htrn

htrn

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All Content by htrn

  1. Epi Question - Stops working at 9 cm?

    When epidurals are placed, there is often a bolus of medication given when the epidural is placed. This provides very quick relief and often an initially dense block. After a an hour or so, the...
  2. To paint or not to paint... cords

    All kiddos get cord painted with betadine, then most get alcohol q shift. One MD has them get betadine daily and alcohol q shift. We had a run of oomphalitis (?sp) several years ago, docs and NM did...
  3. Acute Fatty Liver of Pregnancy

    We recently had a patient come in for 'itching' at 36 weeks. Some very serious eye rolling going on from nurses - 'can you believe it, the doc actually admitted her'; 'what a whiner, can't even stand...
  4. Does this ever happen to you?

    Try the National Organization of Rare Disorders (NORD) at http://www.rarediseases.org . I have a daughter with a rare chromosomal abnormality and I know how hard it was to not have alot of...
  5. Determining station....

    I've been doing this for 5 years and I still don't know the answer to that question. If a doc comes in a checks a patient right after I do, I always ask what station they are at. That gives me a bit...
  6. Mistakes held against you

    I always report errors and strongly encourage other nurses to do the same - even if it was as simple as giving Motrin too early. Many nurses are afraid to report errors, afraid of retaliation or...
  7. What do you have in there??

    at least one novel my 1001 Soduko Puzzles Book with pencil Bag of some sort of chocolate candy (for those extra special moments ) lunch Excedrin, motrin, sudafed, imodium, tums and my Rxs (because I...
  8. Would you consider this a big deal?

    That nurse was DEAD wrong - no pun intended. We have medication error forms that we have to fill out for EVERY medication error, near miss, wrong administration time, etc... (even if we know the MD...
  9. hot packs to sternum for post partum shaking?

    OK folks, I have used this 3 or 4 times since I originally saw this post - IT WORKS :monkeydance: :monkeydance: The moms were NSVD, some with and some without epidurals. I see the shakes in most...
  10. 5150 patient absconded from the ER........

    The 5150 is a LEGAL hold, not a medical hold. It doesn't matter if he was a danger to himself or someone else, a judge decided he needed to go to psych and the cops were responsible for enforcing...
  11. Breastfeeding Question for L&D nurses

    Get a new doc now!!!! If your baby is growing, gaining weight, peeing and pooping, then your baby is fine!!! I had a doc tell me I had to quit BFing my last child when he started me on zoloft (I have...
  12. What does the new mother/family need nowadays?

    We no longer do the formula company gift bags - interferes with BFing (I will say no more). Parents basically go home with a bulb syringe, any diapers and wipes that may be left over (usually not too...
  13. Terminology

    I will occasionally use the term 'technicolor
  14. Meds used to stop preterm labour

    We use Terbutaline 0.25mg SQ as close to 20 minutes btwn doses and up to several doses. We sometimes have pts take po terbutaline, usually 5mg q 4 hours or procardia (niphedapine) po. We have also...
  15. Catholic hospitals-yes or no?

    I work in a Catholic hospital and we had a very similar situation - watched this poor woman's labs tank hourly. They called an emergency ethics consult as soon as they figured out what the problem...
  16. I don't know how much I can help, but I'll do my best. I usually work nights, 11p-7a, with another nurse and a nursing assistant. One nurse is 'assigned' to the nursery and the other nurse does...
  17. Terminology

    I think it is hyperemesis - but I prefer the term 'power puking'
  18. I agree with quickbeam. There are so many non-clinical jobs out there for nurses - working for an insurance company reviewing claims, sales person for medical supply and drug companies. There is...
  19. Breast Feeding and NYT article

    God bless her!!! I have pumped in janitor closets, empty offices, and behind the door in a University public bathroom as that was where the only electrical outlet was - got smacked by the door...
  20. RN to Midwife

    I am glad you started this thread. I have been working in L&D for 5 years, right out of college. I have really lost faith in the birth process, have found myself facilitating the medicalization...
  21. STD's & Pregnancy....

    My understanding is that we section pts with active herpes lesions. We have had patients with genital warts deliver lady partslly. One problem is that if they have a tear where the warts are, the...
  22. G's and P's question-mom has had twins

    Never mind, don't call my hubby - he already knows I'm wrong most of the
  23. Blood patch

    :yeahthat: :yeahthat: :yeahthat: We try things like lots of fluids (PO and IV), traditional pain meds both narcotic and non-narcotic, caffeine and having them lay as flat as possible for as long as...
  24. gift ideas for new mom?

    If she is breastfeeding - boppy pillows are great!! You can get them for about $25 - $50, can also be used to help prop baby as they get a little older. What about a massage, manicure or pedicure? A...
  25. Oh wise nurses of the world.....

    I have been trying to find a way to look up nursing seminars, continuing education (even tho my state doesn't require them for my license), anything that I can go to keep LEARNING!!! We hear about...