cassioo

cassioo RN

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All Content by cassioo

  1. ED sending patients to L&D

    cassioo replied to PattonD's topic in Ob/Gyn

    Ours is about the same the book says 20 weeks to L&D but sometimes when you get the wheel out they aren't quite 20 AND I've had a smartass ER nurse (who'd I'd had in clinical group the year...

  2. What do patients say that irks you?

    cassioo replied to NurseforPreggers's topic in Ob/Gyn

    We're goning to have somebody give an inservice to the ER staff (nurses and docs) about what's ok for pregnant patients and priority care. In our ER they wouldn't have time to ask if this will hurt...

  3. sterile gloves

    cassioo replied to crissrn27's topic in Ob/Gyn

    my hospital doesn't them for the c/s hand off because MD leaves the table and takes baby to the warmer just have to remind some people at delivery not to touch anything sterile on the warmer until MD...

  4. Need ideas-perks for patients

    cassioo replied to at your cervix's topic in Ob/Gyn

    I wish we'd ban the bag but it's NEVER going to happen here we make Enfamil here. 3 formula companies are always bringing in stuff. I like the book idea. Dolly Parton has a bookclub for babies for...

  5. IUPC and Fetal Spiral Electrode Placement

    cassioo replied to nurse79's topic in Ob/Gyn

    We only place scalp lead if you've been to AWHONN course and you've put them on under supervison of MD we don't put in IUPC. To get them off turn as answered above. You aren't suppossed to pull the...

  6. Need ideas-perks for patients

    cassioo replied to at your cervix's topic in Ob/Gyn

    We used to have a special meal but then it was hard with the timing in 2 days to have mom and s/o both there dependingn on delivery time and discharge time. We then went to a basket that I liked...

  7. Refusing "Hospital Protocal"

    cassioo replied to HeartsOpenWide's topic in Ob/Gyn

    ours go courting trouble because the do AROM some at 1 cm because he can and another usually starts pit about 7am and will break water when his are 4cm you can't convince them that it really only...

  8. Refusing "Hospital Protocal"

    cassioo replied to HeartsOpenWide's topic in Ob/Gyn

    He very seldom has a chance to have anything to do with the poo because he just comes in to catch so it's cleaned up all an enema does is cause a bigger mess in the

  9. Third stage management in the US?

    cassioo replied to OzMW's topic in Ob/Gyn

    Sine we have mostly inductions the pit is already running then after cutting the cord most wait for signs of seperation but will put a little traction on the cord and massage the uterus or do any...

  10. Refusing "Hospital Protocal"

    cassioo replied to HeartsOpenWide's topic in Ob/Gyn

    We have an OB who still wants enemas because he's scared he'll see a little poop for the 2 minutes he's there to catch I've been known to tell his patients you have the right to refuse. As it's been...

  11. CNA Training

    cassioo replied to studentmom2007's topic in Ob/Gyn

    We don't have CNA's at the hospital I'm full time at nor do they have them at either of the local hospitals in L&D but all have or have had nursing students as externs/interns (whichever they call...

  12. Third stage management in the US?

    cassioo replied to OzMW's topic in Ob/Gyn

    pretty much because we mostly have inductions or at least augmented it's a cold strange day when somebody comes in on their own and delivers...and heaven forbid if you don't have paperwork to go with...

  13. postpartum emergency situations

    cassioo replied to mugwump's topic in Ob/Gyn

    I work in a smaller level 2 community hospital and we rotate between L&D and PP so whoever can responds. We have 17 RN's on the unit and 3 of us are ACLS but for the most part we all work

  14. Pulling epidurals

    cassioo replied to Elvish's topic in Ob/Gyn

    At my main hospital we don't pull them but they do sometimes "fall out" and anesthesia will say "I bet that one falls out when your done" some nurses they never fall out on though at the other where I...

  15. on-call practices and compensation

    cassioo replied to roady's topic in Ob/Gyn

    We have on call (community hospital) you usually end up with 2-3 days per month and 2-3 weekends per year at $2 per hour with 1 1/2 times when called in which isn't too often. The call person is on...

  16. Computer Charting

    cassioo replied to rnWinn's topic in Ob/Gyn

    We don't have it yet but it's coming this year YIPPY. I've taught nursing clinicals at a couple of hospitals that have it and love it...I can also type over 100 words per minute on an old selectric...

  17. report sheets

    cassioo replied to Saalbunch's topic in Ob/Gyn

    I don't have any fancy report sheet for LD I usually don't write anything down and sometimes don't for postpartum depending on the number of patients and if I've worked the previous day or 2 to know...

  18. Do nurses do it all?

    cassioo replied to babyjen's topic in Ob/Gyn

    We deliver quite often but it never is the plan. With so many epidurals unless you are checking all the time or have lots of earlies sometimes they just appear. One of our docs doesn't want to be...

  19. What do patients say that irks you?

    cassioo replied to NurseforPreggers's topic in Ob/Gyn

    We have to ask everyone also about disposing of it. I've only had 1 person ever say they wanted it but they did change their mind before they took it. There is a book I read years ago that had...

  20. What do patients say that irks you?

    cassioo replied to NurseforPreggers's topic in Ob/Gyn

    I had a footling breech 29 weeker dialated 7-8cm on arrival when the dad says don't you have water birth she wants to labor naturally... first no we don't have water births and if we did she's not...

  21. 3 questions regarding labor: Cervix checks, BG's, Water births

    cassioo replied to Jen,SN's topic in Ob/Gyn

    but you knew what you were looking for also I'm saying I don't think most partners would know what they were feeling for and I'd bet the majority of women couldn't get to their own cervix to check...I...

  22. 3 questions regarding labor: Cervix checks, BG's, Water births

    cassioo replied to Jen,SN's topic in Ob/Gyn

    sometimes that cervix is hard to find even when you know what you were looking for. You'd hate to have some partner in there digging around and not knowing what they were feeling for and if they did...

  23. C/S as a birth option vs need

    cassioo replied to valene's topic in Ob/Gyn

    One of our docs really pushes them and daily says why would you want to have a vag delivery all your parts will fall out later in life. They don't tell these ladies about the pain after and recovery...

  24. 17 lb baby!

    cassioo replied to ayndim's topic in Ob/Gyn

    I had 3 8+#er's vag with no medication and no problems. !2 yrs later #4 was a 8#12 oz 37 week breech so had a PCS (I was then almost 36). I thought I had a pretty good pain tolerance but I'd rather...

  25. As an OB nurse, do you feel like your med/surg experience will go to waste?

    cassioo replied to teresab_2000's topic in Ob/Gyn

    You don't loose it at my hospital. We are L&D & Post Partum. We do our own sections (surgery nurses don't do their own total hips) and our own recoveries. We also get med surg female...