cassioo

cassioo RN

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All Content by cassioo

  1. Admission during labor

    cassioo replied to short1978's topic in Ob/Gyn

    I got sent home with my 1st one because I was closed after my mom took me in because I complained of a back ache all day (doc had told me 2 days prior oh at least 2 more weeks and I was right at 38...

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

    cassioo replied to jenrninmi's topic in Ob/Gyn

    I don't know there are "rules" it's a just do it thing maybe faster if you have to get the baby to the bed for resusitation but otherwise there is time to reach for clamps and

  3. Epidurals & Foleys

    cassioo replied to RNBelle's topic in Ob/Gyn

    It depends on who is doing it and what the initial does is but most everybody goes on a ropivicaine drip at 8-14 usually it's 12 ml/hr which gets turned of at delivery. We used to use a bolus...

  4. Epidurals & Foleys

    cassioo replied to RNBelle's topic in Ob/Gyn

    Ours couldn't get up if they tried or they'd be sitting on the floor their epidurals are so heavy...some can't get up for a couple of hours after delivery when you check a fundus after delivery you...

  5. Smoking during pregnancy

    cassioo replied to st4304's topic in Ob/Gyn

    I like the smokers, drug users, alcoholics who come in and don't want mag or terb because they don't like how it makes them feel or better yet "will it hurt the baby" um not as much as the stuff...

  6. staffing in ob triage

    cassioo replied to emmborn2trek's topic in Ob/Gyn

  7. Smoking during pregnancy

    cassioo replied to st4304's topic in Ob/Gyn

    I had a patient tell me she smoked before coming for NSTs she did it because it was a stimulant...told her no wonder the baby is nonreactive for an hour stop it (she was also a long time drug user) I...

  8. Do your docs bring baby to sterile warmer in c/s?

    cassioo replied to zinker35861's topic in Ob/Gyn

    We have either the doc or the assist (sometimes another doc sometimes ARNP sometimes CST take baby to warmer which is set up with sterile drape and sterile blanket on warmer. The equipment is under...

  9. time frame ob back up

    cassioo replied to janeob's topic in Ob/Gyn

    Sometimes 30 minutes isn't close enough. Do you have a protocol for when to call in the 2nd nurse? Is the house supervisor or somebody able to come and help if needed? If you have 1 in labor and...

  10. staffing in ob triage

    cassioo replied to emmborn2trek's topic in Ob/Gyn

    We're kind of in the same boat. We do have central monitoring from the desk but not from each patients room which is also bad for labor if you have 2 patients and you're in a room. My question is do...

  11. Admission during labor

    cassioo replied to short1978's topic in Ob/Gyn

    We don't have any policy on admission it's a case by case thing. If they come in thinking they are SROM and we deicde they are we admit, if they think they are in labor we watch a little while if they...

  12. Epidurals & Foleys

    cassioo replied to RNBelle's topic in Ob/Gyn

    Where I work we put in a foley after the epidural and take it out when ready to push. where I was per diem it was I&O sometimes multiple times. Have a travel job starting next week 600 miles...

  13. Advice for doing vaginal exams

    cassioo replied to smithtip's topic in Ob/Gyn

    I only saw that box once at an AWHONN monitoring class that we used to place FSE's there was a little baby model inside and you opened the box to see where you placed the lead...no fair if they put...

  14. Can OB's override hospital protocols?

    cassioo replied to JentheRN2007's topic in Ob/Gyn

    yes it only works for a very short

  15. Can OB's override hospital protocols?

    cassioo replied to JentheRN2007's topic in Ob/Gyn

    We're lucky to get ours to write anything at all because they are busy and we aren't as busy as they are we play lots of babysit the doctors that's why our really do let us do about anything but as...

  16. Is there a facility that offers both LDR & LDRPs ; What are the Pros and Cons of LDRP

    cassioo replied to Birth-advocate's topic in Ob/Gyn

    I worked per diem at a hospital that was LDRP. It was a new place and soon had to expand. They equip every room with a labor bed so that's what you get the whole time. Warmers and delivery tables...

  17. Can OB's override hospital protocols?

    cassioo replied to JentheRN2007's topic in Ob/Gyn

    As somebody said if the lates resolved take it off if not and he told you to I wouldn't tell him to write the order I'd just say ok I'm going to write that as an order and write it if he doesn't say...

  18. Fundal Measurement - Postpartum

    cassioo replied to Yayamaya's topic in Ob/Gyn

    The word is immediate. Immediately it is low but within usually 15 minutes it's at the umbilicus. I agree with all the comments about clots and bladder distention then 1 finger per day

  19. Hold that Push!

    cassioo replied to moz's topic in Ob/Gyn

    I wouldn't sign the paper. If that's how that doctor wants it do those other things first O2 a little turn, page them (make sure it's documented what time you called and did those interventions) Then...

  20. Planned Parenthood before graduation?

    cassioo replied to iheartbabymamas's topic in Ob/Gyn

    any experience can help. I don't know how planned parenthood works where you are but where I'm at it's mostly pregnancy checks and birth control...they don't recommend abortions or OB's they just...

  21. endometrial ablasion

    cassioo replied to Laurab14's topic in Ob/Gyn

    That is used to decrease uterine bleeding by burning the lining of the uterus but one can still get pregnant and should use some birth control if premenopausal. Procedure is even done in some offices...

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

    cassioo replied to jenrninmi's topic in Ob/Gyn

    It doesn't even have to be a multip. I went to the hospital with a backache with my first child because my mother made me. I was there probably 3-4 hours when my husband came from work and they sent...

  23. Writing on Fetal Monitor strips

    cassioo replied to teriadn2004's topic in Ob/Gyn

    tell you why for what? why write on the strip...to document what was happening at that moment to cause that reading on the strip. why don't circle things...it puts a big bullseye on the strip for a...

  24. Floating or closed unit?

    cassioo replied to Wyo Nurse's topic in Ob/Gyn

    We closed our unit several years ago and it works out pretty well most of the time. When we weren't closed we would get pulled and if we need help any help that got sent couldn't do much more then...

  25. Giving a gift to a patient??

    cassioo replied to EllenDeeRN's topic in Ob/Gyn

    I don't see anything wrong with it. We've had baby showers for some long term patients before and when we've had potlucks invite them to share with us since they are cooped up in the hospital and may...