greyhorse

We triage our own as well. ER is expected to send anyone to OB that presents at 16wks gestation or greater. Most patients present directly to L&D. Doctors made the 16 week rule because our ER was sending anyone that said they were pregnant to OB. Doctors didn't like seeing someone that had missed one period and had the flu :-) as what they needed wasn't an OB/Gyn! Greyhorse

I work in a catholic hospital. There are no abortions, no tubals (unless during a c-section and has already been approved by board of hospital as medically in best interest of pt). If pts ask nurses about birth control we are to refer the pt to their primary physician, we are not to discuss this with the pt. These are the hospital policies, staff follows them if they want to work in this hospital.

The doctors at the facility where I work order inpt phototherapy. Usually in a room where the mother rooms in. I have just started working for an agency and when I worked this weekend we had a dr order a phototherapy 'belt' and light for the parents to use at home. This was new to me, how commonplace is this? What about concerns about dehydration, keeping eyes covered, and temperature regulation? Greyhorse

First of all, I am new here, this is my first time to post. I have been an OB Rn for 5 years. At our facility standing orders are 20 u pit in 1L LR after delivery, this is run at a rapid rate immediately after delivery of placenta for 500cc then 125cc/hr. We occasionally give 10u pit IM if Dr requests for excessive bleeding. Also, Methergine if uterus will not contract, Hemabate if all else fails. Our hospital is small 20-35 del a month. We have two OB/Gyn and 4 family practice docs that do deliveries. They all got together and made a set of standing delivery orders that they were all able to agree on with minor variations. Glad to be here! Greyhorse