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 wks then) the husband got off work and drove me home...
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 scissors.
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 injection but don't often do that anymore. The hospital...
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 can just push out urine and they can't even tell or ...
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 you've been doing.
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 had one 37 weeker I was going through the admissio...
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 the drape. As far as slipping anybody could slip w...
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 another shows up do you call as soon as you determin...
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 you often have a long wait for those 4 rooms you h...
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 are due and dialated and the doc feels like it he...
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 away so we'll see what they do there
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 the baby in there breech :) Checking just takes prac...
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 long as you've documented all along what was going o...
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 are kept in a clean area and taken to rooms as need...
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 never mind and chart Dr Jones here, strip reviewed ...
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 ?
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 push...if it's out in 2 pushes good. If mom has a...
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 give out the information...they don't see women furth...
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 as well as outpatient. Check out webmd for some ...
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 me home because I was closed and only had a back ...
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 lawyer.
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 V/S so we closed. We have a call off roatation also ...