RNLaborNurse4U

RNLaborNurse4U

L&D

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All Content by RNLaborNurse4U

  1. Why do they bother coming in anyway??

    RNLaborNurse4U replied to htrn's topic in Ob/Gyn

    Welcome to the wonderful attitude of "do what I want, NOW!" I can't tell you how many times I've had preterm pts who refuse tocolysis because "my cousin/sister/best friend/neighbor had her baby at X...

  2. suctioning mec at perineum?

    RNLaborNurse4U replied to JaneyW's topic in Ob/Gyn

    Some of our providers will still Delee on the perineum. There are a few that have NEVER believed that suctioning on the perineum improved fetal outcomes, and have not suctioned on the peri to begin...

  3. Looking for RN-MSN program in Nurse-Midwifery

    RNLaborNurse4U posted a topic in Online Distance Learning

    I've been looking for a program in Nurse-Midwifery that is online/distance learning, and is for the RN who does not already have his/her BSN. It would be a RN to MSN program that combines the BSN and...

  4. Looking for RN-MSN program in Nurse-Midwifery

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Online Distance Learning

    I have almost 5 years experience as an L&D nurse, and I work with midwives who precept student nurse-midwives for the clinical component of their CNM training. I was just looking to see if there...

  5. Uterine rupture & maternal code

    RNLaborNurse4U posted a topic in Ob/Gyn

    How many of you have seen a true uterine rupture, with or without maternal code blue? We recently had a case of a mom who had no PNC, trying to deliver at home, with a compound presentation (arm and...

  6. Uterine rupture & maternal code

    RNLaborNurse4U replied to RNLaborNurse4U's topic in Ob/Gyn

    I never meant to start this thread as a VBAC discussion. However, I've been following everyone's responses. Let me clarify one thing - the mom I stated in the original post did not have a prior c/s...

  7. Need a little advice-thanks in advance

    RNLaborNurse4U replied to StealthyQ's topic in Ob/Gyn

    Your unit sounds horrible....and it doesn't sound like things are going to change anytime soon. You said that you have construction going on....do they plan more private areas after the contruction...

  8. When do you move your pt to post-partum?

    RNLaborNurse4U replied to princess99's topic in Ob/Gyn

    We have an LDR unit, with postpartum on the floor directly above us. We usually keep our pt's for 1.5-2 hrs post delivery before transferring them to PP. However, if they have complications (PP...

  9. Precipitous deliveries

    RNLaborNurse4U replied to RaeT,RN's topic in Ob/Gyn

    I have personally caught 4 babies who have precipted. And I caught 2 under controlled circumstances - one with a midwife present, the other with a doctor present - both had offered for me to catch...

  10. IUPC Insertion - Epidural Settings

    RNLaborNurse4U replied to k_cole21's topic in Ob/Gyn

    >>> We have an ongoing problem with our MDA's not wanting to come up and adjust rates on our epidural pumps. They keep insisting that our "managers" on L&D can adjust rates - and that is...

  11. new med order

    RNLaborNurse4U replied to nursey_girl's topic in Ob/Gyn

    ok, if i'm doing my math equations right........ pitocin - normally given 20 units in 1000 cc fluid, so that the concentration is 1 milliunit per 3 cc/hr. (this is the normal concentration in my...

  12. fundal pressure

    RNLaborNurse4U replied to labor93's topic in Ob/Gyn

    No one has mentioned this, but what about when you have a doc doing an AROM on a patient with a -3 station? I applied light fundal pressure at AROM per the doc for a 2nd twin who was at a -3 during a...

  13. How many deliveries do you have per month?

    RNLaborNurse4U replied to RaeT,RN's topic in Ob/Gyn

    We average about 375 deliveries per month, but last month we hit an all time high (ever!!) of 433 deliveries. We also do a HUGE number of outpatients (NST's, gels, r/o labor, r/o srom), and we also...

  14. Transverse presentation - not vertex!

    RNLaborNurse4U replied to RaeT,RN's topic in Ob/Gyn

    You want to deliver the infant either head first, feet first, or buttocks first. You would not be able to pull and infant out of an approximate 5-7 inch wide incision in the abdomen, if you try and...

  15. Dangerous lessons learned in your first year of nursing

    RNLaborNurse4U replied to RaeT,RN's topic in Ob/Gyn

    Magtastic .... I love it! I was cracking up! We call the patients "magnetized" at my hospital...... Vital signs being done - "vitalized" And of course.... pitocin is "vitamin P" Jen L&D

  16. Dangerous lessons learned in your first year of nursing

    RNLaborNurse4U replied to RaeT,RN's topic in Ob/Gyn

    1 - First big boo-boo as a new RN - after a lady partsl delivery, CRNA said to go ahead and d/c the epidural catheter - I thought he was speaking to me, but he was actually telling that to my...

  17. Amnioinfusion...pump or no pump???

    RNLaborNurse4U replied to USA987's topic in Ob/Gyn

    Our policy is very open to the MD orders. Pump vs gravity. Warmed or room temp. LR or NSS. Rates vary too. I heat all fluids (unless MD insists on room temp) for amnioinfusions now, due to a poor...

  18. What do patients say that irks you?

    RNLaborNurse4U replied to NurseforPreggers's topic in Ob/Gyn

    Things that bug me... "I want my epidermal" (grrrr.....can you at least try and pronounce it right?) "How long until the baby comes?" (lemme get out my crystal ball....) Actually, if I have built...

  19. Multiples, multiples

    RNLaborNurse4U posted a topic in Ob/Gyn

    We have had a high number of multiples delivered in the past month or so. Off hand, I was personally at 3 sets of twins (two sets in one week), plus we have had a few more sets of twins, and 2 sets...

  20. Post Mag Sulfate Therapy in L&D

    RNLaborNurse4U posted a topic in NICU, Neonatal

    I am an RN in L&D at a large teaching hospital. We do quite a large amount of high risk patients, including preterm and preeclamptic mag sulfate patients. I had heard the other day at work, about...

  21. Post Mag Sulfate Therapy in L&D

    RNLaborNurse4U replied to RNLaborNurse4U's topic in NICU, Neonatal

    Ah ha! Maybe that's what the infant had. Have you NICU nurses seen ileus in the neonate very often, resulting from large amounts of MgSO4? Jen L&D

  22. Should a dad be in the room?

    RNLaborNurse4U replied to GARNPEACH's topic in Ob/Gyn

    It's up to each individual birthing woman as to who she wants to be present at the birth of her child. I have taken care of women who have had their father present for their delivery, and I have also...

  23. IUD's pro's & Con's

    RNLaborNurse4U replied to pazza66's topic in Ob/Gyn

    IUDs received quite the bad rep because of the Dalcon Shield in the 60's or 70's. They have since been made to be MUCH more safe. Pregnancy rates are extremely low, and since Mirena was introduced...

  24. Benchmarking Cytotec

    RNLaborNurse4U replied to ttt's topic in Ob/Gyn

    The only way RN's are allowed to give cytotec in my facility, is in the p.o. form. (yes, some give it p.o.) Only docs/cnm's can give it lady partslly. Jen L&D

  25. Positions of taking blood pressure in PIH patients

    RNLaborNurse4U replied to mugwump's topic in Ob/Gyn

    We just reviewed this for our annual competencies at OB education day today at work. You should be taking EVERY patients blood pressure with them sitting up. This puts the arm at the level of the...