RNMom1969

At our hospital, both situations would be considered high risk, warranting continuous EFM. Even if Dr had ordered intermittent, I would consult your standards first. I believe ours states that a pt recieving mag must be on continuous......will have t...

My turn!! My turn!!! Heather......I'm right there with you! Had my first child at 18, my second at 20 (I have 4 all together). Yes, the first was an OOPS! But the rest were planned. I could hear the nurses (and Dr for that matter) talking about me a...

Mark If you're reading this.......ever think about moving to New England?? lol.....I would consider it an honor to work with you! Just in reading some of what has been said here and reading your postings, you sound like a wonderful nurse. Don't let p...

As far as I know, mom wasn't allowed to take baby home. The last I heard, she was trying to leave AMA. I guess after cops and security found the syringes, she got real upset. Got border-line violent too, from what I was told, about having a "sitter"....

Had a pt couple weeks back, FOB was definitely "off". During most of the labor she was appropriate enough.....but we all had suspicions. She began prenatal care at 35wks, she was now 37 1/2. G10P3. Positive tox screen at first prenatal visit. I didn...

I DO agree with you in the respect of advocating for our patients. No, I do not think AROM should be done at 1cm, nor ANYTHING done for doc's convenience. High tech does have it's place, although I prefer natural myself. I guess my point here is do ...

We routinely put 10 units in 500-100cc LR (whatever is left in bag from labor- if there is less than 55, I will mix a fresh bag) and open the fluid, at delivery of placenta, until bleeding is under control. If bleeding is heavy, we will add another ...

At first, I really thought this was a joke of sorts. Obviously not. Yes, I have seen my share of "birth plans" as well. None quite so demanding as this. Most of what is asked here is routine, but I personally have some problems with quite a few items...

Here's one for ya! Had a pt just 2 nights ago.....G4 in active labor. Was going through her prenatal hx with her and she told me "not to worry, this will be a breeze". I told her I was glad to hear that, for her sake. She proceeded to inform me that ...

Hi all! My patient from last night is really stuck on my mind, so I thought I would throw a few things out to you all and see what you think. 24yo G1, 33wks. Breech presentation, history of bicornicate (sp) uterus, 2 cervix and vaginal septum. PPROM...

I agree! counting to 10 is annoying at best........ALTHOUGH...recently I had a patient REQUEST that I count for her.....guess she's been watching "The Baby Story" too! I do have to say, once I began counting for her, her pushes FINALLY became effecti...

Absolutely! You can be pro-life, as I am, and work as an OB nurse. I have no difficulty explaining my stand on the issue to fellow co-workers as well. At my hospital, there are occasionally terminations done between 18-22 weeks. These are ONLY extrem...

At my place, pit is always 10units in 100cc LR and mag 40gm in 1000cc LR. So, 50cc/hr=2gm........opening the pit at delivery is safe and done often here. 30 units in 500? That seems to be an awful lot. Can't say I've ever seen that done here. Many ti...

Fortunately, we have very strict security in place. No one allowed onto the labor floor unless banded. 2 SOP's are allowed in the room........and they may NOT switch off with other family members during the labor. There are, of course, exceptions to ...

Hi all.......just mulling over a few things here and need some feedback please! Last night was a very frustrating night at work......here's the scenario.... My patient was a G2P1, AVBAC. First baby was PCS for failure to progress and fetal intoleranc...

I work at a large hospital (800+ births/month) and LOVE it. I was previously at a smaller (50-100/month) hospital. I found it to be slightly boring. In the smaller, I was split between nursery, postpartum and L&D. I found that frustrating. Here, ...

No AROM for nurses here in Rhode Island either....thank god! Don't we already have enough to do? :) Joyce

Hi all! Got a question about stem cell collection kits...sterile or not? Here's the situation.....last night a co-worker set my delivery table for me. The parents had a collection kit, I believe from a company I hadn't seen before. Anyway, the co-wor...

Hi again! Yes, the more I think about it now, the more angry I become. There was no reason to declare her.....none at all that I can think of.....other than that Dr's own personal agenda. Man, I am so burned up over this one! Some nurses do their ow...

:roll The best advice I can offer....which others have already said....is keep moving, keep moving, keep moving. Changing positions often and letting gravity work for you, instead of against you is such a big help. As long as it's ok medically and yo...

Hi all! Our rate is about 800+ a month....about 10,000 a year. I work in a great hospital and patient/nurse ratio is 1:1. Although some may feel it's a baby factory, we feel stronger for our numbers. We do it, and do it well with a high satisfaction ...