ragingmomster replied to at your cervix's topic in Ob/Gyn
oooh, oooh, oooh... Now don't tell me what this mother of the patient had been doing lately. Pt has delivered and we are running Oxytocin 20 units in 1L via pump at 125ml/hr until the liter left from...
We have recently seen an increase in a maneuver where the doctor will use an SVE to push upward on the chin of an OA presentation baby to increase descent in the birth canal. Unfortunately I can't...
ragingmomster replied to catjeremy3's topic in Ob/Gyn
Sounds like the perfect combination of experience for our unit. Are you interested in working full or part time? Either way I am sure our ANM's would love to talk to you. Probably your best bet would...
ragingmomster replied to catjeremy3's topic in Ob/Gyn
OKAY! PM box is cleaned out. I had stuff in there from 2003! Are you a relatively new grad? Do you have experience in ante-peri-post partum and normal newborns? Do you have experience in Med Surg?...
ragingmomster replied to Jo Dirt's topic in Ob/Gyn
When I was pregnant with #2 and #3 I would stop on the way home from work every morning and fill my gas tank. I have always loved the smell of gas but just HAD to HAVE it every day. I also had the...
It isn't unusual for your BP to drop after an epidural is placed. We check it frequently and give ephedrine in small doses along with IV fluid bolus to help bring it back up and some O2 usually makes...
ragingmomster replied to Nice2MeetU's topic in Ob/Gyn
Incredible! I will have to put this one in the file next to placenta eating. Not my cup of tea, hard to understand, and just something else to avoid being judgemental about.
Please bear with me and any input is appreciated. I work in a 16 bed high risk unit that did 3300 deliveries last fiscal year. Our NM stepped down 5 months ago into a "helping hands" position and is...
ragingmomster replied to CyndieRN2007's topic in General Nursing
To the OP... Please take the time and bounce some polite phrases off people that you trust, in other words learn how to say NO. I found myself in this position about 2 years ago. My Spanish is very...
Why didn't someone start this thread earlier in my life?! DD #1 decided to break my water on Mother's day at 6pm and wait about 24 hours to arrive. When I hadn't started contracting by 11am, in came...
Tattoos have never stopped any of our CRNA's or ologists from placing a spinal or epidural. I can't imagine being told I had to have general anesthesia for a caesarean because spinal wasn't possible...
ragingmomster replied to shortstuff31117's topic in Ob/Gyn
Inductions will get the rest of the pitocin hanging and depending on gravida will sometimes get a second bag of 20 in 1L. Here in East North Carolina we have a very large population of very large...
ragingmomster replied to PattonD's topic in Ob/Gyn
20 weeks here too. We don't take the ED's word for it though. As a teaching hospital, that's what we have interns for. Personally if I triage a pt who came in through the ED, before they go home I...
ragingmomster replied to PlourdieRN's topic in Ob/Gyn
I work in a large teaching facility and rarely have a delivery without an MD or CNM. For lady partsl deliveries the MD/CNM will collect cord blood but an RN will do it if they don't make it in time....
ragingmomster replied to Lamissa21's topic in Ob/Gyn
Nights are definitely NOT SLOW on L&D. Those babies come whenever they want and just 'cause it's dark out means nothing to an infant. That being said...please think seriously about whether (sp?)...
ragingmomster replied to crissrn27's topic in Ob/Gyn
Using a chart very similar to this is how I learned. Also, there is a little trick where you can use your fetal monitor paper as a guide. (1 minute of paper = 3 cm) My favorite trick was to be sure...
One of our family practice docs is from China, I love her but if I see her write an order for "pt may get in birthing bowl" one more time we will have to have discussion about the birthing BALL and...
ragingmomster replied to L&DRNJenn's topic in Ob/Gyn
What a range of responses! We use spinals for scheduled c/s but if the mom has hypotension issues, then it is an epidural and they sloooowwwwwlllllyy dose it up for anesthesia. General is used very...
ragingmomster replied to 33-weeker's topic in Ob/Gyn
We have recently had issues with MD's and RN's disagreeing about APGARs. We went back to our policy though and it clearly states that the RN gives the score unless the RN has not seen the baby to...
Our unit has hired a male new grad RN to work in L&D, he starts later this summer. I do not have any experience with this situation because I think it is rare and I only have 2 years experience...
Your comments and suggestions have been fantastic. When I posted a thread titled "How will our new grad Male RN work in L & D?" I never expected such a response. Sorry I didn't catch it before it...