cassioo

cassioo RN

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All Content by cassioo

  1. Ugh! Delivered Baby On My Own The Other Day...

    cassioo replied to jenrninmi's topic in Ob/Gyn

    I've had deliveries with the doc in the room and they still didn't do the catching. We'd been pushing for a little while and not moving and doc says I'm going out here call me and he turns around to...

  2. Writing on Fetal Monitor strips

    cassioo replied to teriadn2004's topic in Ob/Gyn

    There isn't a "law" about writing on strips but if you are saving the strips those can be called into court...if they are on computer that along with notations on the computer can also be

  3. Did anyone read the People story about Christina Aguilera?

    cassioo replied to rph3664's topic in Ob/Gyn

    I had a 16 yr old come in this evening for cervidil 38 3/7 and she asked if she had to have that if she was going to have a c/s anyway...I asked her why was she scheduled for a c/s she says no but he...

  4. Did anyone read the People story about Christina Aguilera?

    cassioo replied to rph3664's topic in Ob/Gyn

    Large numbers of women in other countries choose elective c/s. In our time of a litigation society doctors have to offer c/s (offer not push it). 37 weeks just because isn't a reason to elect. It...

  5. Yelled At During A C-Section (Among Other Things)

    cassioo replied to RN1981's topic in Ob/Gyn

    Where are you at that you are taking patients on your own after 2 weeks? Do you have set conference times to set goals and evaluate what's gone on over the week? You shouldn't have been yelled at by...

  6. Methotrexate for ectopic pregnancy

    cassioo replied to cubbynurse's topic in Ob/Gyn

    Where I'm at it is also usually outpatient but when we give it inpatient we don't have to be chemo certified because we're not giving it as a chemo

  7. RNC - the whats and hows?

    cassioo replied to cherokeesummer's topic in Ob/Gyn

    Do you also have a clinical ladder and is that $100 in addition to that? We get a point for the ladder for certification so a level III gets 7% over base and level II gets 3.5% they are working on a...

  8. RNC - the whats and hows?

    cassioo replied to cherokeesummer's topic in Ob/Gyn

    my certification is in inpatient OB through NCC. You can download their brochure for the qualifications. You can take pen and paper test at certain times or computer test anytime at certain...

  9. What is a shift like for a PP/mother/baby nurse?

    cassioo replied to momma/babyrn's topic in Ob/Gyn

    I think alot of people do better once they get on lortab or percocet post op then the PCA all it did was make me stupid didn't take away the pain enough (had 3 vag with nothing then #4 a c/s). Our...

  10. They sent us a 1 week postpartum pt...we do openhearts!

    cassioo replied to MIRockstarRN's topic in General Nursing

    It's not so much the fundus check but the Mag infusion which should be ran as a special drip with close monitoring. Our OB's would want them until they are release from OB care. We've had them come...

  11. What is a shift like for a PP/mother/baby nurse?

    cassioo replied to momma/babyrn's topic in Ob/Gyn

    If our patients get a PCA because they didn't get astro/duramorph they PCA, IV, Cath come out the next morning and they don't usually get up. If they have a baby in NICU no matter what they have (PCA...

  12. what causes...

    cassioo replied to Fairy5's topic in Ob/Gyn

    I think the more you try to stop the shakes the more you shake. Been there done that

  13. They sent us a 1 week postpartum pt...we do openhearts!

    cassioo replied to MIRockstarRN's topic in General Nursing

    probably 1/2 of eclamptic patients are so up to 6 weeks post partum. She probably did need to be on Mag with 1:1 in L&D Our OB's would have had her on L&D from the get go. If not on L&D...

  14. Ivy Tech Evansville

    cassioo replied to samclaug's topic in Indiana Nursing

    I went to IVT when it first started it's ADN program and I think my class came out well prepared (better them lots of places) I was happy with them then went on to USI for the

  15. Does your ob unit provide you with scrubs?

    cassioo replied to jenobrn's topic in Ob/Gyn

    They should get you the disposable jumpsuits to put on for emergencies. What does the S/O wear to a

  16. ED sending patients to L&D

    cassioo replied to PattonD's topic in Ob/Gyn

    We do have the exception to the rule 20 weeks being the rule but if you have somebody at 17 weeks that is really miscarring we take them or fetal demise at that age also just because we handle that...

  17. Refusing "Hospital Protocal"

    cassioo replied to HeartsOpenWide's topic in Ob/Gyn

    Our epidural rate is probably higher....we have 1 newer doctor who thinks he's wonderful who we don't call when his patient is complete if they have no urge but if he happens to come in and check...

  18. Nurses that write their own orders

    cassioo replied to Kanani_Ikike's topic in General Nursing

    we also have a bladder scanner as floor equipment but if the patient is an outpatient you can charge for bladder scanner use x 1. I think ours is pretty accurate when used correctly which ours is...

  19. ED sending patients to L&D

    cassioo replied to PattonD's topic in Ob/Gyn

    Had a lady come in yesterday through the ER when they called her over I asked what her complaint was... "she wants to be checked she's had a few cramps" MD's office was closed. She gets over to the...

  20. Nurses that write their own orders

    cassioo replied to Kanani_Ikike's topic in General Nursing

    Standing orders are great but you also have to have an order to "use standing/routine orderss" There are doctors I will write the routine orders for ie Tylenonol for HA/fever or mylanta but not too...

  21. Does your ob unit provide you with scrubs?

    cassioo replied to jenobrn's topic in Ob/Gyn

    We are supplied with scrubs that are an ugly color and the whole hospital wears the same ones where scrubs are required (OB, NSY, ER, ICU) we supply our own white cover jacket (mine hangs on the coat...

  22. Need help from ob nurses

    cassioo replied to equinechick's topic in Ob/Gyn

    Pregnant women begin increasing their RBC's about 6 weeks and cont until about delivery so they also have increased bili's but I don't have a book in front of me to tell how much is too much but you...

  23. ED sending patients to L&D

    cassioo replied to PattonD's topic in Ob/Gyn

    we get those also we had one this summer screaming with contractions, no prenantal care (big girl) she screamed and pushed and pooped all over the bed. the nurse that checked her found nothing sent...

  24. Can dilation reverse?

    cassioo replied to mitchsmom's topic in Ob/Gyn

    Presentation can cause swelling but also agressive checking of a cervix that's not very dialated (like 4-5 cm) and trying to manipulate it too much. I'm all for keep your hands out of the mix because...

  25. Minimum dilation rate

    cassioo replied to OzMW's topic in Ob/Gyn

    We don't have any policy but what our doctors do which we all hate is bring them in and break water as soon as they can reach it (which on does at 1 cm) then pit and hope they deliver before 7pm...I...