RNBelle

RNBelle

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All Content by RNBelle

  1. one of my biggest fear happened.. in need of some words of wisdom

    RNBelle replied to mctina_20's topic in Ob/Gyn

    No worries. I have done the opposite. Kept women who I thought were in labor only to leave work and return to find out they weren't in labor and the MD induced them just cause they were in the unit....

  2. OB Rapid response team

    RNBelle replied to momsdabom's topic in Ob/Gyn

    I work in a 5 bed LDR unit with 11 PP beds. We staff 2 RNs and 2 LVNs at night. That would be the emergency response team. No one else in the hospital wants to come near our floor. We are very good...

  3. Pit Inductions---How much do you increase?

    RNBelle replied to LDR-RN's topic in Ob/Gyn

    Our orders are 3mus q 15-20 mins but I follow the national recommended standards of starting at 1-2mu's and increasing 1-2 q 30 mins. If you have access to any perinatal journals you will find...

  4. Narcan administration in newborns

    RNBelle replied to jennf83's topic in Ob/Gyn

    Did mom get a narcotic within an hour prior to delivery? If she did and your baby is kind of "poopy" then you can rationalize that it is from the narcotic and you can give him the narcan. Now if mom...

  5. Increasing maternal death rates - news story

    RNBelle replied to TXcatcher's topic in Ob/Gyn

    Rarely does a c/s where I work have SCDs, no TEDS on either. Drives me

  6. Do you have a baby nurse at delivery?

    RNBelle posted a topic in Ob/Gyn

    Just curious as to how other hospitals staff their deliveries? Do you always have a pedi present? NICU staff? Where I work we just have another RN or LVN run in to catch the baby and do the initial...

  7. Finding the right words...

    RNBelle replied to lmc512's topic in Ob/Gyn

    P.S. parents are going to do what they want to do with their kid. Sometimes there is nothing you can say or do to educate them regardless of their decision. I just know what my own opinions are and...

  8. Finding the right words...

    RNBelle replied to lmc512's topic in Ob/Gyn

    Nothing allowed but breastfeeding for that baby. PT ed consisted of all the normal stuff, of the couple of nurses working we would take turns going in to assess mom and baby and see if she wanted a...

  9. Hello! New here....

    RNBelle replied to dennysgirl84's topic in Ob/Gyn

    Welcome!

  10. Finding the right words...

    RNBelle replied to lmc512's topic in Ob/Gyn

    I had a mom who let her baby scream for 15hrs straight because he wouldn't latch and she wanted to breastfeed only. I really wanted to run in there and shove a bottle in his mouth but I just sat at...

  11. oral fluids in labor

    RNBelle replied to kouklakis's topic in Ob/Gyn

    only 30 ml?! geez. But we allow only ice chips. As longs as your pts have iv's and are getting iv fluids that should hydrate them even though they might be craving something to

  12. Vaginal Breech

    RNBelle replied to mamafeliz's topic in Ob/Gyn

    Only our old school docs know how to delivery breech and will only do so if we can't get them back in time for a

  13. Curious about PP Methergine use

    RNBelle replied to JaneyW's topic in Ob/Gyn

    We have a very old school doc who schedules it for all his vag deliveries, I can't remember if he writes for 3 doses or 6 total. I usually do not give it to my pts, I discuss it with them, assess...

  14. L&D charge nurses required to have patients

    RNBelle replied to NM_Nurse's topic in Ob/Gyn

    Where I work we do about 80-90 deliveries a month. Charge always has a pt load. Espcially because they usually only schedule 2 RNs at

  15. Cervical exam/bimanual exam question

    RNBelle replied to Woman_in_love's topic in Ob/Gyn

    For lack of better terms. The cervical opening (when closed) feels like a

  16. Question from a new nurse in L & D!!

    RNBelle replied to KimberRN's topic in Ob/Gyn

    I got about 8 wks orientation to L&D so you are lucky. It will take atleast 6 months before you feel like you even have a clue and about a year until you fill comfortable. And you will always have...

  17. What do you start IVs with in your OB unit?

    RNBelle replied to LNDRN2's topic in Ob/Gyn

    We give everyone a 18g, unless they have tiny crappy veins then I will put in a 20g. We just switched over to nexiva IV catheters.....talk about a learning curve. The only ones who are doing good with...

  18. Post c/section diet

    RNBelle replied to Elvish's topic in Ob/Gyn

    One placed I worked it as advance as tolerated, I would start off with juice or broth, depending on what the pt wanted, then crackers, etc. Never saw anyone with problems. Where I work now it is clear...

  19. Staffing

    RNBelle replied to ontheroad!'s topic in Ob/Gyn

    We are a small unit but it is all encompassing - L&D, PP and nursery. We usually only have 2 RNs at night and then a couple of LVNs, no scrub tech. If there are no L&D pt's they will cut the...

  20. Men in L&D

    RNBelle replied to forgop's topic in Ob/Gyn

    I say go for it. But you have to find a unit that is cool with having a male on it. I am pretty sure the unit I work on would not be able to handle a male RN. I am totally cool with having a male RN...

  21. FHR tachycardia dilemna-sorry if its long but i need advice!

    RNBelle replied to michstamps's topic in Ob/Gyn

    Wow, sounds like it was pretty impressive and stressful. I don't have much OB experience but I had a pt one night where the FHR was making these huge arcs. Baseline 170s and then would arc and drop to...

  22. Cervidil

    RNBelle replied to jules55's topic in Ob/Gyn

    We usually staff 2 RNs at night. Usually it is 1RN: 2 pts regardless of acuity. But we have been so busy lately it is just suck it up and deal with inductions, ob checks, observation pts and walk ins...

  23. Cytotec Policy

    RNBelle replied to rickdon19's topic in Ob/Gyn

    I believe they use the 25mcg in the office. The PTs are to immeadiately come over to the hospital, but sometimes they decide to run errands and do not know the power of cytotec. Then by the time they...

  24. obnoxious OB

    RNBelle replied to adpiRN's topic in Ob/Gyn

    It's ok what happened. I am still a very new L&D nurse - been doing it over a year now. But there are still moments with doctors, co-workers and PTs where I stop and kick myself and think "next...

  25. OR -C/S QUESTIONS

    RNBelle replied to ldcmw1's topic in Ob/Gyn

    We do not do our own c/s. The OR crew is called in for all c/s. The L&D nurse will be the one to catch the baby. The OR crew does their own circulating and recovery of the mom. We do not have the...