I'm still a student (14 days to go) and am precepting on a L&D unit (as well as antepartum) in a hospital that has about 300 deliveries per month. We have had quite a few FD's under 20 weeks...
Not me!!! I teach Prepared Childbirth classes and I tell my class that this is NOT a big deal, and for Pete's sake, please, please, please do not fish it out of the toilet and bring it to L&D...
Having just recently graduated (15 months ago), I think I can give some perspective here. I always thought of my first year out of nursing school as actually my THIRD year of nursing school. I...
Out of habit, I always put a pulse ox on the mom to get her heart rate whenever I have even the slightest doubt about who's heart rate I am tracing. Takes only a sec and clear up quite a bit of...
Mothers can be a wealth of information and support for laboring patients ... as long as you are there for HER, you will be fine. That being said, the majority of problems with moms coaching daughters...
Well, after a full year of working L&D as a RN, I can say that I rarely tear up anymore unless I've really bonded with the family and the situation is special in some way. What "Maternity Ward"...
What do most hospitals do in their OB departments with these types of calls? Our most common call is: Hi, I think I'm in labor. No, my water hasn't broken. Yes, the pain is unbearable. Definitely...
JOGNN had a great article on this ... I believe it was the Nov/Dec 2005 issue but I can't seem to find it in all of my piles of magazines right now! It was titled something like "Spontaneous Vs....
One of the main points with nipple stimulation that is being done to induce production of Oxytocin, is that the nipple must be stretched, not just rubbed. The breast pump does exactly this and works...
Herpes is a great subject for this. And more women than we realize carry the HSV I (yep, the kind usually found on your lip during a cold sore breakout) lady partslly. Interesting at what point the...
Our OB manager (both asst managers and head honcho) have many, many years of OB experience. When they are on the unit, they should be able to look at a FHR tracing and understand why the patient is...
I've spent the last few nights pondering this question ... let's use a "hypothetical" patient: Primip, induction (cytotec X2 then Pitocin), Pit is up to 6mu, FHR baseline 140-150bpm with average...
Okay, so I think we've come got two things going here: 1) If the patient shows an O2 sat of 99%, it may not actually be so (inaccurate reading of a finger pulse ox), so additional oxygen makes up for...
I've done some more reading and research and I'm still in need of more info. Here's where I am at: If mom has an O2 level of 99% then her hemoglobin is carrying 99% of its potential capacity. The...
Ah yes, forgot to mention that I also turned the pit off and provider was notified, as well (we'd been on the phone off and on for 20 minutes). I do understand the theory behind putting 02 on the mom...
I know a little something about all of those hospitals as I've either worked there, been there as a student, or have good friends employed there. CMH would be my hands down favorite but then that's...
I work at a hospital that sees about 300 deliveries per month with mostly health moms (good prenatal care, easy pregnancies, etc). Every now and then (and more often lately) we are seeing moms coming...
Cienna, I would love to have you ask other PTL moms on Mag what would've made the stay more bearable. Please ask them and then return here with your information to share ... And I'd still love more...
I have a patient on L&D (antepartum) who has been on complete bedrest for PTL for 30 days now. The doses of Magnesium Sulfate that we have to give her to stay out of labor are so large that she...
Thanks so much for the input ... your reply gave me valuable ideas that I will present to both the MD and the patient tomorrow. I've spent all weekend thinking about her and wondering how we can help...
Nurses who care like you do, Rae, are a true blessing when things go bad in our happy land of L&D. We had a mom come in today ... 27 week fetal demise. Her wails as we got her settled in and...
Yep, COL is high but buying a house is going to depend a lot on how you manage your money here. I currently rent a house in Ventura, lived in Ojai up 'til three years ago and my parents still do live...
One of the reasons that I became a L&D RN was to help patients throught the trauma of miscarriages and fetal demises. And one of my deepest sorrows is that our hospital, as most, does not let any...