RMH

MRSA is a big topic now adays my advice is to talk to her hospitals infection control nurse. RH

Thank You for the info. I've been trying to get our docs to use it because of the info from here. We finally did use it last week...It didn't work, but neither did hemabate or methergine..The poor girl had an partially inverted uterous....(not from anything that could have been prevented) So we'll try it again...hopefully with an applicator next time. :) RH

sorry for the repeated topic, but with the new format here I can't find the information I need. What is the dosage for for rectal cytotec? Please help!!!

How about...I've had this "problem" for 2 weeks and it isn't getting any better. Are you taking any medications?.....Yes the doctor put me on Keflex. When?.....yesterday You saw him yesterday?...Yes, but I'm not better Duh!!!! Or...I have this "problem" (nothing severe) Did you try to make an appt. with your doctor?..Yes, but he couldn't see me until 2:30. (It is now 12:45!!!!) Duh:confused:

This is a liittle off the subject, but it really gets to me when people come in complaining of a HA, sore throat, a cough, or any number of other complaintsand when you ask them if they have taken anything, they say no! "Not even tylenol?" They answer "No"...Duh!!!

I work in a very rural, small hospital. We do about 100/year. We pay on-call whenever there isn't an OB nurse in house, or when we know there is someone in prodromal labor. We pay 3.00/hour and it is voluntary but would like all to help. When called in it is 1 1/2 times and no you don't have to be specifically on call. If you are called and come in it is call back pay..good Luck. It took years for us to get paid to be on call. RMH

We always have the consent and anesthesia questionaire signed prior to the CRNA arriving. We then give him any pertinent info and he will always ask the patient if she has any questions before starting. It's just like have and surgical consent form signed. But if the patient has any misgivings at all then we wait until after he has talked to her. That rarely happens

We just recently started using it instead of cervadil, mainly because it is a lot cheaper. Our policy and dosing is simillar to Smiling Blue Eyes. It seems to work well for cervical ripening and about 1/2 the time we never have to go on to Pit. But we haven't had any problems yet either. We begin dosing at about 6pm with intentions of starting Pit at 6am. Where we are having problems is staffing (we are very small) if the patient decides to go into labor during the night. We have to make sure we have someone extra on call. I want to try it for pp bleeding. I haven't convinced our docs yet. RMH

We still test the urine, and yes the MD writes a order. The MD should also discuss with the mother, but if not, we just let them know we have to do a urine test because the MD ordered it. RMH

This was sent to me as a joke , but supposably is a true MD story..A new MD was nervous doing pelvic exams, so he developed a habit of humming during them. One day he was doing a pelvic on a middle-aged women when she started giggling. He said he was sorry and asked if he was tickling her, she said No, but that he was humming"OH I Wish I Was an Oscar Meyer Weiner"!! lol

We always have 2 RN's for C/S, 1 for OR stuff and 1 for BABY. WE use to have resp. involved but found that the RN was better trained for NR. For lady partsl deliveries, it is nice to have 2 nurses in the room, and we do if there if obvious problems, otherwise 1 RN in the room..If problems come up help, from the house supervisor, is a page away. We are lucky that the majority of our MD's(all are Family practice) stay in the room,( and even help clean up) until the baby is stable.

We give 10 units IM or IVP after delivery. There is preprinted orders. Anything else has to be a order from the physician.

I'm kind of the "jack of all trades" type of nurse. We do +/- 100 deliveries a year, but that is not all our nurses do. I've never worked at a large hospital(L&D) but enjoy the 1:1 care that we give our patients. Yes at times I am the only OB nurse in house and the Doc may or may not be here, but thats what makes the job fun! Yes there are scarey times, but 2-3 people can do as good of a job in an emeregency as 10. If we have a bad baby or mom(or any type of patient) the plane or copter is only 30 minutes away. So my vote is for small hospital.