Hi all, Just wondering if any of you out there went to nursing school in a state other than CA, and then moved right to CA to take the NCLEX and get a CA license (without ever being licensed anywhere...
Conejita replied to Florence NightinFAIL's topic in Ob/Gyn
Not totally on topic to the OP but just an FYI, I worked for a small community hospital in N. California that did give privileges to a non-nurse midwife to deliver in the hospital. This midwife is a...
Dearest L&D nurses, Just wondering if anyone knows the best route for Cytotec (misoprostol) being used in PP hemorrhage? Our docs/midwives order it given PR, PO, and sublingual/buccal...all in...
We only have two providers who do C/S where I work and they couldn't be more different with the post-op diet orders. We have one provider who writes orders for advance as tolerated- and we usually...
We don't have any NPs (nurse practitioners) working on our unit, which is antepartum/L&D/postpartum all in one. We do have CNMs (certified nurse midwives) though- these are masters prepared RNs...
We use IV Fentanyl quite frequently for labor pain where I work. Our providers prefer Fentanyl for labor pain relief over other opiates because it decreases the likelihood of having to give the infant...
Yikes. It does sounds like a disaster waiting to happen. I also work in a small rural hospital- we do 500-600 births a year....so maybe that amount makes the difference. We always have two RNs on...
We have women squatting during labor/pushing/birth with some frequency. The providers where I work are very accommodating to what position the woman wishes to give birth in. Both our Midwives and...
As I understand it, true CPD is quite rare these days whereas it was more common during times of poor nutrition which caused rickets and other pelvic anomalies. CPD is difficult to diagnose but is...
As others have said here, the measurement tools used to screen for CPD and macrosomia (a big baby) are often fairly inaccurate and most women should at least be given the chance to labor and try for a...
Conejita replied to at your cervix's topic in Ob/Gyn
Funny one from a few weeks ago that just popped into my mind and made me laugh again: A very nice woman who had been on bed and pelvic rest for the last few weeks came in to r/o pre-term labor again....
From what I have read, if a c-section is court ordered- yes, they can actually send the police to find you and bring you in and force you to have a c-section. Scary! Sounds like assault and battery...
I don't think it is right that males are discriminated against in this area of nursing. Personally, I feel that our all-female nursing staff could really use some gender balance! With that said, I...
Hey OB nurses We were talking about getting AmniSure at our staff meeting today and I was wondering if anyone else is using it? Good? Bad? Sounds so much simpler (and less invasive!) than doing a...
Conejita replied to HeartsOpenWide's topic in Ob/Gyn
Looks like you guys already got most of 'em. Forgive me if i'm repeating but here's a few we use regularly in L&D that I don't remember seeing: HCV - Hepatitis C TOLAC - trial of labor after...
Do you have a link to the American Academy of Pediatrics guidelines that recommend a specific timing for administration? I searched their website but couldn't find it. Our pediatricians want us to...
By "Eyes & Thighs" I am referring to the Vitamin K injection and antibiotic eye ointment that are routinely administered to newborns shortly after the birth. Where I work, we have a significant...
I am speaking of those that are uninformed by their own admission. I always assess the parents knowledge of the medications before asking if I can give them. No assumptions here. I support patient...
Conejita replied to nurse_maya28's topic in Ob/Gyn
How many births do you do per year or per month? We do between 40-60 usually- small rural LDRP. How many OB/gyns do you have on staff? On staff at all times? None. We mostly have 1 OB/GYN whose...
First off, I want to say that I completely agree that it would best serve all parties involved if there was a standardization of evidence based care throughout all birthing scenarios. And you are...
In CA there is licensure available for direct-entry midwives. Direct-entry midwives can become "Licensed Midwives" (LM) when they have achieved the required educational and clinical experience in...
I agree that there is usually adequate time (just not quality teaching time) during the recovery to discuss interventions ....and I personally haven't found it particularly difficult to verbally...