cvssc

cvssc

L&D telephone triage

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All Content by cvssc

  1. Tubal Ligation

    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
  2. Discovered a breech baby for 1st time

    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 in...
  3. Hooray

    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!!!!
  4. Pitocin and protocol problems

    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 ...
  5. Anyone work at Baptist Memphis?

    My cousin works in the unit. She really likes her position
  6. Discovered a breech baby for 1st time

    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.
  7. Frontier is FANTASTIC !

    My friend just graduated from Frontier. Seems to be a good program.
  8. First vaginal exam

    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...
  9. OB Recommendation

    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!!!
  10. Nurse manager says you can't refuse iv

    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!
  11. Dumbest Pt Family Statement or Question

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

    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 ...
  13. To Bulb Sxn Or Not?

    Shouldn't that be a baby by baby decision. If the child is crying, vigorous, and pink???? If they need help???What then??
  14. How do L&D nurses REALLY feel about natural birth?

    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). H...
  15. Doula Etiquette

    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 wi...
  16. Ever had an MD document things to make you look bad?

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

    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.
  18. Advice for doing vaginal exams

    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.
  19. Can't believe our docs...

    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...
  20. Plantar fasciitis

    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.
  21. For L&D Nurses...First Week Of L&D Orientation!!

    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 nurs...
  22. What's the weirdest baby name?

    Chalmydia and Derrierr
  23. Ugh! Delivered Baby On My Own The Other Day...

    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.
  24. staffing in ob triage

    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-la...
  25. Epidurals & Foleys

    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.