RNLaborNurse4U

RNLaborNurse4U

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All Content by RNLaborNurse4U

  1. Looking for insight/wisdom

    RNLaborNurse4U replied to mcsale02's topic in Certified Nurse-Midwives, CNM

    I would avoid the CPM route because this seems to be the most labile route towards legal midwifery. CNM has a much more stable legal standing. I would go with choice

  2. Refuse to administer abortion?

    RNLaborNurse4U replied to ixchel's topic in Certified Nurse-Midwives, CNM

    Yes, CNMs can provide medical abortions (in some states - check your state regulations). Medical abortions are the oral medications to induce abortion in the first trimester. Surgical abortion...

  3. more meconium???

    RNLaborNurse4U replied to babyktchr's topic in Ob/Gyn

    Can't say that I've seen in increase in mec at all. We have the "no inductions under 39 weeks" rule as well. However, some docs will find *some* obscure/ridiculous medical reason to induce before...

  4. "Hidden" cameras on the floor--do you have them??

    RNLaborNurse4U replied to linzjane88's topic in General Nursing

    We have cameras all over the place - especially on L&D, postpartum, NICU, ER, and the entrance to the hospital. Oh, and in all of the elevators, and in the stairwells. I work L&D, so the...

  5. Chorio s/s

    RNLaborNurse4U replied to MKS8806's topic in Ob/Gyn

    An admit WBC of 25 is NOT normal for labor. Even if she is in an advanced stage of labor upon presentation. WBC in labor does gradually rise (to the teens), but doesn't have the abrupt rise as it...

  6. Delivery Pitocin

    RNLaborNurse4U replied to rntmo95's topic in Ob/Gyn

    We use 20 units pitocin in 1000 cc LR. That is standard, for everyone. That is used for induction/augmentation during labor, then as a bolus after placenta for 3rd stage management. If no risk...

  7. Chorio s/s

    RNLaborNurse4U replied to MKS8806's topic in Ob/Gyn

    Elevated WBC and non-reassuring FHR tracing were the red flags. Might be early onset GBS infection (possibly transmitted before labor, with intact membranes). Those kids get sick and fast. What was...

  8. Dilaudid anyone?

    RNLaborNurse4U replied to PintheD's topic in General Nursing

    This is why I get a nurse witness immediately when I go to pull a controlled substance (ampule) and find the amp in the drawer - broken and spilled of it's contents. Happens more often than I would...

  9. Want some info @ high risk antepartum units

    RNLaborNurse4U replied to altomga's topic in Ob/Gyn

    We have separate units -- L&D: triage, labor, birth, high risk antepartum patients that are unstable or require continuous fetal monitoring. Also high risk postpartum patients on magnesium or s/p...

  10. Labetalol policy for PIH

    RNLaborNurse4U replied to anggelRN's topic in Ob/Gyn

    We do a minimum of 2 hours continuous EKG monitoring when giving Labetalol IV push. That's two hours after the last dose is given -- so if I give several doses, it starts before I push the first...

  11. How to handle particularly pushy/picky/questioning family members

    RNLaborNurse4U posted a topic in Ob/Gyn

    I have noticed, from time to time, there will be that *one* family member who will question your each and every move with a client. They question --- EVERYTHING. They challenge you on EVERYTHING....

  12. Why is unionization a subject of taboo??

    RNLaborNurse4U replied to wanderlustRN24's topic in Collective Bargaining, Union

    AMEN AMEN AMEN!!!!!!!!!!!

  13. How to handle particularly pushy/picky/questioning family members

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    So help me, sometimes I just want to smack the family/friends who are more of a nuisance than anything else. But I hold back on that urge. I'm a professional, after all!

  14. How to handle particularly pushy/picky/questioning family members

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    She never stated who she was, nor did I ask. She was about the same age at the patient, so I was assuming she was either a sister, cousin, or

  15. Patient teaching speeches

    RNLaborNurse4U replied to srRN912's topic in Ob/Gyn

    I have my own little spiels for different things: epidurals, pitocin induction/augmentation, prostaglandin gel induction, cytotec induction, how to push, hospital policy of non-separation of mother...

  16. Would keeping my own birth book be a HIPAA violation?

    RNLaborNurse4U replied to somedayCNM's topic in Ob/Gyn

    I did an experiment once: for about 6 months, I created a birth log similar to this. I only wrote the date, gender of baby, and vag vs c/s birth. This was simply to look at the stats of my own birth...

  17. 22 weeks on a cardiac floor.

    RNLaborNurse4U replied to raskol's topic in Ob/Gyn

    And just FYI - we HAVE stat sectioned women who were abrupting, and were thought to be 24+ weeks, but then when the infant is delivered, it physically measures to be 22-23 weeks or less. How awful is...

  18. 22 weeks on a cardiac floor.

    RNLaborNurse4U replied to raskol's topic in Ob/Gyn

    22 weeks is iffy. 23-24 weeks is viability. To be honest, we would not resuscitate any baby under 23 weeks. 23 1/7 to 23 6/7 weeks (must have FIRM dates to determine this) is the very gray area of...

  19. Any nurses understand how isolating infertility is....

    RNLaborNurse4U replied to JacknSweetpea's topic in Ob/Gyn

    I work with several nurses on labor and delivery who have battled infertility. One nurse, despite all testing, was never able to conceive. She and her husband ended up adopting not one, but two...

  20. Internal Spiral Electrode during Pushing

    RNLaborNurse4U replied to nkochrn's topic in Ob/Gyn

    If anything, an FSE is the MOST reliable method of determining FHR during pushing. You have a continuous tracing of the FHR. Decels during pushing is completely normal from head compression d/t...

  21. Call Pay and Specialty Pay

    RNLaborNurse4U replied to untamable07's topic in Ob/Gyn

    350-400 births per month. No specialty pay. No being pulled to other floors - EVER. On call time is voluntary, none required. If you sign up for call, it's $2/hr for call time. If called in, you...

  22. CNM Advice Needed for Frontier Midwifery Program . Please Help

    RNLaborNurse4U replied to lmazz's topic in Certified Nurse-Midwives, CNM

    Regarding CNEP clinicals - you can do no more than 32 hours per week of clinical time. So, I would imagine, you could still work FT (40 hrs) per week, plus clinical time per

  23. CNM Advice Needed for Frontier Midwifery Program . Please Help

    RNLaborNurse4U replied to lmazz's topic in Certified Nurse-Midwives, CNM

    A quick update - I wrote in Nov 2009 that I was finishing up my bridge year (Jan 09-Dec 09). I'm currently in my 3rd year of the program. I'm going parttime in the CNEP route. I should be finished...

  24. Low Census - Is it Happening to You

    RNLaborNurse4U replied to Miranda50's topic in Ob/Gyn

    Rarely get canceled here. We seem to be as busy as ever. Of course, we go through times where it's slow. But we always pay the price

  25. Abruption pattern

    RNLaborNurse4U replied to KrnLet's topic in Ob/Gyn

    I had a strip that she was literally contracting every 30-60 seconds, for 30-60 second durations, for HOURS. Baby was reactive and was a normal tracing the entire time. No vag bleeding. Continuous...