SheaTab

SheaTab

RN Education, OB, ED, Administration

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All Content by SheaTab

  1. What do you want your OB patients to get from childbirth class?

    SheaTab replied to Mahnikuh's topic in Ob/Gyn

    "but in the long run, your patients are going to go along with what the doc pushes anyway." True True True!!! I had a mother a few weeks ago labor for hours and hours because her MD (infamous for...

  2. Hands-On L&D Nurses?

    SheaTab replied to healingheart's topic in Ob/Gyn

    We are a large L&D unit (40+ LDRPs) and we have a policy of staying at the bedside when you are taking care of a labor patient. We even have central monitoring but my facility believes that you...

  3. pit induction protocol

    SheaTab replied to ShawnetteRN05's topic in Ob/Gyn

    Ours is: Low-dose: start on 2 milliunits and increase by 2 milliunits every 15 minutes until pt is in adequate labor. (Maximum of 40 milliunits) I'm sorry to say that we also have a high-dose...

  4. Preventing infection in post c-section patient

    SheaTab replied to findingmywayRN's topic in Ob/Gyn

    We do prophylactic abx during the procedure. I also had a section with my first child and then a VBAC. I can tell you that my experience was 100% positive! VERY EASY recovery. The difference is night...

  5. When circ's go bad...

    SheaTab replied to newgrad2005's topic in Ob/Gyn

    It does seem like a barbaric procedure. We only have 3 MD's out of 20+ that use lidocaine for the procedure. I asissted only once with one of the lidocaine docs (I usually avoid postpartum at all...

  6. When circ's go bad...

    SheaTab replied to newgrad2005's topic in Ob/Gyn

    Can we actually refuse to participate in circumcisions? I hope this wasn't covered in the discussion. I will read further!!! Is your refusal based on ethical reasoning? How does your employer feel...

  7. Open glottis pushing & Perineal massage

    SheaTab posted a topic in Ob/Gyn

    Smilingblueyes and others... I noticed in one of your posts mention of open-glottis pushing and decreased manipulation of the perineal body. Could you please ellaborate on this. I hate to admit it......

  8. Open glottis pushing & Perineal massage

    SheaTab replied to SheaTab's topic in Ob/Gyn

    Thanks so much for all of your insight. Can any of you offer some alternative positons for 2nd stage with the anesthetized patient?

  9. How to deal with being childless in L&D

    SheaTab replied to pebbles1977's topic in Ob/Gyn

    Ha! that is so funny that you said that! We were talking about that at work the other day. I have two children so I can't relate in that respect but there are several newly married nurses on our unit...

  10. When did you know?

    SheaTab replied to kellyo's topic in Ob/Gyn

    YES!!!! Nursing can be a lot like the restaurant biz! I felt that way in clinicals, especially med-surg. As a server you bring drinks, appetizers, meals, desserts, etc. As a nurse, you bring pills,...

  11. When did you know?

    SheaTab replied to kellyo's topic in Ob/Gyn

    YES!!!! Nursing can be a lot like the restaurant biz! I felt that way in clinicals, especially med-surg. As a server you bring drinks, appetizers, meals, desserts, etc. As a nurse, you bring pills,...

  12. How long does NRP certification last?

    SheaTab replied to klone's topic in Ob/Gyn

    I agree with the below completely! It shows your sincere commitment and dedication to OB! If I were the hiring manager, it would impress me. Good

  13. How long does NRP certification last?

    SheaTab replied to klone's topic in Ob/Gyn

    I agree with the below completely! It shows your sincere commitment and dedication to OB! If I were the hiring manager, it would impress me. Good

  14. When did you know?

    SheaTab replied to kellyo's topic in Ob/Gyn

    I knew before I ever went to nursing school. I used to watch those L&D reality shows on Discovery health and TLC incessantly! I drove everyone crazy (my children included). I was in an unhappy...

  15. Med Errors

    SheaTab replied to UM Review RN's topic in Patient Medications

    OB... new nurse on orientation, started pitocin drip to gravity. Her preceptor told her to start the pit low, so she did, just not on a pump. Of course, the patient ended up in the section room for...

  16. a quick question

    SheaTab replied to uk_nurse's topic in Ob/Gyn

    Congratulations!!!! I wish you the very

  17. a quick question

    SheaTab replied to uk_nurse's topic in Ob/Gyn

    In primigravidas (first preg), the baby tends to drop before the onset of labor. With subsequent pregnancies, babies usually drop during the onset of labor although that does not mean you are in labor...

  18. children present at birth-yay or nay-ages of kids, your experiences, etc

    SheaTab replied to HappyNurse2005's topic in Ob/Gyn

    I labored a patient the other day who had her 8 year old step-daughter with her the entire time (she has raised her since she was two). It was one of the most rewarding deliveries I have shared with...

  19. Checking patients

    SheaTab replied to NurseMelissa's topic in Ob/Gyn

    Oh my, Checking the cervix! I have been working L&D for a year now and am just now starting to feel about 85% confident with my exams. Dilation will probably be the first thing that comes to...

  20. Help-I got an interview!

    SheaTab replied to flashyrn2be's topic in Ob/Gyn

    Be prepared to ask intelligent questions: How many OB's practice? CNM's? How long will your orientation last? When will NRP training be available? Fetal Heart monitoring, etc. Let your excitement...

  21. post partum psychosis

    SheaTab replied to obeyacts2's topic in Ob/Gyn

    Lord, I am just joking! When I had my first baby (12 years ago) my ex-husband got me that CD as a present because I really wanted it. Little did I know that it was packed full of very sad songs and I...

  22. post partum psychosis

    SheaTab replied to obeyacts2's topic in Ob/Gyn

    Unthinkable! Absolutely UNFORGIVEABLE! But I'm not so sure it is so on the part of the mother. This mother or any other for that matter that has progressed to the point of psychosis is obviously...

  23. Nrp

    SheaTab posted a topic in Ob/Gyn

    Question.... When you are doing chest compressions and ventilating a baby, is it always by NRP guidelines? Let me be more specific... NRP says: one and two and three and breathe.....and one.....

  24. Typical day at the postpartum unit and precautions

    SheaTab replied to babymeena's topic in Ob/Gyn

    A good thing to remember for postpartum assessment is BUBBLE HE: B- Breasts: nipples sore, cracking, etc. U- Uterus: fundus.. midline, firm, at what level in relation to the umbilicus.. B- Bladder:...

  25. Nrp

    SheaTab replied to SheaTab's topic in Ob/Gyn

    Thank you Jolie for your hearfelt response and helpful advice. This is never easy... but in a unit of our size... one of the biggest in the country, we see more than our fair share of scary...