ragingmomster

ragingmomster BSN, MSN, RN

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All Content by ragingmomster

  1. Chewing Gum

    ragingmomster replied to Otessa's topic in Nursing Professionalism

    I would love to learn a better method... freely admit I sometimes have no couth. Any specific quotes you can pass

  2. BP in pregnancy... semi-fowler or left lateral??

    ragingmomster replied to JoC,RN's topic in Ob/Gyn

    In order to diagnose gestational hypertension the blood pressure must be an elevated reading two times so many minutes apart in a sitting position. While providing care, it is better to keep a patient...

  3. Where Do People Dream This Stuff Up?

    ragingmomster replied to BabyRN2Be's topic in Ob/Gyn

    "I have never used crack, someone must have put it in my (marajuana, cigarette,

  4. Chewing Gum

    ragingmomster replied to Otessa's topic in Nursing Professionalism

    Wow! Those are harsh words. I respectfully disagree. I chew gum rather than breathe my coffee or lunch on patients, especially when up close during pushing. (L&D nurse). That being said, I never...

  5. "Think like a nurse"

    ragingmomster replied to beatrice1's topic in Nursing Student Assistance

    Prioritize and think about how to problem solve, come up with at least 2 solutions before you ask what to

  6. Magnesium Sulfate Policy in your hospital

    ragingmomster replied to sdrn04's topic in Ob/Gyn

    We no longer use Magnesium Sulfate for pre-term labor. PIH and Pre-e goes as follows 4 g load over 20-30 minutes with VS q 5 minutes during load. Then 2g/hour with VS q 15 x 2 then hourly VS, I/O...

  7. epidural and decel question

    ragingmomster replied to JadeRN7's topic in Ob/Gyn

    I am up front and let my patient know that a common side effect of epidurals, blood pressure decreases and if it does "I will try to reverse it with fluids, position changes and meds." Informed...

  8. How many times do you try to start an IV before calling in reinforcements?

    ragingmomster replied to belgarion's topic in General Nursing

    Mostly I will try twice before giving up but if will quit after one if the pt is really skittish. I have to have a relationship with my labor patients and stick+stick+stick+stick= don't touch me...

  9. OBs doing unnecessary C-Sections and inductions

    ragingmomster replied to a_wallace4's topic in Ob/Gyn

    hmmm, I wonder if I could just run an informal survey at work about how many of our elective inductions end up being c/s? Anyone have any guesses or info about your

  10. How far do you go with precautions...

    ragingmomster replied to massrn116's topic in General Nursing

    the wonderfully helpful folks in infection control suddenly decided last week that we are to wash our hands 5 times per pt visit. before we go in the room as soon as we get in the room so the...

  11. Baby Friendly Hospital

    ragingmomster posted a topic in Ob/Gyn

    Hi all, Our hospital is just beginning to look at becoming baby friendly. I personally don't have much hope in our achieving such status because of our "baby goes to the nursery" policy. We have a...

  12. Things I have learned from being a nurse/NP (and some that required no degree at all)

    ragingmomster replied to AngelfireRN's topic in General Nursing

    If you call your loved ones at home and tell them you'll "certainly be out of here on time today", you are asking for the change of shift code/delivery/transfer

  13. IV push hydralazine or labetalol - tele?

    ragingmomster replied to klone's topic in Ob/Gyn

    Are you talking about an arterial line for continuous BP monitoring? Just wondering, we push both meds for pre-eclampsia but don't have tele. We just do frequent BP monitoring following admin, and...

  14. syntocinon

    ragingmomster replied to nurse/midwifekim's topic in Ob/Gyn

    U.S. ALSO standards encourage admin of oxytocin after delivery of anterior shoulder for history of maternal hemorrhage, concern about possible dystocia, multips or for any other concerns about...

  15. Who's got a WICU?

    ragingmomster posted a topic in Ob/Gyn

    A quick search on Google only comes up with Winnie Palmer in Orlando. Anyone know who else might have a women's intensive care unit? Some of the big wigs at work are talking about long range plans...

  16. Pain medication in Postpartum

    ragingmomster replied to LuvofNursing's topic in Ob/Gyn

    Spinal for surgery, arrive to the floor with Morphine PCA running. PCA usually ordered for 12-24 hours but I will pull it earlier if the pt can tolerate. Toradol first dose intraop then 3 more...

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

    ragingmomster replied to LNDRN2's topic in Ob/Gyn

    Is this in order to discourage VBAC'ers? What is the possible evidence that states a woman who wants to VBAC needs a bigger IV than a woman who arrives for a scheduled

  18. Cook catheter for cervical ripening

    ragingmomster replied to ldcmw1's topic in Ob/Gyn

    Not sure what a cook catheter is, but would love to hear. We are a teaching hospital and have private MD's also. Our privates will do an EASI cath but the residents prefer to place a foley bulb to...

  19. "Eyes & Thighs"

    ragingmomster replied to Conejita's topic in Ob/Gyn

    Once again I am struck by the paternalistic medical system within which I work. We recently had a pediatrician call a social work consult and insist on interference with parental control because mom...

  20. Have a cultural sensitivity question:

    ragingmomster replied to SmilingBluEyes's topic in Ob/Gyn

    What a fantastic thread! Super Kudos to Kate for your tremendously insightful information. :up: Wish we had more education on cultural sensitivity here (in eastern

  21. Understanding TOCO Monitor (Tocodynamometer): How to Monitor and Read Contractions

    ragingmomster replied to Wendy Sutas's topic in Ob/Gyn

    As far as tocodynamics are concerned there can really be no "normal". I tell every labor pt and most of my triage pts that the height of the "hills" means absolutely nothing to me when I look at a...

  22. Mandatory prenatal HIV testing

    ragingmomster replied to mitchsmom's topic in Ob/Gyn

    NC legislation mandated beginning in November of 2007 that all pregnant women must have proof of HIV testing in the antenatal period or be tested upon admission to the hospital for labor. In the...

  23. 1950s nursing

    ragingmomster replied to colrainrn's topic in General Nursing

    OMG to most of this stuff. I graduated from my LPN program in MA in 1991. Spent the 10 month program in a blue pinafore with white nursing shoes, not sneakers! Two uniforms for the whole year,...

  24. HIPAA violation?

    ragingmomster posted a topic in Ob/Gyn

    It was more than two weeks ago that I was working a night shift and had an obese English speaking pt with a non-English speaking husband arrive in L&D triage from the ED saying that her water had...

  25. Advice for doing vaginal exams

    ragingmomster replied to smithtip's topic in Ob/Gyn

    Here's another trick I was taught early on because I had a problem with keeping my fingers at the same position once I got out of the lady parts. Place your other hand on a solid surface (I usually...