RNmama05

RNmama05

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All Content by RNmama05

  1. Pitocin use

    RNmama05 replied to PCmom's topic in Ob/Gyn

    Because L&D units exist to get women delivered. Once a woman is delivered doctors don't have to worry about her any more. I'm not condoning this way of thinking; it's just my observation about...

  2. Don't know if I'm going to make it as an OB nurse

    RNmama05 replied to Calzonan RN's topic in Ob/Gyn

    This is a bit of a tangent, but where I work there is some confusion about "charting every 5 minutes during second stage." What we are actually required to do is assess the strip every five minutes...

  3. Mag Sulfate Antepartum

    RNmama05 replied to JenTheRN's topic in Ob/Gyn

    Mag does not really treat PIH- it keeps patients from seizing though it may lower bp a bit. It may be that she was on the mag prophylactically until serial lab results came back and demonstrated that...

  4. Ever have a day like this???

    RNmama05 replied to at your cervix's topic in Ob/Gyn

    Many of our labor rooms are kind of small so too many visitors can be a nuisance, but I'm not a stickler for the rules. Birth is an important event to many people, and they have a right to share it...

  5. L and D Job Concerns

    RNmama05 replied to zahryia's topic in Ob/Gyn

    Whether or not you hold legs for hours, you do help put them in stirrups. You reach around cumbersome machines to plug and un plug things, you help patients get up to the bathroom, you push beds down...

  6. Certified Nursing Midwife... ANY INFO??

    RNmama05 replied to Aislstarfish's topic in Ob/Gyn

    I did a google search of "Certified Nurse Midwife" and found a lot of information, so I'm not sure why you are having trouble. The number one site that comes up is the ACNM. You could start

  7. Cascade of interventions-what have you seen?

    RNmama05 replied to clhRN2b2010's topic in Ob/Gyn

    Every epidural I see that results in a hypotensive, immobile, bed-ridden, horizontal woman is the start of a cascade of

  8. Did anyone read the People story about Christina Aguilera?

    RNmama05 replied to rph3664's topic in Ob/Gyn

    I disagree with people who say that ultimately all that matters is a healthy baby. It does seem to be said mostly by people who have no idea what a good birth experience can be like. It's almost...

  9. do you HAVE to assist with circs?

    RNmama05 replied to pittnurse08's topic in Ob/Gyn

    Suppose she had converted to Judaism and wanted her child circumcised? How am I to know the circumstances leading to her decision, which she is entitled to make for her child. If the child was...

  10. do you HAVE to assist with circs?

    RNmama05 replied to pittnurse08's topic in Ob/Gyn

    The way I look at it, I'm at work to care for patients who will be receiving procedures whether or not I recommend them, advise them, think they're a good idea, etc. If I refused to take assignments...

  11. IV in Emergency?

    RNmama05 replied to CEG's topic in Ob/Gyn

    Choosing NOT to have an unnecessary invasive procedure is not "messing around". Everyone has different levels of risk tolerance. (How many of us know what our risk of death is from a traffic...

  12. Where does your hospital complete the first bath

    RNmama05 replied to mugwump's topic in Ob/Gyn

    We tend to be frustrated. Many of our mothers don't want skin to skin; they don't want to hold a "dirty" baby. Also, we have quite a few late pretermers who get cold so easily, need heel sticks,...

  13. Epi Question - Stops working at 9 cm?

    RNmama05 replied to Redlady's topic in Ob/Gyn

    Epidurals at analgesic doses (as opposed to anesthetic doses) typically don't work as well against the intense pressure sensation that occurs when the fetal head is on the pelvic floor (not the...

  14. Patient's preferences during birth

    RNmama05 replied to TTE7's topic in Ob/Gyn

    There is a lot of information out there that's difficult to sift through. If you're serious about natural childbirth I would recommend you read "Ina May's Guide to Childbirth" by Ina May Gaskin and...

  15. TV programs

    RNmama05 replied to crissrn27's topic in Ob/Gyn

    Asynclitic. It means coming down

  16. Commonly used OB meds for new nurse?

    RNmama05 replied to allthingsbright's topic in Ob/Gyn

    Add to Klone's list: Penicillin Ampicillin Clindamycin Gentamicin Vancomycin Zidovudine Bicitra Indocin Insulins Methadone Ambien Albuterol Benadryl Aldomet Labetalol

  17. Please! i need your expertise on this.

    RNmama05 replied to mctina_20's topic in Ob/Gyn

    ACOG does not recommend treating for unknown GBS status (unless a prior child had a hx of sepsis, I believe; or mom has been ruptured >18 hours). I'll bet it was the narcotic prior to

  18. OB terminology

    RNmama05 replied to fleasle's topic in Ob/Gyn

    We do not calculate the current delivery in the parity since the point of TPAL is to document a woman's history. We do not change her records during the course of the

  19. OB terminology

    RNmama05 replied to fleasle's topic in Ob/Gyn

    My understanding as well is that the term we often use for a G1 P0- "primipara"- is really a misnomer since if a woman has not yet delivered she is technically a "nullipara". A woman who comes in as a...

  20. Average Hours

    RNmama05 replied to CehNehDeh's topic in Ob/Gyn

    Full-time nurses where I work take three 12-hour shifts per week (~12 shifts per month). Three in a row is the max that we do. Five in a row would be heinous (I wonder if there are studies out there...

  21. x-mas gift ideas for nursing staff

    RNmama05 replied to PattonD's topic in Ob/Gyn

    How about a subscription to a celebrity magazine to leave around the nurses station. On the other hand, you really can't go wrong with food. Everyone brings it because it's

  22. Frustrated!

    RNmama05 replied to bagladyrn's topic in Ob/Gyn

    On the other hand, there's no good evidence that tocolytics prevent preterm birth; at best they buy some time for steroids, but there are side effects. A patient who is "very preterm" might be bought...

  23. Healthy women schedule C-sections to prevent vaginal stretching

    RNmama05 replied to rph3664's topic in Ob/Gyn

    Not only that, after they make the initial incision, they take both hands and riiiiiiiiiiipppp the belly wide open to get to the uterus. It isn't

  24. Coaching my daughter in childbirth

    RNmama05 replied to mleern's topic in Ob/Gyn

    I have not noticed this about OB nurses, though I do know we get annoyed when families think they know everything because they watch "A Baby Story". Where I work, we are definitely the patients'...

  25. pain med...

    RNmama05 replied to stephera's topic in Ob/Gyn

    Re Fentanyl. We use it for IV conscious sedation when patients are undergoing D&Cs. Our policy requires that the patient be on continuous ECG monitoring. We start our dose with 50 mcg. Are we...