Conejita BSN

Pediatrics, Lactation, Women's Health, Obstetrics

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All Content by Conejita

  1. 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...
  2. Conejita

    Hanging a Mag Bolus?

    we do the
  3. Conejita

    Why is there a nurse when you have a midwife with hospital birth?

    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...
  4. Conejita

    Cytotec for PP hemorrhage

    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...
  5. Conejita

    Post c/section diet

    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...
  6. Conejita

    Postpartum Nursing Question

    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...
  7. Conejita

    fentanyl in labor

    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...
  8. Conejita

    Staffing Issue

    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...
  9. Conejita

    Question about "Too narrow of bones" with giving birth

    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...
  10. Conejita

    Question about "Too narrow of bones" with giving birth

    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...
  11. Conejita

    Question about "Too narrow of bones" with giving birth

    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...
  12. Conejita

    Funny OB things people say

    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....
  13. Conejita

    Woman Calls C-Section "Rape"

    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...
  14. Conejita

    My L&D misadventure

    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...
  15. Conejita

    Who's using AmniSure?

    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...
  16. Conejita

    OB foreign language

    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...
  17. Conejita

    "Eyes & Thighs"

    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...
  18. Conejita

    "Eyes & Thighs"

    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...
  19. Conejita

    "Eyes & Thighs"

    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...
  20. Conejita

    Survey about Cytotec

    We use the generic consent form that we use for everything else and write in "Cytotec induction of
  21. Conejita

    Survey about Cytotec

    yes you are right-
  22. Conejita

    Survey about Cytotec

    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...
  23. Conejita

    Home Birth culture in your Area

    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...
  24. Conejita

    Home Birth culture in your Area

    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...
  25. Conejita

    "Eyes & Thighs"

    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...