Buggs

Buggs

M/B,L&D,NBN,PEDS,CHN

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All Content by Buggs

  1. Do all hospitals share commonnursealities

    Nothing is wrong with following orders, that is a basic role of the nurse. Just don't call me disobedient, like a child. Bad choice of words, in my opinion. To not follow MD orders is a serious issue, were you really saying that the nurses were bus...
  2. Do all hospitals share commonnursealities

    I must say I found much of your post to be OFFENSIVE. Most of us don't refer to our patients as "hogs". I have found that my co-workers are eager to lend a hand to their peers if one nurse is having a more challenging assignment than others. We don...
  3. tomato/tomahto?

    The only folks I have heard say "sonometer" were nurse midwives, thought it was maybe a "cultural" thing. Either way, we all know what is being referred to. Now to get off topic--what about the varying use of abbreviations--of course most not appro...
  4. mag sulfate bolusing

    I work on a Mother/Baby Unit. We do take care of many Mag sulfate pts--usually PP with PIH. Very rarely AP's on Mag. The Mag is USUALLY started in L&D. But at least 2-3x in the last year I have heard co-workers who have bolused the pts on the...
  5. mag sulfate bolusing

    I'm in upstate NY. Worked in Delaware and NJ where the Mag seemed to more closely monitored. Thanks for the input. Creating change is not an easy task and I'm not really sure where to start. I just hate to not see it change til a bad outcome.
  6. mag sulfate bolusing

    Did some checking...the bolus is done over a half hour (4gms) and vs are done q 15 min during bolus. fetal monitoring only if pt is contracting(Mag for PTL vs PIH) Seems no one but me is concerned with carrying a full M/B assignment and doing a Mag ...
  7. mag sulfate bolusing

    We don't do pulse ox routinely on Mag pts. We do check O2 sats on our C/S with all their VS. Seems our monitoring of C/S pts have become more frequent since there was a bad outcome with a surgical pt on another floor and since a c/s is post-op they...
  8. mag sulfate bolusing

    We do q 1hr VS, DTR's,I/O on PP pts, on AP PIH also Q1, FHR q 4. I think q4 for the "stable" PTL AP on Mag.
  9. driving after birth

    In the past we always taught, and it was printed on most of the individualized MD instructions to avoid driving for 2 weeks. Verbally I reminded moms of their blood loss and changing body along with sleep deprivation, that MAY lead to an increased r...
  10. Bilichek help

    We use the TCB on all our babies at the time we draw their newborn screenings. The babies of vag deliveries are usually 24-36 hrs old, and the c/s babes are usu. @ 48hrs old. (We do the screens on night shift just before their discharge in the am. ...
  11. Nurse ratios & comfort with high risk meds

    On the PP unit we do hourly checks on our Mag pts including VS, DTR's, UO. They are not on any monitors. If they are an AP pt w/PTL on Mag vs PIH, on the PP unit, the MD's sometime order q4hr VS. Against my better judgement nurses w/ pts on Mag on...
  12. patient ratios?

    Coop, I feel your pain--I am your co-worker. Thank you for bringing our issues for input on a larger scale. We must take action together. Collecting data from others gives us support in our quest for improved conditions. Please don't give up yet....
  13. Nurse to Couplet Ratio?????

    mjlrn97, I want to work where you do. How come your hospital can support staffing like that and not go under, and mine can't? Maybe my management is to blame. Imagine that! I think I want to move to your town. If anyone from your board of direct...
  14. Need advice/help w/bad situation!

    I am sorry for you, unfortunately sounds like the nightmare around here. I feel like nothing will change untill something bad happens. The government needs to step up and make more laws to protect the patients because the hospitals are not doing it...
  15. Nurse to Couplet Ratio?????

    Unfortunately there is no law in NY regarding nurse-pt ratio numbers. On our 16 bed LDRP wing the typical assignment is 6-7 couplets, if you only have 4, you ususally have a cytotec pt that is awaiting induction, or an early labor. The techs don't ...
  16. new idea...maybe for some

    Not to sound naive, but how does the heat lamp work? Is it for episiotomies/lacs only? If just have labial swelling and no epis then do you just do ice? You must have some formal protocol. Is there a risk for being burned or catching the sheets o...
  17. Need to Vent: 3 Co-workers from Hell

    Sounds like you have gottengreat advice. I have one thing to add. The "church lady" needs to be reminded that the Lord did not stop healing people because it was the Sabbath. Not to make this a religious issue, but if she is going to use her Chris...
  18. Is a pacifier a chargeable item in your facility?

    We are "Baby-friendly" and therefore don't have pacis available for our well babies. They are discouraged if mom is brfdng. Of course, it is the mother's right to give her baby a paci if she chooses, but we don't supply them. The NICU does have pa...
  19. How many times has this happened to you?

    With the advacement of the technology/equipment...I rarely hear of wrongly labeled sex of the baby. Many years ago I did care for a couple who believed they were having a boy, and had a girl. It was awful, it was like watching them grieve the loss ...
  20. new idea...maybe for some

    We use glove ice, wrapped in a washcloth or a dry wipe-like thing. We recently got re-stocked with plastic bags that are like the ziplock bag idea. Our techs fill them with water and freeze them. The frozen peri pad things were trialed but never b...
  21. Dear Lou and little man Gage, You have been in my prayers for some time now, so thought that I'd let you know that there is another person out there cheering you on!:) Keep up the good work, you are doing great! I've been trying to come up with s...
  22. Baby friendly

    I breast fed all 4 of our children. After #3 and 4, they were starving the first night after marathon feeds. I snuck into the nursery and got a bottle. We all slept fine, and never had any latching trouble. I hid the bottles because I was in no m...
  23. Something to entertain my pt

    Its nurses like you, who go the extra mile. that make our profession shine! Thank you for being you! Years ago we has a very brittle diabetic in and out so much that we all bonded with her. We gave her a baby shower on the unit. It did wonders for...
  24. About 10 yrs ago my hospital decided to cross train the mother/baby staff to L&D, and vice versa. The unit in my opinion has not run smoothly since. We have an18 bed wing that is for c/s and gyn pts, also the sick AP pts. The next wing has 16 ...
  25. does research support cross-training?

    Thank you for the input. It seems there are many issues. I remember long ago in nursing school that after you implement something, you go back and assess it and fine tune it. I don't think this has ever happened. Once the wheels were in motion, n...