RNLaborNurse4U

RNLaborNurse4U

L&D

Member

  • Content

    277

  • Visitors

    7,772

  • Followers

    0

  • Likes

    2

All Content by RNLaborNurse4U

  1. Youngest labor patient?

    RNLaborNurse4U posted a topic in Ob/Gyn

    What is the youngest age patient you have taken care of or has b een on your L&D unit? I was floored the other week when we had a 12 year old in labor. Yes, 12 years old. Merely a baby herself,...

  2. 20 wk fetus, prom

    RNLaborNurse4U replied to Minou's topic in Ob/Gyn

    Sounds like she needs transferred to a higher level facility with a level 3 nicu. We get pts transferred in to us all the time (via helicopter/ambulace) from other small hospitals sometimes hours...

  3. How attentive should L&D nurse have been?

    RNLaborNurse4U replied to joyful nurse's topic in Ob/Gyn

    There are multiple things - did she have an epidural in place? Was this her first baby? How busy was the rest of the L&D unit that night? How many other patients was that nurse caring for? Do...

  4. Are unnecessary c-sections on the rise?

    RNLaborNurse4U replied to TNT2's topic in Ob/Gyn

    Smiling blue eyes -- I agree with everything you have said. My biggest pet peeve, and one of the contributing factors to the ever-rising c/s rate is the "macrosomic/LGA" babies, or even having the...

  5. Do you cover your C/S tables ?

    RNLaborNurse4U replied to nursecld's topic in Ob/Gyn

    Nope, rarely a problem. And it's usually not an extended period of time anyway. Why do you want to know what hospital I work at? I hesitate to give out info that personal on here. Jen L&D

  6. Do you cover your C/S tables ?

    RNLaborNurse4U replied to nursecld's topic in Ob/Gyn

    In my hospital - Once a C/S table is opened, someone needs to stay in the room with it. It cannot be covered, nor can the room be left unattended. I work in a large teaching facility, where we do...

  7. When is FHR too high?

    RNLaborNurse4U replied to healingheart's topic in Ob/Gyn

    What about mom's WBC? GBS status? How long the fetal tachycardia has been occuring? Has the heartrate been steadily rising? Primip vs multip? Dilitation progress of labor? Have fluid boluses,...

  8. Frustrations about L&D nursing

    RNLaborNurse4U posted a topic in Ob/Gyn

    What are some of your frustrations about your job in L&D? For me...I can list quite a few, but I'll keep it simple: 1 - Triple and quadruple charting - more time spent on paperwork/computerized...

  9. Thumb sucking adults

    RNLaborNurse4U posted a topic in Ob/Gyn

    I have to say, this is the first time I've seen this in an adult. I recently took care of a G3P2 at time of delivery and immediately after. She was in her mid 20's and was sucking her thumb and...

  10. Pregnant women with psych issues -- when do they get their baby?

    RNLaborNurse4U replied to Lawnurse's topic in Ob/Gyn

    So, according this hypothesis, I should have stopped taking zoloft while pregnant with my last child, and have suffered the consequences of my depression and possible suicidal ideation, in order to...

  11. Favorite part of L&D Nursing

    RNLaborNurse4U posted a topic in Ob/Gyn

    On to the positive....what is the best or favorite part of your job in L&D? For me, it's definitely the pushing and delivery stage! I am honored and blessed to be able to help women deliver their...

  12. Stirrups? WHY???

    RNLaborNurse4U posted a topic in Ob/Gyn

    There is a doctor that I work with....he likes to break the bed, use stirrups, vacuum and fundal pressure (ugh) on every single delivery. No matter if she's a primip or grand multip....

  13. Stirrups? WHY???

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    And this is exactly why I advocate for my patients. They would be appalled if they knew that this was "routine" for this doc to do stirrups, vacuum and fundal pressure (and oh yeah, usually a big fat...

  14. Stirrups? WHY???

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    Yes, it's been brought up. We're with a temporary perinatal director right now, til we get a permanent one to replace the one who left in December. I need to make a big stink again about the fundal...

  15. Stirrups? WHY???

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    Yes, I know - all I can do is just document, document, document, when he does use it. And also try and get the patient pushing so much and having the head down so low that he has a 'precip' delivery....

  16. Stirrups? WHY???

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    Good question.....probably doctor's preference.....even though my epiduralized patients usually end up with a pillow under their hip at delivery - I conveniently "forget" to remove it when I get them...

  17. Keeping track of how many.....

    RNLaborNurse4U posted a topic in Ob/Gyn

    Do any of you keep track of how many deliveries you attend? I decided this year, as my new year's resolution, to do just that. But, because of liability concerns, I keep only the basics in a little...

  18. ? about birth control ?

    RNLaborNurse4U replied to Deb123j's topic in General Nursing

    I second this entire reply! Though, my insurance did pay for my IUD (both times I had them). They are fantastic! My periods are a bit heavy, and I sometimes get wicked cramps, but that's not really...

  19. Question about initial glucose test for gestational DM?

    RNLaborNurse4U replied to Burnt Out's topic in Ob/Gyn

    For my last pregnancy, I opted to have an early 1 hr GTT at 16 weeks (once my morning sickness subsided). My risk factors for GD include obesity, strong family history of diabetes, and I have...

  20. What would you do (PACU)?

    RNLaborNurse4U replied to pebbles1977's topic in PACU

    I would not leave the fresh c/s patient in pacu to get the med. You need to insist that your charge nurse or another nurse either come watch the patient while you get the med, or she gets the med...

  21. Epidurals: to Dose, or Not to Dose?

    RNLaborNurse4U replied to 4Blessings's topic in Ob/Gyn

    The anesthesiologist sets up the pump, delivers all boluses (even re-boluses/re-doses), primes the tubing. The only thing we can do is change the bag (and also change the pump setting to read a new...

  22. Have you guys had to do ABs?

    RNLaborNurse4U replied to pebbles1977's topic in Ob/Gyn

    I work in a very large teaching hospital, in an inner city, and we provide AB services in the 2nd trimester (up to 24 weeks, I believe). We have a clinic who does the 1st trimester AB's. We also have...

  23. Med Errors

    RNLaborNurse4U replied to UM Review RN's topic in Patient Medications

    I work in L&D. We kept our premixed pitocin and magnesium sulfate bags right next to each other on a shelf in our med room. Both are 1000cc bags. A very seasoned nurse grabbed a bag of pitocin...

  24. "upping the pit" with regular ctx's

    RNLaborNurse4U replied to emilyriv34rn's topic in Ob/Gyn

    What is your policy & protocol on pitocin for your facility? Always know and go by that. As for the doc pushing you to up it when your pt is having UC's q 1-3 minutes - remember, YOU are...

  25. Quick question regarding pitocin...

    RNLaborNurse4U replied to Mermaid4's topic in Ob/Gyn

    We have just started using premixed pitocin bags from an outside source (yesterday they were stocked on our unit). After reading about others' experiences with premixed pitocin, I'm very wary of the...