lmc512

lmc512

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All Content by lmc512

  1. 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...

  2. 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...

  3. 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...

  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...

  5. Recovering newborn in OB PACU???

    lmc512 replied to KimEveRN'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...

  6. 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....

  7. 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...

  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...

  9. 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....

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. wrong route phenergan?

    lmc512 replied to cybernurse614's topic in Patient Medications

    I might have missed something, but just tonight I have given several doses of IV Phenergan 25mg to various patients. As for using a needle to inject into the port, there is nothing wrong with it other...

  16. Newborn temps

    lmc512 posted a topic in Ob/Gyn

    The temp policy at one hospital I have worked at was 96.5 or less then baby goes under the warmer and you do a sugar. Otherwise just wrap the baby well and have parents hold. I went by this policy for...

  17. VRE, etc on the floor?

    lmc512 replied to RNBelle's topic in Ob/Gyn

    Our postaprtum unit is also free game for any pt. in the hospital. I hate that. The non-postpartum pts geneally take up the majority of your time on a shift and the postpartum pts that are supposed to...

  18. Newborn blood glucose sticks

    lmc512 replied to queenjean's topic in Ob/Gyn

    The first hospital I worked at, the policy was babies >42 wk, 4200 gms, and Now the hospital I work at now does blood sugars out the WAZOO (spelling?) they do so many sugars i'm not even totally...

  19. Floating=dumping bad patients

    lmc512 posted a topic in Ob/Gyn

    If a mother/baby nurse gets floated to the antepartum/gyn unit what type of pt is an appropriate assignment? Would a pt there for hyperemesis who is on continuous tube feeding, has a PICC line and is...

  20. What is wrong with me??

    lmc512 replied to fancee free's topic in General Nursing

    I definitely know that "totally lost" feeling you have. I agree with the other people that you should maybe try to ease back into the hospital setting as opposed to going straight to the ED. I just...

  21. "Grow a thicker skin!"

    lmc512 replied to elizabells's topic in General Nursing

    I feel your pain. What drives me nuts is when you have experience and you change hospitals and the nurses on your new unit act like you are a total idiot if you don't know how to do something. It...

  22. Floating=dumping bad patients

    lmc512 replied to lmc512's topic in Ob/Gyn

    why not! because I do not take care of those types of pts daily and haven't since nursing school years

  23. Job offer question- help

    lmc512 replied to kendel's topic in General Nursing

    Call HR from the hospital you are interested in and find out the status of your interview. The offer has to come through HR because that is who gives the salary quote. It has been my experience that...

  24. 02 sat and duramorph

    lmc512 posted a topic in Ob/Gyn

    How often do you check a pts 02 sat postpartum that had duramorph during a c/s? one hospital i worked at checked it continuously while the pt was in PACU but once d/c'd to postpartum you only check it...

  25. going to work in post-partum

    lmc512 replied to bailey10's topic in Ob/Gyn

    maybe it just wasn't contracted or the pt was too "plump" for it to be very