RNLaborNurse4U

RNLaborNurse4U

L&D

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All Content by RNLaborNurse4U

  1. sterile or clean

    RNLaborNurse4U replied to happyrn10's topic in Ob/Gyn

    lady partsl delivery is not sterile - you try to keep things as "clean" as possible - but the goal is reduction of transmission of germs from provider to

  2. student midwife with a question

    RNLaborNurse4U replied to Kiwimid's topic in Ob/Gyn

    It depends on whether mom was treated with antibiotics during labor or not, and how long before delivery that antibiotics were initiated. I found a comprehensive study here:...

  3. Will I HAVE TO particpate in abortions if I become a L&D nurse????

    RNLaborNurse4U replied to chnc1024's topic in Ob/Gyn

    We provide second trimester abortions on my unit, above 16 weeks. They are done 99% of the time because of fetal defects or chromosomal abnormalities. All RN's are asked to sign a form, stating when...

  4. yet another intervetion for birth.....

    RNLaborNurse4U replied to HeartsOpenWide's topic in Ob/Gyn

    Oh great, yet another piece of equipment to strap onto a woman in

  5. suction setting at your hospital

    RNLaborNurse4U replied to km422's topic in Ob/Gyn

    We set our suction units to no higher than 100 for all

  6. Acute Fatty Liver Syndrome of Pregnancy

    RNLaborNurse4U replied to ark-two's topic in Ob/Gyn

    I have had one patient in my 6 year nursing career who had Acute Fatty Liver of Pregnancy. The patient I was caring for was around 37 weeks and already post c/s delivery, post op day 1. She was...

  7. pts going out to smoke

    RNLaborNurse4U replied to crissrn27's topic in Ob/Gyn

    My hospital changed to a no smoking campus (anywhere on the hospital property) back in November. Before November, docs wrote an order for moms to go out to smoke, and they signed a sheet in maternity...

  8. YOU as a Pt-what would you allow a student nurse to do?

    RNLaborNurse4U replied to KellNY's topic in General Nursing

    I would - and have - let both nursing and med students "practice" on me. In fact, I will more often than not ask if there are students around that need practice with their skills to care for me. I...

  9. Ephedrine

    RNLaborNurse4U replied to Bonnierose's topic in Ob/Gyn

    Regarding the original post - you should not need ephedrine post epidural on postpartum. The initial time after epidural administration is when the hypotensive episode r/t epidural administration...

  10. EFM - the research & the realities

    RNLaborNurse4U replied to kathiecnm's topic in Ob/Gyn

    1. What is your level of care & how many births/mo or yr? I don't know what our level is designated as, but I work in the 2nd busiest L&D unit in my state. We turn no one away. We provide...

  11. Any L&D nurses here?

    RNLaborNurse4U replied to flygirls2's topic in Ob/Gyn

    I went straight into L&D right out of school, 5 1/2 years ago, and do not regret it one bit!! I did a student nurse externship/OB tech position for the last 6 months of nursing school, before...

  12. What's your most interesting/scary case?

    RNLaborNurse4U replied to LizzyL&DRN's topic in Ob/Gyn

    Ok.... a positive story. A lovely, lovely couple, having baby #1. A true May-December romance - and I got to hear the entire story of how they met. He was more than twice her age, and was her...

  13. What's your most interesting/scary case?

    RNLaborNurse4U replied to LizzyL&DRN's topic in Ob/Gyn

    If you rupture with polyhydramnios, not knowing where the loops of cord are, you could have a prolapse. Especially if the fetus is at a high station, or there is a lot of the amniotic fluid below the...

  14. Acute Fatty Liver of Pregnancy

    RNLaborNurse4U posted a topic in Ob/Gyn

    I had a patient with Acute Fatty Liver of Pregnancy the other day. Apparently, while doing some follow up research on this complication in pregnancy, I have found it's quite rare. Here is the info...

  15. What do you have?

    RNLaborNurse4U replied to babynrsrn's topic in Ob/Gyn

    We have separate units for L&D, antepartum, and postpartum/nursery. On L&D, we have: 14 LDR rooms (private) 3 triage beds (all in one room) - but we are building a new triage area, expanding...

  16. Do I Have the Right NOT to Be Weighed?

    RNLaborNurse4U replied to Meerkat's topic in General Nursing

    I worked in an OB GYN office years ago....and one patient (pregnant) would defer all weights...it was documented in her chart that we were not to weigh her. She was recovering from an eating...

  17. Towards a career in labour and delivery. Words of wisdom PLEASE!!

    RNLaborNurse4U replied to IslandtrainedRN's topic in Ob/Gyn

    It's perfectly normal to be nervous and even ambivalent about a new position/field in nursing. Some specific questions that you could ask about the nurse-manager (if this is what she's looking...

  18. Am I the only one who finds this disrespectful?

    RNLaborNurse4U replied to klone's topic in Ob/Gyn

    We tend to vent about some of our patients in our breakroom too....however, I find that it's our way of decompressing and dealing with what we see every day. Some of the new nurses are just astounded...

  19. Vag Exams

    RNLaborNurse4U replied to LKB82's topic in Ob/Gyn

    We all have our moments when we are wrong on exams. Don't beat yourself up over it! I've been in L&D for over 5 yrs, and there are some cervical exams that perplex me. First of all, finding the...

  20. RN's role care of pregnant women receiving an Epidurla

    RNLaborNurse4U replied to kajama's topic in Ob/Gyn

    I live in PA. We have a specific policy as to what RN's on L&D can do with epidurals. We can: 1. Get pt prepped for epidural (LR bolus, EFM, pull meds, pull pump, get epidural cart, sit pt up at...

  21. unsafe staffing in LDRP

    RNLaborNurse4U replied to eden's topic in Ob/Gyn

    I work in an LDR (separate PP/newborn unit on another floor) that contains 14 LDR beds, 3 triage beds, 2 OR's for C/S (or other emergent OB surgeries like rescue cerclage, D&E for retained...

  22. nurse to patient ratio in labor halls

    RNLaborNurse4U replied to MATER's topic in Ob/Gyn

    I worked in a very small OB unit once where we had to do the cleaning of the rooms after deliveries/discharges too. We didn't do enough business to warrant our own housekeeper, so we had to ask the...

  23. Nuchal cord x4!

    RNLaborNurse4U replied to texas-rn-fnp's topic in Ob/Gyn

    Wow oh wow.....lucky baby!! That is by far the most I have ever heard. I have seen some triple nuchals, some true knots with double/triple nuchals, and I have had a girlfriend with a nuchal x4....

  24. Labor Nurses regulating epidurals

    RNLaborNurse4U replied to terig63's topic in Ob/Gyn

    We do not start, restart, bolus or change the rate (increase or decrease) of epidurals. We only document start time, dosages, whether the PCEA is being used, what the bolus rates are, and we can stop...

  25. EFM question

    RNLaborNurse4U replied to jaka1's topic in Ob/Gyn

    14 weeks? Good luck finding FHT's with EFM. I would use a hand held doppler from 12 weeks and beyond. I wouldn't use the toco unless they were 16 weeks or later, and even then, you probably won't...