RNLaborNurse4U

RNLaborNurse4U

L&D

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All Content by RNLaborNurse4U

  1. Wedged baby during C/S

    RNLaborNurse4U replied to lapink55's topic in Ob/Gyn

    I've had to "lend a hand" from below a few times....I use a sterile glove, and my whole hand goes up the lady parts. I then spread my fingers out to sort of cup the fetal head with my fingertips, and...

  2. careplan for steroid window

    RNLaborNurse4U replied to mugwump's topic in Ob/Gyn

    Is this a nursing care plan/nursing management guideline? I'm also not sure what you mean by "steroid window". What we have (roughly...don't have policy in front of me here): Betamethasone 12 mg IM...

  3. What would you do in this situation?

    RNLaborNurse4U replied to camay1221_RN's topic in Ob/Gyn

    Sorry about my last post - I totally missed what the original post was about. Our demise patients are given the option of going to the PP unit, or the women's health unit upon discharge from L&D...

  4. What would you do in this situation?

    RNLaborNurse4U replied to camay1221_RN's topic in Ob/Gyn

    Our PP unit NEVER deliveries any gestation. All deliveries - all gestations - deliver on L&D. The only exception is D&C's (they go to the main OR) or inevitable AB's under 16 weeks - those...

  5. C/S and delivery table set ups

    RNLaborNurse4U replied to spirit917's topic in Ob/Gyn

    This is the exact thing we do at my

  6. Discontinuing Mag Sulfate

    RNLaborNurse4U replied to nurturing_angel's topic in Ob/Gyn

    No need to wean off of the mag, once BP's and labs are starting to resolve - because the labs/bp's are indicating that the preeclampsia is resolving and getting better. Shut off the mag, cap the IV,...

  7. Do you circulate/recover your c section patients? More...

    RNLaborNurse4U replied to mitchsmom's topic in Ob/Gyn

    Questions: 1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also? Yes, and yes 2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)?...

  8. Discontinuing Mag Sulfate

    RNLaborNurse4U replied to nurturing_angel's topic in Ob/Gyn

    Our PP unit doesn't take patients on magnesium, so they stay on L&D while on mag after delivery. We don't wean the mag, just simply shut it off when it's ordered to be d/c'd - usually around 24...

  9. Patient phone call - advising them

    RNLaborNurse4U replied to shortstuff31117's topic in Ob/Gyn

    We're not allowed to triage phone calls on L&D, so we always refer patients who call in to L&D, to call their doctor (reminding them that even at night, their call to the office/clinic will...

  10. IV in Emergency?

    RNLaborNurse4U replied to CEG's topic in Ob/Gyn

    I opted for no heplock for my 3rd delivery (100% natural), even with gestational hypertension that I had with that pregnancy. I weighed all of the options, and decided that I would go with the no...

  11. Sterile table set up

    RNLaborNurse4U replied to JenTheRN's topic in Ob/Gyn

    Your lady partsl delivery table is actually not a sterile field, but a clean field. You should set it up as sterile/clean as possible. We are supposed to wear regular cover gowns, hat, and sterile...

  12. IV in Emergency?

    RNLaborNurse4U replied to CEG's topic in Ob/Gyn

    In OB, there are other methods of managing an emergency where an IV is needed, if you can't get the IV in fast enough (or at all). In cases of PP hemorrhage, where are IM meds and cytotec (rectally)...

  13. Pulling Meds for Multiple Patients

    RNLaborNurse4U replied to trustsupplyguy's topic in General Nursing

    I work on L&D, and I will pull delivery meds for two patients at one time - it simply saves me time, and it's the exact same meds: 1000 cc LR with 20 units pitocin, erythromycin eye ointment, 1%...

  14. Wide range of epidural rates for use with PCEA

    RNLaborNurse4U posted a topic in Ob/Gyn

    I've noticed that depending on the anesthesiologist, our patients will have this wide range of different epidural rates for use with a PCEA. For instance, the continuous hourly rate I have seen...

  15. Wide range of epidural rates for use with PCEA

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    I forgot to mention, our epidural bags are all a mixture of 2 mcg fentanyl per cc in 0.125% bupivicaine. Total bag volume is 100

  16. Epidural Catheter Removal by L&D nurses

    RNLaborNurse4U replied to RAIZIE's topic in Ob/Gyn

    Here are some excerpts from the PA BON: 21.413. Interpretations regarding the administration of drugs—statement of policy. (b) The following nursing practices fall within the scope of registered...

  17. Epidural Catheter Removal by L&D nurses

    RNLaborNurse4U replied to RAIZIE's topic in Ob/Gyn

    We are a "show one, do one, teach one" teaching hospital when it comes to removing epidural catheters. The precepting RN shows her orientee how to pull an epidural the first time. The second time,...

  18. amniotic fluid embolism

    RNLaborNurse4U replied to Almabella's topic in Ob/Gyn

    I have never seen an AFE, and I hope I never

  19. Postpartum admission criteria

    RNLaborNurse4U replied to l.d.jae's topic in Ob/Gyn

    Our postpartum unit only takes STABLE postpartum patients. No one on magnesium or needing mag therapy initiated (those patients always go to us on L&D). Postpartum can hang blood products...

  20. Precipitous Second Stage Question

    RNLaborNurse4U replied to TarheelRN's topic in Ob/Gyn

    Sometimes babies deliver themselves quickly, so don't beat yourself up about it. My favorite story at work was when a patient called out on her call bell "I think....I hear....my baby..crying." (Say...

  21. OB Nurse Tribute

    RNLaborNurse4U replied to gagezoie's topic in Ob/Gyn

    Jessica - may you carry and pass on the compassion you received as a patient, now as a nurse, to your patients. :-) Welcome to the wonderful world of

  22. Cervical prolapse

    RNLaborNurse4U replied to eden's topic in Ob/Gyn

    It's not unusual to see the cervix at the lady partsl introitus after a lady partsl delivery. Just think of it this way - the ligaments have been stretched to their limit by 38-40 weeks gestation,...

  23. Input on crazy situation...

    RNLaborNurse4U replied to MalgaBSN's topic in Ob/Gyn

    Where I work, if FHT's were down that low (depending on how long), she probably would have been a stat c/s. She would have been started ASAP on an insulin drip as well. There would have been no...

  24. Your personal delivery experience- what happened

    RNLaborNurse4U replied to DEB52's topic in Ob/Gyn

    My first was almost 18 years ago, when I was 15 yrs old. I went in to the hospital, thinking "wow, this isn't too bad". I was 2cm and was sent home, in early labor. Went back in about 10 hours...

  25. Bariatric Surgery....years later

    RNLaborNurse4U replied to CoffeeRTC's topic in General Nursing

    I had Roux En Y gastric bypass surgery 6 months ago, and other than needing vitamin supplementation and iron supplements, I'm doing very well! I'm also only 33 years old, and didn't have any long...