htrn

htrn

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All Content by htrn

  1. Call yourself a nurse?

    I agree with all other posters about earning the right to call yourself a nurse. I worked hard for it, I earned it, I have the scars, degree, and liscense to prove it!!! But, I also wanted to...
  2. PTSD after childbirth

    No articles as wonderful as Smiling BlueEyes, but I did have a pt last week that would probably qualify as PTSD after childbirth. She was a G3P2, Group B strep + whose last baby apparently had some...
  3. Cervidil--Talk to me!

    We've had enough incidents with cervidil that our policy requires NS lock prior to insertion. BR for 2 hours after insertion. Policy says intermitent monitoring, but we've had enuf trouble that many...
  4. Pitocin induction-pit rates

    Depends on the doc: Doc #1: Start at 2 and up by 2 q 20 minutes until adequate labor. He'll AROM if he can possibly get a hook through the cervix (fingertip and thick), then commit her to delivery...
  5. Teaching in OB

    Biggest issue - parents that know it all, roll their eyes while trying to talk to them, Dad turning up the TV to drown you out while talking to mom, and mom that won't get off the phone or keeps...
  6. Wrote up for being negative?!?!

    Boy, you must be a REALLY powerful
  7. Standard of Care/preterm labor check

    Aren't frequent fliers fun!!! If you documented when you called the MD and what you told him, the onus is on him/her for not showing up. I would have monitored the patient for contractions, FHTs and...
  8. Postpartum fall risk assessment

    As far as DVT prophylaxis - all vag deliveries have homan's signed assessed with VS. Our C-section moms get SCDs for the first two nights after delivery. If we have a longer term mag patient, we may...
  9. Postpartum fall risk assessment

    I like your ideas about 12hrs of precautions and the thought about tubes - thanks. We have an 'egress test' that we are instituting throughout the hospital that all pts are supposted to be evaluated...
  10. Pt demanded a stronger pain med

    If a patient has a hx of narcotic use, i.e. chronic pain, they usually reveal this during the H&P and the MD will realize that pain may need to be treated with something stronger than T3. The OP...
  11. Pt demanded a stronger pain med

    :roll :roll :roll OMG - I would love to be a fly on the wall next time you do that!!!! Call me and I'll just slip in behind the curtain with a video camera so we can send it into Funniest Home...
  12. Posters that are not nurses

    I know that some posters may not be nurses, and I agree with the OPs concerns. On the other hand, there are posters that are mothers of nursing students that post and I enjoy being able to support...
  13. 4th degree Laceration..ouch!

    We have an OB that will cut an RML if he feels there isn't enough room for a midline without risking 4th degree. But then again, if he did all of the above he wouldn't have to worry about it in the...
  14. 7/70 Scheduling-Anyone have experience?

    I don't have any experience with it, but boy, sounds like something I would really
  15. Grrrr scheduling!

    I work straight nocs and would much prefer to work 7 in a row (8 hour shifts) then two on, one off, three on, etc... The absolute worst is on a noc off a noc or mandatory inservice all day (8-4) then...
  16. Ethical Dilemma

    I work in a Catholic Hospital, so this situation would go through our eithics committee. We had a situation a few years ago with a 20 weeker that seemed to be progressing through Pre-Eclampsia to...
  17. Abusive Nursing Instructors-LPN

    it seems like everyone here agrees that hazing/abuse/training - whatever you want to call it is the case in the majority of schools and in the majority of work places. this does not make it right!!!...
  18. Postpartum fall risk assessment

    Thanks for your response RN/writer. This is in response to your friend and mine, JCAHO, patient safety standards. You're right, people don't think about our post-partum mom's being at risk for falls...
  19. Theme of the day....

    We have an RT that swears there is an "I thing breathing is optional
  20. what goes on/your floor during night shift?

    I love night shift!!! I was hired right out of college to OB/PP/NBN on a day/noc rotation in a 500 delivery a year hospital. I did my first 6 months of orientation on day shift only. There were...
  21. I work OB and we do float out if we are not busy. We go to med/surg, ICU, sometimes Ambulatory Care and ER. We have nurses from other units that will float in to help us, primarily in the nursery,...
  22. Looking to the smartest nurses I know for some help here. We just had a baby the other day, mom on 30mg methadone daily during pregnancy due to a pain killer addiction after a back injury. She made...
  23. Neonatal Methadone withdrawal

    Thanks for the words of wisdom. I feel like a fish out of water with this and so do most of my colleagues. We, the nurses, found out about her coming in less than two days before her scheduled...
  24. OP Babies

    Many of these moms will have terrible back labor also. I have also heard a doc say that if she has a vacume pop-off during 2nd stage with no fetal decent, she quits with the vacume as it is probably...
  25. Cup Feeding Strikes Again!

    I have to agree with OP - I hate cupfeeding. I don't think there is any such thing as NIPPLE confusion, but there is definetly something called FLOW confusion. Infants have to work until mom's milk...