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  1. crissrn27

    Back to work after a loss of pregnancy...

    Elvish, I am so sorry for your loss. You know I lost a little girl in Oct. at 18 weeks so I know how hard it is. I went back to work WAY too soon thinking it would help take my mind off my loss. I think it did more harm than good. I am glad you are doing ok physically. I am 28 weeks pregnant now (with a little boy) and I still tear up when I see a little girl that would be around my daughters age. Take all the time you need to heal and don't let anyone tell you how to act or feel. You have to act and feel the way you do and not the way people want you to, if that makes sense. Let me know if you ever need to talk.
  2. crissrn27

    what can be done????

    Some residents are tricky tricky! I'm not sure how this one LOL I used to have would turn her sensor off and pull her chair alarm off but she did it repeatedly. And fell repeatedly!
  3. crissrn27


    My 12 y/o son has anaphylatic reactions. Back in June he had an episode. I was so shaky and crazy that I accidental injected his epipen into MY thumb, lol. I was a wreck. I can handle minor things but life threating stuff with my kids is a different story! Let it be a stranger and I will calmly go about resus. Its just different with your kids.
  4. crissrn27

    Animosity between L/D & Postpartum

    I always thought this was a nurse thing but my husband works in production and they have the exact same thing with cursing involved! They have the shift thing, and problems between mixing and material handlers and what not. I think its just a people thing. Not that you shouldn't try for the best possible relationships at work!
  5. crissrn27

    In house on call?

    Not sure about the labor laws but I do know if I had to stay in house I would be getting my regular hourly wage..........not on call pay. I wouldn't mind working while there but I'm not wasting 12 hours of my time in house on call, can't go spend time with fam, do all the laundry, etc. No way.
  6. crissrn27

    EMLA Cream with Circs

    If I ever grew a winky and someone wanted to cut it I'd want GA too. Ok, so maybe not. I've had D and Cs with nothing and it wasn't that bad. At the small hospital I worked at the majority did just sweetease. No one did blocks at all. One doc did use EMLA. We would put it in a bottle nipple and apply 45min before procedure. It was better than nothing. This whole experiance is why the little one growing in my belly will remain intact. My other boys were circed because I was young and didn't really think about it and it was just something you did. I don't bash or blame anyone for doing it (parents) but I do blame the peds at that hospital (peds did it there, not OB) for not using something other than sugar water as pain control.
  7. crissrn27

    big babies...

    I had my DS at 10lbs 4 oz over an intact. Maybe I shouldn't tell people that, lol. No GD for me, either. Just big babies.......smallest was 8lbs 10oz. The largest I've seen personally was 13lbs 1oz, mom did have GD with that one. The sickest baby I've ever seen was a 10lbs 36 weeker. We shipped him to a bigger hospital and I often wonder if he made it. He was a sick kid.
  8. crissrn27

    Vaginal Delivery May Be OK After C-Section

    The only rupture I ever saw was in a repeat c-sec. Tiny window with a little finger poking out. Both were fine. She was a 4 timer though. I think the OB strongly rec. no more pregnancies for her. Im so glad ACOG finally got on the boat. On c-sec rate is the craziest thing I've ever seen in the last few years! Wonder how long it will take for practice to catch up?
  9. crissrn27

    tPA Question

    That is interesting. I get them after all the damage is done (SNF), so didn't know initial a CVA wouldn't show on a CT unless hemm. I guess I assumed that a clot or such would show at that time.
  10. crissrn27

    tPA Question

    I don't understand this. Why wouldn't you see the clot on CT regardless of how long it has been there?
  11. crissrn27

    When a baby is born....what does your hospital do?

    I had an 18 week IUFD of my little girl in Oct of last year and I have to say I wouldn't have minded hearing the lullaby. I never went through that intense anger though (or at least haven't yet), so don't know how I would have felt if I was in the midst of that. I was very sad, very much in grief, and I was in the regular L and D unit and heard babies being born all night. I was so relieved that those women had health babies and wished I could have too, but not upset or angry that a baby had been born. So don't think it would have bothered me.
  12. crissrn27

    Silly Bandz Bracelet Trend May Be Dangerous for Kids

    A lot of kids didn't make it through childhood not wearing helmets or seat belts. A lot of those kids are battling cancer now from not wearing sun screen. We have better info now and it saves lives. I think it is good to know these things, so now I can tell my kids "be careful you don't put those on too tight and keep them away from the baby". Now, I agree we shouldn't go into hyperbole and ban them or anything, but the more we know, the more we know, right?
  13. crissrn27

    What's The Weirdest Name You've Heard A Patient Name Her Baby?

    My dad is Stacy and most folks think it is a woman when seeing it in print and can't figure out why Jr. is at the end, lol.
  14. crissrn27

    Could I like OB even if I'm an "all natural" kind of girl?

    Being in your situation a couple of years ago I found that it wasn't the mothers wishes I had problems with, it was the medical staff. They mostly did zero education into the benefits/risk of AROM, monitors, etc. before labor so roughly 75% of the women weren't even given the info they needed to decide what they wanted before hand. Labor is NOT the time to have to make those decisions. Not that they were really given a choice at that point either. The women that did come in knowing what they wanted and didn't want were treated horribly. Made fun of, picked on, and in a couple of cases things were done that they didn't want done even as they were screaming not to do it(b/c the docs were tired of waiting, not b/c babe was in trouble). That was tough. Even if they came in wanting an immediate epidural, AROM, pit, section, etc the above happened. You just couldn't win with some of the docs and nurses. Nothing that the mother chose was right and how dare they come in with any type of plan, etc. Not that every doc or nurse was like that, but enough that it made a huge impact on care. There were some rocking nurses that really advocated for the patients and helped the moms get what they wanted and needed, but that was not the norm. Seemed like fate when I got sick and had to go on medical leave. When I was well enough to go back to work I choose a different specialty. If there was a birthing center near me I so would go back, I really feel like it is my calling. I just had a hard time dealing with all that took place in a regular L and d dept.
  15. crissrn27

    down coding?

    AHHHHHHHHH!!! So what are you guys doing, real practice? At this point I am down coding, and explaining in my raps, but this just doesn't feel right. The system is supposed to work, you do an accurate assessment that portraits the resident, then you do accurate raps, then an accurate care plan. How is that supposed to work when you down code because of a hole but they are really total care, or extensive, etc. We have many holes, I've been there a year and it has not gotten any better. I like the idea of making the ones leaving the holes write a clinical note that the resident was ______ on that day, if they have to do that enough maybe they would just chart. Oh how I wish for Icare or some type of computer charting.