babies_r_us RN

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 your contraction pattern when you have coupling or tr...

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? (any contraction lasting greater than 120 seconds i...

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 bags, q 72 hours on sites and tubing. Also does an...

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 for 10 units or 20 units pitocin added to 1000 ml L...

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 etc. Some feel this is the Dr.'s responsibility t...

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 enough. We are still responsible to chart how long i...

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 1mu/min = 6 ml's/hr....so here is where I am getti...

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 information regarding frequency of vitals, need for pulse ...

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 c/s. Anyway, this particular nurse asked "When w...

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, it would be nice to be home during that time also....

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 Dr.'s that are recommending that he take coumadin for...

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 and cardiologists at our regional hospital and wil...

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 the primary" and the primary physician refused to ...

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 the primary" and the primary physician refused to ...

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 40-45. Anyway, we are constantly bombarded by the OR c...

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 this will be an ongoing argument til the end of time...

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 verbal orders and telephone orders, and they were i...

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 luck. I will check the IV site also. thanks again.

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 "can't all this vomiting cause irritation and not ...

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 physicians do a platelet transfusion in the absenc...

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 goodness we only see one HELLP about every 3 year...

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 any of these you are most interested in?? Each pat...

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 to do this yet this week. Our entire hospital has...

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. If anyone can let me know how it is done, by who...

Thanks for the info. Have you ever used it before???