vandermom

vandermom

L&D, NICU, PICU, School, Home care

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All Content by vandermom

  1. 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...

  2. 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

  3. 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

  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...

  16. AWHONN Staffing Guidelines Please check this out:

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    NYS title 10 code 405.21 has all of our requirements for perinatal services. There is a lot to slog trough but it is there that RN for mom and RN for baby. It only makes sense cuz you know when...

  17. AWHONN Staffing Guidelines Please check this out:

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    New York. NY health dept reqires one RN for mother and one RN for the baby at the time of

  18. AWHONN Staffing Guidelines Please check this out:

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    Our hospital always has 2 OB nurses in the building no matter what the census. The second my be on another unit as helping hands but readily available to return to OB. You are completely correct...

  19. What's changed in the last 10 yrs in L&D?

    vandermom replied to Salgal08's topic in Ob/Gyn

    I came back to OB after almost 20 years and surprise babies still come out the same way!! Just not as many of them. One of the biggest changes I have seen is the size of the babies and their...

  20. Stirrups?

    vandermom replied to CEG's topic in Ob/Gyn

    Most of our pt deliver with bed broke down and foot rests up. Not the traditional stirrups just foot rests. Most push until crowning before going into delivery position. Some family practice...

  21. Methotrexate for ectopic pregnancy

    vandermom replied to cubbynurse's topic in Ob/Gyn

    Never used methotrexate here for ectopic. NY does not allow any patient getting chemo to stay on an OB unit. Can't imagine what chemo given to pregnant woman that would not harm the growing

  22. efm during an epidural placement ?

    vandermom replied to maxienurse's topic in Ob/Gyn

    We specifiacally consent for "Labor Epidural" If baby is reassuring then I turn off the recorder and document what is happening on the strip (love the keyboard) as much I can while holding the patient...

  23. L&D nurse is calling formula poison!!!

    vandermom replied to hotmama2be's topic in Ob/Gyn

    I breast fed all of my boys (4) for varying lengths of time (their choice not mine). I have worked in OB starting when BF was rare and currently where all are encouraged to BF. The key word there...

  24. do you allow visitors to leave or enter a delivery room during a delivery?

    vandermom replied to mangorita123's topic in Ob/Gyn

    We have no set number of visitors for delivery. It is at the discretion of the MD and pt. (sometimes the entire village is here it seems). Once the table is opened then they must stay at the far...

  25. Learn To Say It Correctly!!

    vandermom replied to SheriLynnRN's topic in General Nursing

    Here is one I have heard only in upstate NY. In response to someone saying something like " I like ice cream" we get the answer "So DON'T I". No one would think that person did not like ice crean...