feebebe23 replied to aimeeinorbit's topic in General Nursing
Ok so in the post about the C/S patient.... She signed the blood refusal form....did she have an advanced directive that states her family/spouse could make that decision...I am just confused leagally...
the local medicaide clinics and county hospital prenatal clinics do not sono their patients with out a clinical indication.....so a routine pregnancy measuring well does not get a sono....so when they...
As an L&D nurse I have chosen not to participate in terminations. I am in no way being judgemental to those who do.....this is just my personal and professional decision. I have never had a...
This is always a difficult situation for anyone....I appreciate all the comments and opinions. Any patient who has made this difficult choice is always looking for validation and reassurace....who...
We have 1 doc that uses prepidil.....he places it himself at 0700. And yes I am sure he puts it INTO the cervix as opposed to behind it. 9 times out of 10.....they deliver by 1200. Our policy...
Suesquach..... In the origional post.....the patient was 19 weeks sromed and the baby had a heartbeat. The MD consulted with the patient on all her options....likely outcomes...bestcase/worstcase...
Thanks for all the responses.....I agree I am there to provide a service and not to be judgemental.....I just don't want to be a position to unintentionally offend.....as I would never be...
I love hearing all the nursing stories out there..... A while back I had a patient come in 33 weeks c/o vag bleeding. reactive strip...abruption pattern....bedside sono....40%abruption. The pt spent...
I have heard that standing orders are now a no-no per JAHCO. However, I now work at a new facility and they have standing orders from all the docs. I work in L&D so having routine standing...
feebebe23 replied to aimeeinorbit's topic in General Nursing
I have decided to start a new religion....it is called NURSE-WORLD!! A new world order for nurses!!! The doctrin is still in development....but here is what I have so far... 1. All nurses are GODs we...
My advice....when you have a primip who "thinks she might me in labor" and "is not sure if I am having contractions or not" when you can't find the cervix....keep going. It is located somewhere near...
casi... A year or so ago some mom in another state...not sure what state was told she needed a c/s. She refused, left ama, came back a few days later with 1 dead baby. (it was twins, 1 dead 1 not) She...
feebebe23 replied to aimeeinorbit's topic in General Nursing
the doctor's group would not refuse to accept a drop-in patient that was JW....they would refuse to accept a private patient..... from what I have been told....a doctor can refuse a private patient...
feebebe23 replied to EDValerieRN's topic in Emergency
I was told by an ER nurse once that if a patient has a court date, or meeting with his/her probation officer and can produce some evidence (i.e. discharge instructions) that they were in the...
Maybe I just don't understand EMTALA..... If a patient shows up at triage and states she wants a pregnancy test... are you bleeding? NO Cramping? NO do you have any other complaints? NO then why...
feebebe23 replied to aimeeinorbit's topic in General Nursing
Now that we are having this discussion.....I have a few questions that I would like to throw out there.... This is a story from a long time ago.....before HIPPA enter out daily lives. Pt comes in to...
OK here's my question. Sunday night....no laboring patients. After 2100 very likely to have no patients at all. We had a scrub tech who had signed up to take call (lives less that 5 min from...
Everyone told me it would be 2 years before I felt good and confident....I didn't believe them. I considered myself a fairly bright and intellegent person. BTW I work in L&D. So I go through by...
RNINWCH.... I agree with you...If I did not have central monitoring....I would not put someone on cont. efm unless necessary.....and then they should be 1to1....for the reason you stated.... I work...
I could not imagin not having central monitoring....ahhhh And I agree sometimes you do pick up mom not baby with a mom moving around alot. And yes.....babies decel all the time when no one is...
once I had a precip nurse delivery.....i was lucky this was a wonderful doc and he was joking with the patient about all the red lights.....when I smiled and told the doc apgars 9/9 he told me that...
My comment to EDEN..... I completely agree with you. I know that there is not evidence based practice that states continious efm decreased bad outcomes. I know this.....but have you ever seen a...
Maybe some texas nurses can tell me......I am an L&D nurse....not nursery. But I have been told that a mom CAN NOT refuse erythromycin eye drops. There is not waiver of refusal. When a patient...