ragingmomster BSN, MSN, RN

This sounds like a good way to be certain of a) strong enough compressions b)actual blood flow in the vessel (as opposed to a hemorrhage somewhere)

That sounds like a quote that could be referenced. Do you have one to share?

very kindly asking "if you're never coming back to nursing, why are you here?"

I very kindly ask...why are you here, if you're never coming back to nursing?

I quit reading at the 23 hour line. As far as I know, 16 is the max allowable by federal law for safety's sake. Run, leave, get out now before you lose your license.

Time and experience have helped me explain to my patients what I'm seeing and what I'm doing without scaring the bejezus out of my patients. Explaining while making frequent eye contact and always speaking slowly have really been my best tools.

Some of our anesthesiologists will refuse to place an epidural in the case of IUFD deliveries. Because they anesthesia group is a private contractor they don't have to listen to hospital or obstetrical suggestions. In the case of PCA versus epidura...

So, has anyone heard of or seen a nickel taped to the underside of the toco as a method of improving tracings? How about an alcohol pad placed between the toco and the patient's skin? Why do it, does it work? Thanks in advance.

pretzel position? not a term I've heard before.

Community involvement may be your best next step. Perhaps there are loss support groups that might be interested in joining your ceremony? How large of a facility do you work in? Do you have a patient and family experience office?

Hi all, I'm looking for input for a post partum pain management project in relation to our patients in medication assisted therapy programs. Our post-partum order sets are usually followed by our OBs. Vaginal - Percocet 1-2 every 4 PRN and Motrin q8 ...

If your facility doesn't already aim for skin to skin in the OR and have anesthesiology on board with this project you may need to defer. This is a very large culture change and once a mom gets to do it, word will spread and many more will want to d...

Post-op orders say remove on POD#1. If the dressing is stained or needs to come off earlier to rule out a problem, SBAR the provider with the recommendation that it be removed earlier. I generally explain to the patient that it will come off much mo...

POST JUST ONE COMMENT ABOUT TERMINATION OR PERSONAL NEGATIVE POV AND I'LL WHIP THIS POST DOWN. PLEASE -I NEED IDEAS. Politics, politics. Our facility provides free cremation services for pregnant women who deliver babies that die before or after birt...

Do you have paper charting or an EHR? EHR should be able to spit out a report for the peds. Why can't the MD's do their exams at moms' bedside?

Whoa! You have a long way to go to get to BF if this is your facility's culture. Ride the BFI listserv and start with the low hanging fruit. What's your treatment for the low blood glucose? It should be breastfeed. If you've moved the baby to the n...

Fantastic news!

this might help MythBusters: Poppy Seed Drug Test MiniMyth : Video : Discovery Channel

in response to the original question... "someone must have laced my cigarettes with cocaine to try to get me addicted"

Who has experience with testing all patients? In my clinical we need consent to screen in the outpatient setting. Inpatient there is no consent needed. Our current population has a more drug users than one would think. Making an admission of previ...

probably too late but this might help International Advanced Practice Nursing | The Role of Advanced Practice Nursing Internationally

The smaller Vidant hospitals have some better bene's but VMC gives you more bang for your buck clinically. VMC gets the sicker patients and more high risk. What specialty are you thinking of?

I have been working in a 3500 deliveries/year high risk LDR unit for more than 5 years. We are in the beginning stages of working on standardized pitocin orders based on EBP for all the practitioners to use. Because pitocin is a high alert medicati...

Work flow? There is no work flow in L&D. You need to have your clinical standards for L&D down pat, but the clearly regimented days of CSICU will be gone. The whole picture changes on a dime and you have to be thinking about all the possibi...

I think I need to lobby for a new job title. Have encountered some confusion when giving my job title to include Case Manager.I am employed by a hospital and have been placed in the adjoining pre-natal clinic. I talk with and educate pregnant women...