cvssc

YES,YES,YES!!!!!! Worked in an inner city teaching hospital---lots of research with lots of cases. The information say it occurs in about 1 of roughly 300 pregnancies.. Where I'm from, seems MUCH more often

We have had some residents who did very well with breech deliveries. My patient opted for a c/s. She was a G 3 or 4 I believe. She was given options and elected c/s. The only bad breech deliveries I remember were mothers coming in (home vitamin C inductions) with baby entrapped. Those are horrible. Thank God people do have training to assist with these stuations. Hopefully, we can help prevent more bad outcomes with more education and preventive programs.

They came to visit us. This one time (after 8 years of nursing) they spoke with me. While speaking, heard a decel. Left the conversation. How nice.--baby was fine!!!!

If you had a physician and his upper level, I assume they had an Attending. That's where I would go. I wouldn't start Pit and if I am that concerned, I find the Attending. I don't care whose feelings get hurt. Mom and baby are my priority. Not, some resident's attitude. We had real staffing issues where I worked--dangerously short. Emergency came in. I was the nurse watching all patients. Told resident everyone's Pit was going off. She states I guess no one will deliver. Amazing, they did--no bad outcomes thank GOD. When you're in a inner city teaching facility, you forget that body can do amazing things on it's own.

My cousin works in the unit. She really likes her position

After 9 years, I found my first breech. I did vag exam and felt toes moving against my fingers. I felt movement and followed it up to know it was a foot. Even after that nursing that long, it was kind of freaky. To OR for C/S Happy mom and baby.

My friend just graduated from Frontier. Seems to be a good program.

My preceptor went with me every time. We would tell the patient both of us would be doing the exam as I was new to L&D. They usually had an epidural and were agreeable. I worked in a teaching hospital, so nurses and medical students were learning. My problem was everyone I checked was 7 or more CM. It was over a year before I felt a closed or less dilated cervix. And, like the other person, I still apologize for the pain or discomfort. As an Eval nurse, if possible, I save my patient's from too many exams if they are too uncomfortable or nervous.

I don't have advice on that. But, Please, Please get a copy of your records. We have so many that come in to delivery and didn't bring records and moved to close to delivery to get a visit with a new physician in town. Records are a blessing!!!

Yes, the patient can refuse treatment. Usually, when my patient and I have discussed things, they are agreeable. However, if they say no, I won't do it. I will not be charged!

Teenage dad actually asked MD to put an extra stitch in it while patient was being repaired after vag delivery. What a great dad?!

We were crossed trained to float. We gave a list of areas we would be interested in. No one is required to float to ICU. We have rarely had floaters to L&D. If we have had them, there were from ICU and worked in recovery. I would have to refuse to be sent to ICU. That is totally out of my scope of nursing and learning. DANGEROUS!!! Sounds like they would like more lawyers visiting.

Shouldn't that be a baby by baby decision. If the child is crying, vigorous, and pink???? If they need help???What then??

We always have anesthesia to speak with patients on admission. When my patients tell me they want medicine free deliveries, I support them. However, I also requests they leave their options open (some CRNA's wont' come back if they say no upfront). Having had 3 children (by accident) without medication I can see both sides. It depends on the person, their knowledge, their coping skills and their labor.

I work in a teaching facility. Therefore, they have treated everyone like they are sick, not just pregnant. However, things are changing. Some nurses don't like the idea of doulas and birth plans. My feeling is, I can work with you if you can work with me. I understanding what your's requesting, but if NEEDS come first, just make sure you and your doula are prepared to compromise and I am prepared to give your every consideration I can. I don't mean for this to sound bad, but if I need you to get out of the way, it's not because you're a doula. It's because you or you child need something different at the time. I will explain what and why I'm doing something as soon as I can. I have had births that have had good doulas and birth plans and births that have had bad or unrealistic plans. We're all here for your comfort and protection. But, most of all, we're here for a healthy baby and Mom.

Changing documentation is illegal. She can write her own note, but not make ammendments to yours. Hope I understood right.

As others say, it's case by case. Rom= admission either to L&D or antepartum. We monitor patients and make decisions. No dilation and bad tracing=admission. You can't just judge by dilation and status of membranes only.

If you have a cervical dilation board, they are great to play with during your down time. You can just sit around and practice with it. It's a big help.

I work in a teaching hospital. If we have a BOA, they go straight to a labor room to be evaluated. Also, they infant is evaluated. Of course, we have residents 24/7. But, if she delivers at home, why is there a change in the standard of care. I would ask risk management also. If something goes bad, it doesn't matter where she delivered if she is now a patient.

I bought Roper (yes, by Justin Boots)Performance slip-ons. They're great!!! My feet feel so much better. I never really knew I needed an arch support like that until I wore them.

I went from PCU to L&D. I went home telling my husband I had just made the biggest mistake of my life transferring to L&D. With the right preceptor and time, it gets much better. Best thing I ever did even though I felt like a brand new nurse out of school when I tranferred. Hang in there!!!:hpygrp:

I've had them in the room (intern and students) saying hurry. If you don't hurry, you'll miss it. They did. Then the 4th year says, "The nurses will sometimes wait and call you at the last minute-He wasn't worth my breath.

Worked in a teaching hospital that had a 9 bed triage area. There was a time when our core staff was suppose to be 7-for triage, L&D, recovery, and OR. We had 5. I have seen 43 patients in triage in 12 hours. My only partner was a nurse extern-last symester of nursing school. Now, I don't work there, but the nurse manager has done wonders. I nurse to triage patients and 2-3 to work in the area with patients being evaluated. Much better. You can actually take care of patients instead of praying that nothing happened because you could not or did not do something. Scary!

We use to straight cath. Thank goodness they place foley's now. I'd rather risk infection once instead of several times with a long labor.

I was in Evaluations one day. A patient walks up and says she need to see the doctor. She is pregnant with triplets. Last year, she had twins. Asked if she had proof of pregnancy with her. (The whole time our clerk was holding her blue card and punching me in the leg...the lady was in her 60's) She told me no. Jesus told her she was pregnant and that's all she needed. We sent her to the main ED for her proof of pregnancy after much discussion that we need it on paper. We told her it was really nice that Jesus told her this, but she need to to the the ED. She happily went and did not come back to us.