nurseynightnight

nurseynightnight

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  1. Tips for learning vag exams

    Howsoon that is where i learned sooooo much about my body/cycles! I LOVE that book!
  2. Tips for learning vag exams

    Hey dianemiller You don't have to be flexible or thin to do this. Just reach in with 1 finger and you will feel something that should feel firm and about as long as half your finger. It may sound gross but it is almost like the head of a penis (but...
  3. Does working L&D make you want more babies?

    Working L+D has made me want to have more babies. I have 4 and am trying to convince hubby we need another. I miss being pregnant, going through labor (I know I am crazy!) and miss breastfeeding and just that yummy newborn stage. I think my "baby...
  4. Tips for learning vag exams

    its ok if you don't like the idea of it passionflower. It is a good example of a cervix not in labor though. I got a lot of practice while i was trying to have a baby and was charting my cycles and monitoring my cervical position/mucous etc... So ...
  5. Cytotec and fetal monitoring

    We use cytotec for most of our inductions. 30 minute strip then they can be up and monitored 20 minutes out of every hour. we give 25 mcg vaginally every 4 hours up to 4 doses.
  6. Tips for learning vag exams

    it is sad to me that you "passionflower" feel it is "yuck" to check your own cervix but you will have to check complete strangers daily at your job. There is nothing wrong with knowing your own body and it will give you a great example of what a thi...
  7. Tips for learning vag exams

    My advice has always been to check your own cervix.
  8. March of Dimes: Less than 39 weeks

    We have had a standard of NO social inductions before 39 weeks for at least 1 year at my hospital. I was so happy to see that implemented b/c i have never been a fan of social inductions. On rare ocassions (husband being deployed) have i understood...
  9. How much does an IBCLC make?

    our lactation consultant makes less then the floor staff. she is not a nurse so i don't know if that will make a difference or not.
  10. L&D Nurses: What's in your pockets?

    2 pens, report sheet, few alcohol wipes and that's it! now i usually end up with 3 or 4 pens, and an empty vial of tdap or terb and sometimes another piece of paper if more patient's came in for me.
  11. HIPPA Violation?

    I think a lot of lay people don't realize that we (nurses) aren't supposed to walk around talking about other patients. I had a father of a new baby ask me while walking down the hallway "hey what is the ladies name in that room?" I simply said "...
  12. Phone calls

    We have a phone log for labor/delivery/pregnancy questions. We always welcome the mom's to come in for evaluation but do have some guidelines to follow. Like come in when in active labor (then give them signs of that) any question of ROM come in no...
  13. Postpartum comfort

    We also use peri pads cut up then rinsed in water and frozen. We call them "Fish sticks." We also have the fancy twist and break the seal cool peri pads but usually only use those right after delivery and then go the less expensive "fish sticks" la...
  14. Please tell me about on-call time

    At my hospital being on call means you are losing one of your normal scheduled days b/c of low census. We do not have to sign up for extra time and lately have been losing it. We get 1 1/2 hours of pay if on call for 12 hours. If called in we get t...
  15. Wide range of epidural rates for use with PCEA

    We use 14-16 ml/hr as a basal rate. Our PCEA doses are 4-5 ml boluses every 20-30 minutes depending on the doc. So 8 ml/hr seems pretty low to me!!! How do the patients do with that??? I have never had to call a doc back with the dosages we use...
  16. Infection control guidelines in LD/NSY/PP

    Can I just say Wow!! Your policies sound great!! I will say our nurses/hospital is much more relaxed. We hold babies and feed them in our scrubs, we use the same stethoscopes on all of the babies (clean with alcohol), and use a thermometer with di...
  17. pain med...

    We use fentanyl only. I have heard of stadol being used at my hospital and rarely nubain but for the most part fentanyl 50-100 mcg every 30 minutes.
  18. Time: in room to epidural?

    It usually takes us at least an hour. By the time someone comes in, assess dilation, call Dr. or MW for admit orders, start IV/bolus, wait on lab results then call anesthesia. I work night shift and they are not in house 24/7 at our smaller hospita...
  19. L&D ladies who work nights...

    I have been working nights for almost 6 years now. I have 3 children with #4 on the way. I have been doing a weekend option for the past 17 months. So switching is easy on my 5 days off. Now before that I worked 2-4 days in a row (6 or 7 days in ...
  20. Funny OB things people say

    We had a patient that was going to bring in her mucous plug but said she couldn't because her cat ATE it!!!!!!!!! All of the nurses at the desk started laughing and she was totally serious and actually said "it's not funny." But it sooooo was!!!!
  21. Postpartum admission criteria

    My answer may be a little different than others since I work in a smaller hospital. Our nurses do antepartum/labor/delivery,postpartum and nursery. We are all one unit. But having said that we do have some restrictions. We do not take anyone under ...
  22. Cut Staffing!

    We only staff with 2 nurses if our patient census is low. Now this is usually 1 RN and 1 LPN. Since our LPN's have to be in house as our night OR scrub nurse. So that 1 RN has to take ALL of the outpatient's that walk through our doors. If she b...
  23. Licensed Practical Nurse in the Delivery Room?

    We use LPN's at my hospital but not as labor/delivery nurses. They scrub in for any c/s we may have. They also work postpartum. So they can take a couplet (mom and baby) and do all of their care. They also "catch" babies. So they come into the r...
  24. Does your ob unit provide you with scrubs?

    We are provided scrubs. And they aren't the same ones used in OR. We have special OB only scrubs so patients can tell us apart from other personnel in the hospital. For safety reasons. I would hate to have to wash my own scrubs. YUCK!!! After...
  25. Silly Question

    I tend to say "girl" not lady. Don't ask me why... Like "my girl wants her epidural now." Or when talking to another nurse "what is your girl dilated to?" I also refer to room numbers when we are talking to another nurse. Like "your patient in 164 w...