gypsyatheart

gypsyatheart

Case Mgmt; Mat/Child, Critical Care

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All Content by gypsyatheart

  1. High Risk L&D usually 1:1 or 1:2. NICU can be 1:1 up to 4:1
  2. Sign On Policy?

    Usually hospitals will make you pay back a sign on bonus if you don't complete you're agreed upon commitment. Getting pregnant has nothing to do w/it. They can't penalize you for getting...
  3. Maybe the doc mentioned this because of the risk of macrosomia (large baby) which could lead to a higher risk of c/s. Maybe he was just giving you an idea that it could be a possibility. Why don't you...
  4. Standard precautions ignored

    What??!! OMG! How sick! Why in the world would someone do that? It's more trouble to wash a butterfly than to just throw it away and get a new one! Geez, what a
  5. I have never met anyone like her...

    This is the kind of person that needs to be discharged ASAP. I would confront him/her, very calmly and politely, stating: "I am not arguing w/you, it is your choice to be here, if you choose to stay...
  6. Vet tech calling herself RN

    I am in the group that says that vet techs/assistants/"nurses", should not be referring to themselves as Registerd Nurse or RN. You don't hear the vet calling himself a Medical Doctor, now do you? No,...
  7. Postpartum Self Medication Program

    Post partum self med programs are great! At my last contract, a naval/military facility, all the moms got what was called "brown bag meds": Motrin, tylenol, colace, PNV and maybe Fe as well. What a...
  8. Applying Oxygen when O2sat is 99% on RA

    It doesn't matter what the mom is satting....what you want is the extra, supplemental oxygen to get to the fetus, d/t placental insufficiency (indicated by the lates). Just because the mom is satting...
  9. Applying Oxygen when O2sat is 99% on RA

    You put the O2 on mom for the baby, not the mom...it doesn't matter if the mom's o2 sat is 99%....your goal is to get more o2 delivered to the baby. Your response for lates is: 1) turn to lt side...
  10. Need advice please

    I am curious also, are you an RN, as only RN's should be assessing pt's independently and then deciding the best course of action...I mean that is triage. How can you do case/bed management if you...
  11. I agree, excellent post. Seeing how the pain was in her leg and he wasn't examining "private parts", he probably opted to stay in the room knowing if he left he would get caught up w/other business....
  12. PRN jobs

    For me, being per diem, is perfect! I can work as much or as little as I want, make my own schedule; and the weekend and holiday committment is minimal. In fact I haven't worked any holiday's that I...
  13. Coaching women during childbirth has little impact

    I haven't read each and every post, but just want to add my .02. As far as I'm concerned, if this so-called "study" says coaching women during childbirth makes no difference, I say "phooey"! As a...
  14. footprinting newborns

    Footprinting seems to be individualized to the facility. It seems more and more we are getting away from footprinting...not much use,a nyway. However the facility I recently started doing per diem for...
  15. brachial plexus injuries?

    Just FYI, this post is about 5yrs old or so..... After reviewing this thread, I don't think any of us have enough information to give the OP any advice. The OP states it was her child and that she is...
  16. Help understand Betamethasone

    :yeahthat: Excellent post,
  17. If it's required by your unit/facility, then definitely! If it doesn't apply to your area but you just want it as an added credential, then, I believe it is your
  18. Coworker quit/fired! Should we know what happened or not?

    Co-workers do not have the right to know anything about another's circumstance. Be it termination, resigning, disciplinary action, "behavior" problems, etc. I recently had a manager who loved nothing...
  19. Physically attacked on the job?

    Absolutely! The worst was accompanying a psych pt to the ER and she got agitated, jumped of the exam table....freaking out the doc, myself and the aide I had w/me. Everyone jumped back a bit, but I...
  20. Prenatal Assessment Question

    Hello, in order to auscultate FHTs without a doppler, you would need a special type of stethoscope, called a fetoscope. It has an attachment where you place the (specially shaped) diaphragm on the...
  21. The hardest shift of my nursing life (young as it is)

    Rae, I just read your post, I have tears in my eyes. I am so sorry for your friends loss! This is a subject near and dear to my heart, and I want you to know that you did a wonderful job as a nurse...
  22. pain med...

    Fentanyl; Fentanyl and Phenergan; Fentanyl and Benadryl,,,called a Fenadryl cocktail, LOL, Demerol rarely. Morphine for early/prodromal labor. Usually don't want to use Demerol too close to delivery...
  23. When do you move your pt to post-partum?

    Pretty standard here....approx 1-1/2 hrs s/p NSVD, and at least 2- 2 1/2 s/p C/S. All depends on how busy we are...if we need beds, the vag deliveries get pushed out pretty quickly....we empty their...
  24. Has anyone tried BOTH Danskos and Birkenstocks?

    I prefer danskos, used to love Birks, but never wore them to work. Now if I don't wear my Danskos to work, my feet really hurt! Wearing Danskos does take a little getting used to, but once you're used...
  25. Gay / Lesbian patient resources for nurses?

    Well, I can see where this person is coming from, what she's trying to say. I agree, we are already so busy w/our assessments, treatments, meds, orders, etc..... And we have so many culturally...