RootedRedwood

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 else)? If so, maybe you can answer my questions......

we do the same

We had an infant named "Country Creek" a few weeks back.

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 CPM and has never gone to nursing school. I think i...

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 various doses from 200mcg-800mcg. I have mostly re...

Latest interesting ones: "Rebel" "Jubilee" "Harvest"

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 start with clears for the first "meal" and then if no...

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 trained in midwifery. They are not hospital staff ...

We mostly have one MD who uses the low-dose pit method but she always orders it along with the foley bulb induction method. It doesn't work every time but I have seen it work pretty well on an unfavorable cervix. The pt. doesn't sleep as well throug...

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 naloxone for respiratory depression after deliver...

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 at all times trained to do labor and work with sick...

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 MDs will get down on the ground on their knees with ...

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 often implied when the baby's head does not engage o...

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 vaginal birth. Being induced complicates the ma...

In the last month, we have had two uniquely named newborns: "Galaxy Puff" and "Zen Revolution"

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. I remembered her right away from the last time sh...

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 to me! I can definitely see the comparison to rap...

We had a "Sunny Puddles" (first & middle names) the other day that gave me a giggle.

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 can see why many nurse managers would be reluctant ...

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 sterile spec to rule out PROM! Thanks for any repli...

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 cesarean PROM - premature rupture of membranes PPROM -...

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 give the meds by the first hour. I'd be interested...

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 incidence of refusal of these medications by the par...

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 autonomy completely- it is our collective right to...

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