TammyWilson808

TammyWilson808

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All Content by TammyWilson808

  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...

  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...

  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...

  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...

  5. 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...

  6. 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...

  7. 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...

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  16. What is it about Med-Surg?

    TammyWilson808 replied to Mint Julip's topic in Medical-Surgical

    Med/Surg is one of the hardest jobs a nurse will ever have. I was one for ten years and you were either a well organized, efficient Med/Surg. RN or you weren't. And it is that simple. It is the...

  17. What is it about Med-Surg?

    TammyWilson808 replied to Mint Julip's topic in Medical-Surgical

    Med/Surg is one of the hardest jobs a nurse will ever have. I was one for ten years and you were either a well organized, efficient Med/Surg. RN or you weren't. And it is that simple. It is the...