TammyWilson808

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1. Do you count?

   TammyWilson808 replied to ayndim's topic in Ob/Gyn

   Aloha, Patients will let you know what they need. They sometimes need hearing the count to focus on, knowing that there is an end in sight as they expend that much energy and trying to get three good pushes from each contraction usually. But I usua...

2. Another Certification Question . . . 2 years?

   TammyWilson808 replied to twinner's topic in Ob/Gyn

   Aloha SmilingBluEyes, Awesome, congrats!!! I am just looking into it. I want to get certified in the same, inpatient obstetrics and even postpartum/newborn. There is alot of info just for applying for the exam. I need the study guides. Where did...

3. No slamming me please!!!

   TammyWilson808 replied to jkaee's topic in Ob/Gyn

   Aloha JKAEE, Congrats for recognizing what you need to do for your health and your baby's. Don't wait, go to your NP and tell her what you want to do. You've done the biggest step already by recognizing what you need to do. It is truly an addictio...

4. Pitocin protocol for Inductions

   TammyWilson808 replied to Jemma's topic in Ob/Gyn

   Aloha Jemma, We do 20 units of it per 1000ml LR, concentration is 1mu=3cc/hr infusion rate. Augment protocol: 0.5 mu=1.5 cc/hr to start, and increase by 0.5 to 1 mu Q 30-60 minutes,titrating to a good labor pattern. If induction protocol: 1 mu=3cc ...

5. Level I Nursery

   TammyWilson808 replied to niquern's topic in Ob/Gyn

   Aloha, I am a L&D RN in Waimea, Hawaii and we have a level I nursery. If the OB-GYN knows it is a high risk patient they are sent and delivered at the tertiary care center on another island. If the patient comes in labor and high risk such as ...

6. Thoughts on working with a laboring patient with a deceased baby?

   TammyWilson808 replied to kar212's topic in Ob/Gyn

   Dear Kar212, I think we communicated through another thread. But I am an L&D RN from Hawaii and we, unfortunately, have our share of fetal demises. I can only imagine your pain and please do accept my sympathy. I am so very happy that nurses ...

7. We had a anencephalic baby born...

   TammyWilson808 posted a topic in Ob/Gyn

   We had a anencephalic baby born yesterday. This was my second one in my career and you never get used to it. Baby's face was macrosomic, distorted. Their precious angel had a heartrate for about 4-5 minutes and then passed. I labored mom all nigh...

8. Pros and Cons of L & D Nursing

   TammyWilson808 replied to Energizer Bunny's topic in Ob/Gyn

   Aloha, I totally agree with your assessment! I am an L&D RN and proud of it! An old timer RN told me once dealing with fetal demises is the price we pay for the most awesome job in the world we have to do. I had to think about that one, and am...

9. Labeling Pitocin

   TammyWilson808 replied to Jemma's topic in Ob/Gyn

   Aloha, We also have to label our bag containing Pit (usually 20 units titrate per protocol), our line and the pump. We are being JACHO surveyed in June---those are the standards of practice we are held to. Personally I think having to annotate titra...

10. L & D nurses routinely deliver babies?

    TammyWilson808 replied to midwife sarah's topic in Ob/Gyn

    Aloha Midwife Sarah, It is true on a very rare occasion RNs deliver babes when MDs cannot get there in time. It is unforseen and can't be helped but it is routine for the MDs and Certified Nurse Midwives we have to deliver our babes. Please get in ...

11. Episiotomy vs. Spontaneous laceration?

    TammyWilson808 replied to becca.utns's topic in Ob/Gyn

    Palesarah, AMEN! :rotfl: Where I work as a L&D RN, episiotomies are NOT routine. The doctors and midwives speak with the mom BEFOREHAND and ask what are the specifics of their labor. It gives the patient control and allows them to choose! But...

12. tubs in LDRs- need advice for new hospital

    TammyWilson808 replied to PegRNBSN's topic in Ob/Gyn

    I work on the Big Island In Waimea, Hawaii and we have five LDRPs and a tub room which includes a laboring tub/jacuzzi. I wish we had a tub in each of the five rooms but space is pretty scarce. We make do---and couple of the nurses are in the middl...

13. Thoughts on working with a laboring patient with a deceased baby?

    TammyWilson808 replied to kar212's topic in Ob/Gyn

    Aloha Kyriaka, We have a beautiful five labor/delivery/recovery/postpartum rooms. My patient was put in one of the five rooms most separate from the two postpartum couplets we had that night. I have not seen a more protective bunch of nurses (I cal...

14. We had an OB patient die today

    TammyWilson808 replied to rdhdnrs's topic in Ob/Gyn

    I'm so sorry. I work in a family birthing unit in Hawaii and when we lose a baby the whole team, doctors and nurses alike, feel that loss. The unit is quiet and goings on keep going on but the hum of the place is just very sad. We weep behind clos...

15. Thoughts on working with a laboring patient with a deceased baby?

    TammyWilson808 replied to kar212's topic in Ob/Gyn

    I have been an L&D RN for nearly three years and for the first time I cared for a woman whose baby died in utero at 24 weeks gestation. There was a large part of me to be busy with the paperwork and the necessary function of the process. That i...