RNmama05

RNmama05

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All Content by RNmama05

  1. shortened cervix and length of stay

    RNmama05 replied to daulto's topic in Ob/Gyn

    If there is no sign of PTL, most of those with shortened cervical length go home and have weekly or semiweekly u/s scans to monitor the cervix. We do fFN too, so the results of that may factor into...

  2. shortened cervix and length of stay

    RNmama05 replied to daulto's topic in Ob/Gyn

    A shortened cervix, diagnosed by translady partsl u/s, is treated with Indocin therapy which has been shown to "reconstitute" the cervix. The issue of a short cervix becomes less critical as the...

  3. Number of procedures scheduled per day?

    RNmama05 replied to L&Doldtimer's topic in Ob/Gyn

    Where I work (a relatively small unit) the number of procedures per day is limited by the amount the anesthesiologists feel like doing, not whether there is enough nursing staff. We frequently have...

  4. Ugh! Delivered Baby On My Own The Other Day...

    RNmama05 replied to jenrninmi's topic in Ob/Gyn

    If the attending wants the privilege of charging for the delivery the attending darned well should have been there at the patient's bedside. There is no reason at all for you to feel bad. Quick...

  5. Who assigns APGARs?

    RNmama05 replied to ruralnurs's topic in Ob/Gyn

    It has to be the person who is directly caring for the baby. Apgar scores are *real time* assessments of the status and level of care the baby needs *now*. They really aren't supposed to be assigned...

  6. Yelled At During A C-Section (Among Other Things)

    RNmama05 replied to RN1981's topic in Ob/Gyn

    Do Not Give Up. *Everyone* was new at one time. It's painful and sometimes humiliating to be the new kid on the block, but that's how everyone starts out. While no one deserves to be yelled at or...

  7. L&D nurse is calling formula poison!!!

    RNmama05 replied to hotmama2be's topic in Ob/Gyn

    I think the fact that she is an L&D nurse is beside the point. She is an annoying, intrusive mother first and

  8. venting: fetal demise

    RNmama05 replied to redhedgoddess's topic in Ob/Gyn

    post

  9. HELP!! Interview with peers for L&D

    RNmama05 replied to anyia's topic in Ob/Gyn

    Mention that though you expect to function fully independently, you look forward to working as a

  10. Stirrups?

    RNmama05 replied to CEG's topic in Ob/Gyn

    Our OB residents use them, our midwives generally don't. I think it's about provider training and convenience more than anything- and fear of shoulder

  11. efm during an epidural placement ?

    RNmama05 replied to maxienurse's topic in Ob/Gyn

    We are *required* to monitor the babies during epidural placement. Sometimes that means requesting an ISE before the epidural, sometimes that means that another nurse has to come in and crouch down...

  12. I do not think I can make it in L&D... devastated

    RNmama05 replied to RNKatrinaK's topic in Ob/Gyn

    Give it at least a year before you decide whether you really hate it or whether you just hate the new experience and being at the very bottom of the learning curve. Being a hospital L&D RN *is*...

  13. Feel really stupid for asking this regarding dilation...

    RNmama05 replied to jenrninmi's topic in Ob/Gyn

    My first thought is: How do you know the resident was right and you were wrong? lady partsl exams are very highly subjective. Station (descent), dilation and effacement are related but independent...

  14. What is the purpose/s of Pitocin?

    RNmama05 replied to JettaDP's topic in Ob/Gyn

    We're not allowed to give medical advice (or comment on the care someone is receiving which might be construed as medical advice), but a simple google search will give you a lot of information about...

  15. Sensitive Subject: D&E in OR

    RNmama05 replied to FlyOR's topic in Ob/Gyn

    At our hospital we do terminations for genetic reasons, even into the second trimester. We also get a lot of ruptured patients (previable) transported in from elsewhere, multiple gestations with some...

  16. Sensitive Subject: D&E in OR

    RNmama05 replied to FlyOR's topic in Ob/Gyn

    that's good to know. unfortunately, the definition of "imminent danger" does not include a ruptured 16 weeker who becomes septic

  17. Sensitive Subject: D&E in OR

    RNmama05 replied to FlyOR's topic in Ob/Gyn

    We get occasional transports from Catholic hospitals of patients with rupture and a live fetus at 16-20 weeks. Sometimes they're septic with ARDS (40% mortality in such cases). So yes, we do see live...

  18. What do you think about a nurse breastfeeding infant at nurse's station during break?

    RNmama05 replied to mitchsmom's topic in Ob/Gyn

    An excellent role

  19. Hospital "gift" for mom?

    RNmama05 replied to Obnurseamber06's topic in Ob/Gyn

    For-profit hospitals are businesses. So are insurance companies. Their primary concern is the bottom line. I'm not defending it. It's just doesn't occur to me to ask "why do hospitals cater to OB...

  20. Hospital "gift" for mom?

    RNmama05 replied to Obnurseamber06's topic in Ob/Gyn

    ? Why would they do that since "freebies" are a marketing tool?, i.e., they are designed to encourage people with money to bring their money to that particular hospital instead of a different

  21. Hospital "gift" for mom?

    RNmama05 replied to Obnurseamber06's topic in Ob/Gyn

    Giving gifts is not about doing good deeds. It's a marketing

  22. Coaching women during childbirth has little impact

    RNmama05 replied to URO-RN's topic in Ob/Gyn

    I think birth plans are rather silly except for your own use to guide your own decision making. Nurses know that people download birth plans from the Internet; they're pretty meaningless. If you...

  23. Did anyone try L&D and hate it?

    RNmama05 replied to RNStudent123's topic in Ob/Gyn

    It's funny, but I've never heard anyone brag about natural labor without drugs. What I do hear is people who choose not to go drug free getting really defensive about their choice and complaining...

  24. Hospital "gift" for mom?

    RNmama05 replied to Obnurseamber06's topic in Ob/Gyn

    I'm amazed! We don't do nuttin'. As a university hospital our moms come to us because they have to because 1) they're too poor to go anywhere else; 2) they're too sick or high risk to go anywhere...

  25. What experiences have you had with a doula?

    RNmama05 replied to DoulaJane's topic in Ob/Gyn

    I've had pleasant experience with birth doulas, but I find they are absolutely shocked to find out that I know something (A LOT) about normal birth and am very supportive of women who want a natural...