nursing

    SmilingBluEyes replied to quiyetstorm21's topic in General Nursing

    PS I am an L/D nurse and love
  19. SmilingBluEyes

    Elementary School Teacher thinking about Nursing

    SmilingBluEyes replied to quiyetstorm21's topic in General Nursing

    YOu could always go into a direct-entry MSN program, then. But most of these are geared not toward bedside care, but advanced practice nursing or teaching or something on the order of advanced...
  20. SmilingBluEyes

    Your Facility On Tv

    SmilingBluEyes replied to MsLady06's topic in General Nursing

    NO thanks be. There are a lot of superior smaller size facilities that provide outstanding care that are never profiled on TV. I pay little attention to TV anyhow. It's all about drama. It must have...
  21. SmilingBluEyes

    Health Profession & Wacko's

    SmilingBluEyes replied to Zizka's topic in General Nursing

    Nope not a so called "wacko", well at least, IMO. But in another's I may be a raging "wacko". I however, would not appreciate myself or loved one being referred as such, would you? What may be...
  22. SmilingBluEyes

    Any L&D nurses here?

    SmilingBluEyes replied to flygirls2's topic in Ob/Gyn

    Some places combine units into LDRP units. This is where I work. We do Labor, delivery, recovery and postpartum care for all our patients in the same room, no moving them around. Other places do have...
  23. SmilingBluEyes

    Elementary School Teacher thinking about Nursing

    SmilingBluEyes replied to quiyetstorm21's topic in General Nursing

    It would depend on your goals. You can gain entry into a direct-entry program like a prior-degree MSN program with your education credentials, currently. Do you plan advanced-practice nursing,...
  24. SmilingBluEyes

    Health Profession & Wacko's

    SmilingBluEyes replied to Zizka's topic in General Nursing

    I strongly dislike the title of the thread, specifically the term,
  25. SmilingBluEyes

    Most Nurses are Female: the pros and cons?

    SmilingBluEyes replied to Zizka's topic in General Nursing

    There are positives to both genders. I just know when we get to generalizing, we get into trouble. Women are not always better nurterers and don't necessarily have a softer touch. (often said about...