vandermom

vandermom has 42 years experience and specializes in L&D, NICU, PICU, School, Home care.

Latest Activity

1. Hyperemesis Gravidarum PICC line

   vandermom replied to vandermom's topic in Ob/Gyn

   Do you know if they ever do subq raglan. It seems to work better for

2. Hyperemesis Gravidarum PICC line

   vandermom replied to vandermom's topic in Ob/Gyn

   The doc told her they would cause clots that could she or the baby could die. She was home with the PICC still needed to come to hospital but much less

3. Hyperemesis Gravidarum PICC line

   vandermom posted a topic in Ob/Gyn

   Pt with horrible hyperemesis still at 31 weeks. Lytes (esp potasium) abnormal. IV sites are non existent so PICC line placed. She did better when able to get meds before emesis gets worse. We...

4. post partum hemorrhage medications

   vandermom replied to LnDPPRN's topic in Ob/Gyn

   We have 2 PPH "kits" available. One in med fridge and one in tackle box with all admin supplies. Often the Doc is gone 30min after the delivery (small rural hospital). We start treatment with...

5. Any tips for "spasmy" veins? Also, PIVs on chemo pts?

   vandermom replied to RunBabyRN's topic in Infusion, Intravenous

   Where has this video been for the last 42 years. We use 18 gauge 1 1/2 inch and valves are a HUGE problem. Thank you so much for sharing and I'm sure my next patient will

6. Quiet initiatives - what has worked for you?

   vandermom replied to thisistheday's topic in Critical Care

   I work on a small Birthing unit. We cancel call bell in the station immediately then walk to the room. Makes for less noise in the hall and no echoing voices in the room especially for room that the...

7. Charge and Resus --How does your facility do it?

   vandermom replied to HopefulRN2010's topic in NICU, Neonatal

   We are a small rural hospital with only a level one nursery. All of the OB nurses are NRP certified and there is an RN dedicated to each delivery vag or C/S. If there are any risk factors present...

8. Nursing Salary Survey 2014

   vandermom replied to TheCommuter's topic in General Nursing

   Upstate New York 27.50/ hr OB all aspects RN Diploma in Nursing / NCC certification EFM 42 full-time 7p - 7a yes. $1.25 from 7-11p then 1.50 11-7a

9. Patients Passing Stools During Labor

   vandermom replied to MichaelBasic's topic in Ob/Gyn

   If you have a patient who is often verbalizing she hopes she doesn't poop pick up on this anxiety and offer her a fleets enema. Sometimes, when doing a vag exam, you can feel stool in the rectum....

10. Anyone here start in OB as new grad?

    vandermom replied to brittykbritt's topic in Ob/Gyn

    Ok... 41 years later I am still an OB nurse. Started as a new grad in 1972. I orient new staff on the night shift and love new grads. They are usually hungry to learn and most of all have not...

11. mother-baby RN role in infant suctioning

    vandermom replied to Awhonnwishes's topic in Ob/Gyn

    Immediately after suctioning is not really the best time to check a O2 sat. Give the babe a minute to recover. You can listen to each nostril to evaluate airflow and use a #10 to suction a blockage....

12. Has Anyone Ever USED Their Malpractice Insurance?

    vandermom replied to pagandeva2000's topic in General Nursing

    I have had NSO insurance since 1969 when I entered nursing school. Lucky enough (and careful to CYA) to never need it. Feel great knowing that it is there should I need it. I don't broadcast I have...

13. Was this ethical?

    vandermom replied to animal1993's topic in General Students

    Based on new info I say not ethical. A MS pt being fed is taking control where they can. A mental Health referral is in order but not

14. "LPNs should be done away with altogether"

    vandermom replied to missjennmb's topic in LPN, LVN Corner

    Working in various nursing fields for 36 years has given me a look at the LPN/RN debate many times. It rivals the RN (diploma) vs ASN vs BSN that has also occurred during this time. In a nut shell...

15. AWHONN Staffing Guidelines Please check this out:

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    We are very small also (less than one delivery/day average). We have 7 beds in the main unit with 4 beds for overflow when disaster strikes and we have a baby boom. Keep in mind that while they are...