nrse4evr

nrse4evr

OB high rish low risk PP antepart.

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All Content by nrse4evr

  1. Types of wound care product and how they work

    Hi Wound Care Specialists I am not a WCCS I am a L and D nurse who is caring for a family member with a pressure sore. It was not detected until it had progressed to tunneling because this person is...
  2. Does anyone like LTC?

    Of course it doesn't sound silly. I thank God that there are people like you who feel a calling to LTC. Iwork OB and my Mom was a LTC RN before her retirement. We represented a sort of 'womb to...
  3. Your Favorite one liner used with patients

    When pts tell me that they don't want anything for pain in labor I tell them they have 3 options 1. Nothing--Pain is free you can have all you want. 2. Iv meds 3.
  4. What is up with night shift??

    Unacceptable care is unacceptable care no matter which shift it occurs on. Talk with the DON as has been previousy mentioned but also with the individual caregiver ( and I use that term loosely) about...
  5. They have been trying to make BSN the minimun entry into nursing for the past 25 years or so. At one point ADNs were going to be 'technical' nurses while BSNs were 'professional' nurses. i am an ADN...
  6. Maternity position interview questions.

    Congrats on getting the job. I interview nurses hoping for a job in our L and D unit and I can tell you that it isn't so important what you say in response to the questions as it is in How you say...
  7. please help me

    Dear boyter Let me say first of all "Thank You for Serving!" I am a former 91B medic from a long time ago. I can tell you that your experience as a medic, while maybe not transferable to the RN...
  8. Adoption option?

    I have cousin who gave up twin babies to a couple she had chosen through an agency. It was probably the hardest and most unselfish thing she has or ever will do. She had the full suppost of her...
  9. NEW GRAD: L&D, PP, or ANTE

    Just my opinion but I would try to get a med surg position for about 6 mon or a yr to develope assessment skills and time management skill. I know that is not what you wanted to hear but despite not...
  10. Letter writing for fundal pressure

    Sounds like you experienced birth with an older Dr. Some on occassion still ask for FP. Knowing that this is an antiquated and dangerous practice the nurses at my facility accomodate the Dr by...
  11. Help identifying decels on fetal monitor strip

    Best advise: Treat the pt not the numbers! One of anything is nothing! Look at the strip as a whole not as individual decels or accels. Think about what is happening to your...
  12. I Need Some Help...

    PS We also try to let every new nurse do a controlled Dr assisted delivery at least once. Then she knows what to do if she has to deliver by herself. Because we are a teaching hospital the pts are...
  13. I Need Some Help...

    Our unit is a level 3 unit with Hi,Lo and everthing in between risk. The rn taking care of that pt will usually notify the Dr when the pt is 8cm or sooner whatever the dr wants. When the Dr gets to...
  14. Cervidil--Talk to me!

    First of all Cervidil MUST be refridgerated until right before placement. We obtain baseline nst, confirm vertex presentation, either cx check, leopolds, or sono. Then after cervidil placement...
  15. BOA's !!!

    Sounds like you got it down. Another really important thing to remmber is to stay as calm as possible, no shouting,yelling that sort of stuff. Mom takes her cue from you and if you want an out of...
  16. PLEASE HELP... starting the night shift

    Congrats cithern on your Night Shift job. everyone has offered a lot of really good advise. You will jsut have to see what works for you and what doesn't. i have worked primarily 11-7 or 7p-7a for...
  17. What is your unit's Uniform Policy

    Our unit has done it all. originally, when I started 20+ yrs ago we had to were scrubs provided by the hosp, change when we got there and change B4 we went home. We had the designated color scrubs,...
  18. How many vac "pop-offs" for c-section?

    What is the Ask, Assist ect methodology. where can i go to get info on this. in my practice working with residents that soulnd likea far better way to go than our current "What in the ---- do you...
  19. How many vac "pop-offs" for c-section?

    i would think that 'pop-offs' for a section would be the same for a vag. 3. I wonder what it is with OBs doing a c/s and insist on making the hole too small. It there some sort of competition...
  20. Videotaping during births?

    Our facility does not allow any video of the actual birth itself although after is OK. I have a BIG issue with the gall of some family members who assume that I have no objection to being video...
  21. Lisa Miller's Advanced Fetal Monitoring--worth $300?

    Don't know about Lisa Miller, but if you ever get the chance to take an advanced Fetal monitoring class taught by Rhonds Harwell, run don't walk to sign up for it. She is phenomenal! She was an L...
  22. I think no mater what your choice is, your employer would have to let you go if you won the Lotto because of your liability. The reason nurses don 't get sued is because we don't have enough money...
  23. labor and delivery nurse-patient ratio

    Good luck getting help from another floor. Wehn our unit was not closed we had to go help out PP,NBN, etc and although we could do their jobs not a one of themknew how to labor a pt. It seemeed as if...
  24. Do they turn off the epidural before delivery?

    Turning off the epidural around my facility is usually not done, with the exception of one physician who truns them "down" to half when the pt is 7cm and sometimes has the pt push when not fully...
  25. Watchchild - again

    Watchchild is a computerized charting system for L and D,NBN, and Antepartum units. I have worked with both TraceVue and Watchchild and prefer WC far and above any other system. All system swill...