babies_r_us

babies_r_us RN

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All Content by babies_r_us

  1. Documenting contraction patterns.....

    babies_r_us posted a topic in Ob/Gyn

    Hello, We have been experiencing so many changes with our documentation in labor that all of us 20 year veterans feel like we no longer know what we are doing!! My question is how do you chart...

  2. Documenting contraction patterns.....

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    When you identify these contractions as biphasic and triphasic are you including the duration of the contraction as the entire length? And then is that considered tachysystole at your institution?...

  3. IV site changes/tubing changes???

    babies_r_us posted a topic in General Nursing

    Hi just wondering how often people are changing IV site, bags and tubing?? We are currently re-doing our policies and wondering if items need to be changed as often as we are doing....q 24 hours on...

  4. Pitocin Calculation

    babies_r_us posted a topic in Ob/Gyn

    OK, fellow RN's, I need your help. I have been running pitocin for 18 years and now when I try to calculate it, I can't find the right formula to make it work. So please show me how to show the math...

  5. charting vacuum assisted deliveries

    babies_r_us posted a topic in Ob/Gyn

    Can anyone tell me what their policy is on charting for vacuum assisted deliveries? We are going to computerized charting and there is a place to chart # attempts, amount of suction, time of suction...

  6. charting vacuum assisted deliveries

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    Thanks for all your responses. It sounds like everyone is charting something. Several of my co-workers want to chart "per MD" in all the spaces on computerized charting and I don't think that is...

  7. Pitocin Calculation

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    OK, I think with the help of your figures, I have it. However, when we add 20units to 1000 ml, 3ml/hr=1 mu/min. (Your calculation came up with 2). We USED to add only 10 units to 1000ml and then each...

  8. Duramorph/astromorph for C/S

    babies_r_us posted a topic in Ob/Gyn

    We have a new group of anestesiologists that are starting to use Astromorph or duramorph for our C/S. Does anyone have a policy regarding care of these patients post-op?? We are looking for...

  9. What do patients say that irks you?

    babies_r_us replied to NurseforPreggers's topic in Ob/Gyn

    This response was just a humerous one that shows some patients will tell us anything.......on admission we ask all the normal questions including when they ate or drank last in case we have to go to a...

  10. When did you take off for maternity leave

    babies_r_us replied to MSMCnurse2004's topic in Ob/Gyn

    I like to work up to the due date as much as possible. I think the activity is good for you and baby, as long as you are having a healthy pregnancy. However, with you being due around the holidays,...

  11. aortic dissecting aneurysm and coumadin

    babies_r_us posted a topic in CCU, Coronary, Cardiac

    Hello, I work in Obstetrics and typically post on that site, but have a personal question for all the ICU nurses. My dad has an aortic dissecting aneurysm and also is in atrial fib. We have some...

  12. aortic dissecting aneurysm and coumadin

    babies_r_us replied to babies_r_us's topic in CCU, Coronary, Cardiac

    WE don't meet with the cardiologist until December so we will find out then. I still haven't found any research on this online. Our Dr's have received the recommendations from the vascular surgeons...

  13. Duramorph/astromorph for C/S

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    My patient never had any itching and did actually receive good pain relief. The other problem I ran in to was if she had needed other pain meds, the anestesiologist refused to order since "he wasn't...

  14. Duramorph/astromorph for C/S

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    My patient never had any itching and did actually receive good pain relief. The other problem I ran in to was if she had needed other pain meds, the anestesiologist refused to order since "he wasn't...

  15. Does your staff do C/S's or does OR team??

    babies_r_us posted a topic in Ob/Gyn

    We are a small rural unit that does approximately 45 deliveries a month on average. Of course, we have crazy months that we do 65 and really slow months that we only do 35, but on average about...

  16. Does your staff do C/S's or does OR team??

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    Thanks everyone for all your input.....it sounds like the larger hospitals are doing them because they have the staff for that and the smaller hospitals are still utilizing an OR staff. I am sure...

  17. JACHO survey

    babies_r_us replied to Jemma's topic in Ob/Gyn

    We just completed our and can breathe a sigh of relief (and have a glass of water at the nurses station!!) Some of the items that he was impressed with were "R/C "for repeated and confirmed on the...

  18. IV site changes/tubing changes???

    babies_r_us replied to babies_r_us's topic in General Nursing

    Thanks for all your replies!! I think our institution is hoping to go to the 96 hour policy but needs the statistics to back it up. I am trying to find something on teh CDC website but not having...

  19. What's going on with this kid?

    babies_r_us replied to LydiaGreen's topic in Pediatric

    My son had vomiting on occasion and we did all the GI testing....H.Pylori etc, sent him to a Peds GI specialist who did an upper GI and said "he has reflux" cause his esophagus was irritated. I said...

  20. HELLP syndrome and management

    babies_r_us posted a topic in Ob/Gyn

    WE have a patient that has severe pre-eclampsia and HELLP syndrome that we delivered at 32 weeks because she was so sick.....now her platelet count has dropped from 89 to 24!!! At what point do your...

  21. HELLP syndrome and management

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    That is exactly what I envisioned happening to her the day I cared for her. She has since been making a nice recovery....b/p normal for her, platelets up to 78, liver enzymes closer to normal. Thanks...

  22. Clinical Pathways....???

    babies_r_us replied to tippy3099's topic in Ob/Gyn

    we have pathways for vag delivery, c/s, pre-eclampsia, preterm labor, hyperemesis, generic OB (if pt. doesn't fit any where else) previa, normal newborn, sick newborn, hyperbilirubinemia. Are there...

  23. Clinical Pathways....???

    babies_r_us replied to tippy3099's topic in Ob/Gyn

    They seem to work well and Joint Commission seems so approve of them also. I am off today but I will email you some of ours when I get back to work. Let me know you email and I will try to remember...

  24. saline injections for labor pain relief??

    babies_r_us posted a topic in Ob/Gyn

    Is anyone out there using saline injections into the back for pain relief in labor?? Our director wants to investigate the policies for doing this at our institution and we know very little about it....

  25. saline injections for labor pain relief??

    babies_r_us replied to babies_r_us's topic in Ob/Gyn

    Thanks for the info. Have you ever used it