RMH

RMH

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All Content by RMH

  1. MRSA Question

    MRSA is a big topic now adays my advice is to talk to her hospitals infection control nurse. RH
  2. 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!!!
  3. cytotec for post partum bleeding

    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...
  4. and the problem is..........?

    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 "pro...
  5. Your last day in the ER

    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 ans...
  6. L&D On Call

    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 cal...
  7. Be careful!

    A safety pin for what......?
  8. ephedrine for low BP

    We usually call the CRNA, he'll give the 1st dose and instruct on subsequent doses for nursing to give, if necessary.
  9. getting consents for epidurals

    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...
  10. Vag exams

    Practice, practice, practice. And practise consecative exams, to feel changes. Patients with epidurals are the best...I've given people examples of what different cervixes feel like. ie. a role of tape is 2-3 cms, thick. A small rubber band is 5...
  11. I had my daughter - VBAC c induction

    Congratulations...Epidurals are wonderful!! And VBACS definately have there place. I had 1 14 years ago, no problems, other than it wasn't by choice..I had wanted to have a repeat c-secton.
  12. Cytotec for Inductions

    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. Bu...
  13. How is your unit managed?

    We have supervisors, one for each shift, then a nurse manager that oversees med-surg, OR, and OB. The supervisors help with hiring, disipline, scheduling, etc. We do not have a patient load, but will pitch in when necessary. I guess we have the be...
  14. Ok a day late, but...the state charges us 59.00 for reading the test. We do not bill the patient directly. It's suppose to be a part of our "OB" rate. Ha!Ha! What that really means is we write it off... RMH
  15. How many staff members attend a delivery??

    1 nurse and the MD..Not counting the patients coach. A couple of years ago we realized that there are times when problems arise and you need help and yelling is just not the answer, so we put a phone next to the isolette. :) If we expect a problem ...
  16. Our ward clerk makes out the request form. Lab does the actual draw...I'm not sure if they charge for it..I'll ask when they get here today. RMH
  17. FIA and Meconium Testing

    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
  18. Does this seem unfair to you???? Please advise.

    I didn't read everyone's posts, but aren't Pitocin inductions 1:1 nursing care?? And especially at that high of a rate. Seems unfair AND unsafe to me
  19. Meconium deliveries

    Hopefully this isn't a stupid question, and it could pertain to mec deliveries.. Is anyone doing amnioinfusions anymore, and if so in what situations?? Thanks for any info. RMH
  20. Fentanyl for Labor Pain?

    Our policy is that the MD should be in the room. We give it frequently to patients waiting to get an epidural, with good results..The MD's are wanting to use it more and more because of the short duration, so we are in the process of getting policy ...
  21. How many times has this happened to you?

    This is one of my biggest pet peaves. Delivering a baby is one of the greatest gifts..and should be a surprise. I got so tired of people asking me "what I was having" that I started saying "a puppy"! The legalities aside what are you going to do ...
  22. Pts that want to have their baby NOW!

    We are in the age of "social inductions", I've seen at least one of the patients everyone is talking about. The most recent was a 16yo who came to ER at 36 weeks after she had some bloody show. Her whole extended family was with her and they were p...
  23. Heading for Vegas!

    I'm going to Vegas also on the 26th, for a High Risk ER class. I've been there once before. Lots of fun, lots to see and do, lots of $$$. Just be careful. My brother-in-law had $500 dollars taken out of his shirt pocket when someone bumped into ...
  24. Do you stick around?

    I think most people who work in OB love their job, or else they shouldn't be doing it. I think L and D is a very special area and the patients remember their nurses long after the delivery. I still remember my labor nurse, not her name though, and ...
  25. Help! OB Supplies Expensive!

    babynurselsa- What a great Idea for an ice pack..I think I'll try that. Layna-We also use gloves with ice, we did away with admit kits several years ago, but have stufff avail if the patients need anything(but don't charge-go figure). Our delivery p...