DonnaH123

You are correct...and I won't elaborate on your comment about the 'resident checking the reflexes'. I'd bet the reflexes were WNL (by the resident's assessment). Stick with your knowledge-you're probably gonna always win! I just had the same issue with a physician and a cervical assessment. The doctor said she was 4cm and when I checked-the patient was about 1cm & stayed there for hours. I questioned the doctor & she said, "You are definitely not correct..." Well, the patient stayed "1cm" for hours and wouldn't you know--she ended up getting sectioned. She was NEVER 4cm. I know and the doctor knows-but I am able to sleep at night! Maybe you could print off the article you read and bring it to the resident. Ask him/her to explain it to you. Maybe the resident will learn from the experience? They are trained to think like a textbook--the patient is on Mag-therefore, I need to check reflexes. A good resident would have checked the reflexes in both sets of extremities! They don't teach us how to deal with the docs in nursing school & that is one of our hardest challenges!

We give the "freebie" advertising diaper bag and contents. We have bags from Enfamil, Similac, and Nestle (which is currently the contracted WIC choice). If the mom is not using WIC, we ask which brand they would like (whether they are breast or bottle). They like getting the bags even if they are not planning on using the formula that is in them. We give out the magazine packs which have a sample of something in them (usually lotion) and 2 nursing pads. Unfortunately, we don't give anything else. I guess I could make it a project to go to local businesses and solicit for freebies? I can't imagine the red tape I'll have to go through to get approval for that! It is nice that some hospitals give the moms something.

When I started the thread, I wondered if hospitals have POLICIES for warming milk. We were taught to use hot water from the tap to warm refrigerated milk and we use formula at room temp. I've seen water heated in the microwave used to warm bottles. This seems very dangerous to me as overheating can occur very quickly. I thought I'd check around and see whether other hospitals have a policy. Thanks!

This sounds like a nice idea and it would keep the water at a great temperature. My concern is that we'd never be able to use the same device & water to warm milk from different patients.

Does your hospital have a policy on warming of formula/breast milk bottles? Do you feed at room temperature? I am asking mostly about term/healthy newborn-routine care & feeding (not in the NICU). Thank you for your feedback!

Our management has asked the OB docs NOT to do circs at shift change. It interferes with report, causes OT, and is a huge safety risk. When a circ is done at shift change, the nurse who is doing the circ checks is also trying to start her shift, get report, take care of leftover issues, fix new issues that she finds...all sorts of things. We do checks for the first hour. I think that audits would show that circs done at shift change don't get the checks done which leads to a risk for the infant. The OB docs still do it--and probably will until something bad happens.

Hello, :typing I'm doing some information gathering to try to find out what the policies are in other facilities for writing names (LAST, baby's first, mother's first) on the crib card. Our policy (not written) was to put "Smith, Boy Sally" on the card and I liked to use a Sharpie (my pref). We were not allowed to put the baby's first name on the card (manager's rule). As our security became better (locked doors, electronic banding...) we started writing the baby's name in quotes "Johnny" just so we could call the baby by name. I also felt this helped if the baby's last name was not the same as Mom's...by putting "Johnny Robert" on the card (if they have been named) helps the parents. Anyway, we really don't have any current policy on crib cards. I'd love to get some feedback on how other hospitals write their CC. We usually use the pre-printed Similac type cards "I'm a Girl" although I'd love to have our OWN card with our hospital name on it. 1. How do you write the names (first,last,mom's, baby's) on the CC? 2. What type of CC do you use? We are a small 14 bed LDRP. Our nursery isn't open unless we have to. The babies spend most of the time in the room. (If any of this impacts what you do) Thanks so much!!:heartbeat