vandermom

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 fr...

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.

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.

Developing the ability to dictate fast is impressive( though I'm not sure how the transcriptionist feels). PLEASE DO NOT use that skill when you give me telephone orders. I need clear precise orders with all the parameters (drug, dose, route, frequen...

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. In...

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 pe...

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 e...

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...

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 metho...

Lately it has not been the weird names but the strange spellings of common names... Jaysyn for example... I keep my mouth shut when I want to say... do you want ppl pronouncing and spelling your childs name incorrectly for all of his life????

Fill the "RED BAG" with non truly biohazard waste. It is not necessary to place every chux or dressing in those containers... they should soaked to qualify (known infectious excluded). If a red bag is he closest thing available then it is used fo...

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.

Along the stupid line.... We have family doc who delivers babies in our small rural hospial. After seeing one of our "challenging" frequent flier patients he came out into the nurses station with a very perlexed look on his face. After a few second...

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 LP...

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 no...

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 things go wrong they go wrong fast and youneed adequat...

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

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 that anything can and does walk through the door at a...

A well deserved honor.

or afterwards!!!!

You gave that family a priceless gift. Hospice nurses can make the passing of a love one less painful. Thank you for doing what I never could.