vandermom

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

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 frequently.

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 were getting conflicting info from other docs that frightened the pt who had PICC removed. Now we are back to trying to find IV sites every few days. Opinions on the PICC lines and/or treatments that will help her get to term with a healthy baby.

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 fluids and Pitocin while Doc is being called.

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 also.

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 patients are opposite sides of the same wall. Intercom sounds vibrate in the wall of the other room. Lights out in the halls by about -2100. Labor visitor restricted from gathering in the hallway outside a room.

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 (meconium, gest diabetes, prematurity etc) then a pediatrician is present.

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 no

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. Again if pt has made mention of this fear offer an enema. As fara as taking care of the stoll during pushing is no different than keeping dry pads under them except you swipe the anal area to clean off the stool before discarding. As stated by little_babycatcher it is a good indicator that she is pushing well.

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 developed bad habits. You never know what will happen on your shift, you have to be ready for anything and everything because it may come through the door. This is the only place you deal with a patient and depending on your expertise can change the life of another patient waiting to arrive. Jump in and learn because what you learned in nursing school is the tip of the iceberg. Good luck. p.s. I totally agree with travelingdorsey nights is the best, way more laid back. Hint for working nights you must darken your room for daytime sleeping (mine is almost as dark as a cave) run a fan or other white noise and don't drink a lot of caffeine during your shift.

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. Give the babe time to rest between suction methods.

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 it.

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 trickery.

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 there are some VERY GOOD LPN's and some VERY BAD LPN's just as there were great RN's and bad BSN's and vise versa. What a good LPN lacks in formal education she can more than makes up for in her caring patient care and unofficial assessment skills. For example an LPN who recognized a crashing pt alerted the code team and did all that was needed while awaiting the arrival of the team. Where was her RN "in charge"... snoozing in the bathroom and was unaware of the calamity on her unit for 30 min. (she's now unemployed). Or how about the LPN who taught the BSN in charge how to put in a foley. She had learned about it in school but never had the chance to actually put one in. In the last 36 years there has been several initiatives to get rid of LPN's or diploma RN's so that health care in hospital was all BSN and ASN or higher. Each time it does not get off the ground. Why? Because hospitals have found the the LPN is a valuable asset to the health care TEAM. In today's DRG's etc for payment for care there has to be a team otherwise the hospitals would all be broke. Many hospitals are walking the very fine line between financial solventcy and closing beds. I worry about what will be available for my children when they reach retirement.

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 cutting costs they are risking your licence by not providing safe staffing levels.