lmc512

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1. Finding the right words...

   lmc512 posted a topic in Ob/Gyn

   I have been a nurse for 7 years now and still feel like I have not found the right words to tell a new mom that breastfeeding is not her baby/babies best option right now (after multiple attempts and initiating pumping of course). I have been present...

2. TC bili meters

   lmc512 posted a topic in Ob/Gyn

   Just wondering if anyone else uses the TC bilimeter, BiliCheck, with the disposable tips you calibrate each time? If so, when you do your test, do you lift the meter in between each of the 5 readings or do you just press softly enough to get the gree...

3. What's the weirdest baby name?

   lmc512 replied to teresab_2000's topic in Ob/Gyn

   LaNausea

4. How often are your postpartum vital signs and assessments?

   lmc512 replied to babyktchr's topic in Ob/Gyn

   Once our patients get to the postpartum floor we do Vag. deliveries on admit then again in 4 hours then it is once a shift (so basially Q12), the same goes for assessments. For C/S they get vitals on admit, then Q4hr X24hrs with resp rate Q2hr if the...

5. Recovering newborn in OB PACU???

   lmc512 replied to KimBicRN's topic in Ob/Gyn

   We do about 12,000 deliveries a year. Both Vag and CS babies stay with the mom the entire time unless they need to go to NICU. There is a nurse in the PACU that is a NICU nurse and is assigned to the role of NRN (neonatal resource nurse) for that par...

6. Alaris pca pump...most annoying IV pump ever!

   lmc512 posted a topic in Ob/Gyn

   I am just wondering if anyone else despises the Alaris IV pump...specifically PCA...as much as I do. What a totally obnoxious invention. Today I was trying to start a PCA on my pt....so I get the PCA channel and attach it to the "brain" and I'm good ...

7. true or false?

   lmc512 posted a topic in Ob/Gyn

   At my hospital recently a lot of staff in all departments, not just OB, have been getting canceled or floated due to low census. One unit last week had an estimated 60 cancellation/floats in one week. The hospital says this is due to the "downturn in...

8. don't call me dumb...

   lmc512 posted a topic in General Nursing

   But I have general questions about various PIV's and central lines and who puts them in and takes them out and where exactly are they going etc... What is the diff in an EJ, IJ, triple lumen, central line, PICC and what are the most important things ...

9. postpartum/couplet staffing ratio

   lmc512 posted a topic in Ob/Gyn

   I am curious to know what everyones nurse to patient staffing ratios are on the postpartum floor. Does your unit consider mom and baby seperate patients when counting patients or do you consider a "couplet" to be one patient for staffing purposes. W...

10. Strangest thing taken from ER

    lmc512 replied to cookienay's topic in Emergency

    this is not from the ER, but i work in OB and i have had a pt take the hospital breast pump home (the kind that is on a tall rolling poll), and also someone took the mattress out of a newborn crib. Also a few clock takers i think. Oh yeah, and severa...

11. Improper intubation

    lmc512 posted a topic in Ob/Gyn

    I am interested in your thoughts on this... Pt. is a G5P5, has stat section for fetal distress under spinal, spinal stops working when they are closing and pt is intubated and put under general. Pt desats soon after intubation and drs think PE, AFE, ...

12. They sent us a 1 week postpartum pt...we do openhearts!

    lmc512 replied to MIRockstarRN's topic in General Nursing

    if she is already 1 month PP then there is nothing really "OB" in my opinion that you would need an LDR nurse to do. her fundus would already be contracted down too far to palpate and her vag bleeding would be basically done. now imagine the tables t...

13. Preparing for NOC shift

    lmc512 replied to HeartsOpenWide's topic in General Nursing

    for me personally, I have found that not "overanalyzing" working night shift has helped a lot. At my first job I work majority day shift with a few weeks of nights thrown in there and of course I was really ticked about doing nights. I would put a bl...

14. Floating and C Diff, MRSA etc.

    lmc512 replied to magz53's topic in Ob/Gyn

    So what do you do when it is the postpartum pt that has the MRSA? Heck we get off service with MRSA, VRE etc on our mom/baby unit and one nurse can have thosee isolation pts and healthy mom/babies at the same time. I used to work at another hospital...

15. Expected lab results for Pregnancy/Labor/Postpartum?

    lmc512 replied to BBQvegan's topic in Ob/Gyn

    For postpartum we mostly are looking at CBC's specifically WBC, H&H, and Platelets. WBC's are generally elevated from the trauma of delivery, i would not worry about them unless they are over 20 and the pt has a fever, not concerned about H&...