hoppermom3

hoppermom3

OB, House Sup, ER, Med Surg

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All Content by hoppermom3

  1. Direct OP position

    What size peanut ball do you all use? I looked at the link that Elvish posted, and they come from 30-70cm. I have talked to my manager and the CNM, and we may be interested in getting
  2. Do you think midwife deliveries are less safe than doctor deliveries?

    I work in a small rural hospital, with a CNM who delivers, a Family Practice Doc who delivers and does his own C/s et BTLs, and an OB-GYN. I fI were to have a baby, the CNM would be my first choice,...
  3. time frame ob back up

    We are in pretty much the same boat - small rural hospital, 250 or so deliveries/yr, 1 nurse in house, 1 on call. A couple of our nurses live 45-50 minutes away. Our on call person gets $1.50/hr for...
  4. Certifications

    The RNC-OB is obtained through NCC. There are review classes available, or you can just study on your own. You have to be an RN for 2 years and there is a requirement of how many hours OB experience...
  5. RNC-OB exam today!

    I finally took the exam, after thinking about it for several months and driving myself crazy. It was actually harder than I expected - lots of physiology type questions. I was unsure of the first 5 or...
  6. rotating postpartum, nursery, and l&d

    We rotate, too. I LOVE it. While L&D is my passion, I also enjoy teaching and assisting with breastfeeding. I love it when I get to deliver a pt one day, and go in the next day and take care of...
  7. Intradermal water injections for labor?

    Our CNM uses these occasionally for back labor. It is surprisingly effective. RNs can do this. It is basically like a TB test - 4 injections of sterile water are placed intradermally. AWHONN's...
  8. Contraction Stress Test?

    We rarely do CSTs - I can only think of maybe 3 times in the past 2 years. We did one a few weeks ago on a 38 weeker - nonreactive NST, BPP 8/10. CST was negative, we ended up waiting another week...
  9. Strangest thing taken from ER

    We had a pt steal the clock off the
  10. Continuity of the Pen Addict Thread

    Thanks a lot Pagan... you got me curious and I had to go read all 25 pages of the thread...then, of course, I had to go order 100
  11. Has anyone recently taken the NCC Inpt OB Certification Exam?

    Hi. I'm in the same boat you are. I have my letter but have not yet scheduled my exam. I'm starting to get cold feet - afraid I will fail. I have been studying the same books, along with Perinatal...
  12. Writing on Fetal Monitor strips

    Many of our nurses write everything on the strip - then use the strip to do their charting later. We are all paper charting. Personally, I prefer to keep my chart on a clipboard at bedside, and write...
  13. First week on the job

    Fellow geek here...LOVE the Perinatal Nursing book, pack it around with me all the
  14. What has to happen before circ at your place?

    At our facility, the babe sometimes the doc will do it at 24 hrs, sometimes at 36 hrs, never on weekends or holidays. They are only done at 7:30am. The babe must ballard at 38 wks, the member must be...
  15. Protocols for birthing tubs?

    We use a tub - not for birth, but for labor. Moms can get in once they are in active labor. We do let them get in with rumpured membranes - either AROM or SROM. The only contraindications are...
  16. L&D nurse is calling formula poison!!!

    I am a Certified Breastfeeding Educator, working on becoming an IBCLC. I am very PRO-breastfeeding. However, having breastfeed 2 of my 3 children, I can tell you that I see no difference now that they...
  17. RNC - the whats and hows?

    I may be wrong, but I thing NCC is the only place to get OB certification. Certification is available for Inpatient Obstetrics, Maternal Newborn, and a few others. I sent off my application for my...
  18. What's changed in the last 10 yrs in L&D?

    I will say that the births we strive to provide for our patients are much better than the births that I had 9, 12, and 15 years ago. our providers and nurses are very committed to allowing mom to make...
  19. documentation

    We do all paper charting. I have cut back on my charting. When I started, I was taught to write an admission note similar to yours, Lisa. After attending a few conferences, I realized that I was doing...
  20. Stirrups?

    We have 1 OB-GYN who delivers in stirrups with the bed broke down. This looks terribly uncomfortable and unsafe to us. Moms feel as though their rear ends are just "hanging in the air". He also wants...
  21. CCPRNET for RNC

    Has anyone used the workbook from ccprnet.org to study for the Inpatient Obstetric RNC exam? Was it worth it? I was hoping to sit for the exam this summer/fall. The workbook has been out of stock...
  22. Scd

    We don't use TEDs or SCDs. We do get them up and walking as soon as they have legs - usually within 2-4 hours. We haven't had any post-op DVTs since I've been
  23. How far does everyone commute to work?

    30 miles each way. I used to go 50 miles each way. I didn't think it was so bad, but I sure did get tired driving home in the am! I actually like my 30 mile commute. It gives me 30 minutes of peace...
  24. On call pay

    We just got a raise from $1.50 to $1.75 for call pay. We are only promised 2 shifts/week for full-time, the 3rd shift may be an "on-all" shift. Usually though, there are extra shifts available to pick...
  25. Cytotec for induction policy

    We use Cytotec. We do 25-50 mcg vag against posterior fornix of cervix. The CNM or MD inserts it. We rarely use Pit, and have a low C/S rate. Dr or CNM always goes through risks and mentions the...