CarrieRNC replied to im_an_honest_1's topic in Ob/Gyn
It does take a lot of time and practice! I remember my first "ah ha" moment when I felt my first cervix! If your thinking it is going to be a difficult exam start off by having them make a fist and...
CarrieRNC replied to icunurse1955's topic in General Nursing
I work high risk OB, 1:1 nursing care(hopefully!) Pt on MGSO4, Delivering Pt., PACU Pt., Pt getting an epidural and any critically ill pt requiring continuous fetal
Absolutely agree with Smilingblueyes!! The theory of only needing 8-10mu/min of pitocin has proven sooo true in my practice! I tend to slow down in my advancement of pitocin around these units....
If she had just received an epidural, was this caused from the epidural(did she get a CSE?)? What was her BP? If it was low, this could have been decreased perfusion to the placenta which in turn...
We collect a "cord blood sample" from the cord after every delivery, a hold cord blood order is generated and the tube is sent to BB to be held if needed, not every infant born is typed. IE: if mom...
Great article!! Ironically, we just had a meeting on our floor regarding RN dissatisfaction after a survey that was done earlier this year! A majority of the complaints come from having limited staff...
CarrieRNC replied to Valerie RN, BSN's topic in Ob/Gyn
This is a great article about the NICHD nomenclature. A Review of NICHD Standardized Nomenclature for Cardiotocography: The Importance of Speaking a Common Language When Describing Electronic Fetal...
CarrieRNC replied to Valerie RN, BSN's topic in Ob/Gyn
Look up the NICHD guidelines, this is what EVERY OB nurse/MD/resident/CNM etc should be charting by and it is what AHWONN is supporting. For you, if you follow these guidelines you WILL be practicing...
In my case it would be RNC-OB, this means that I took the certification in my area of specialty (in pt OB), reminded me of taking my boards:uhoh3: You do have to have 45 CEU's in 3yrs in that area of...
CarrieRNC replied to Valerie RN, BSN's topic in Ob/Gyn
Does your floor follow the NICHD guidelines? There are only four types of deceleration patterns....variable decel, prolonged decel, early decel and late decel. This is the safest way to chart. I...
I have a BS and an ASN, I would never sign BSN or have it on my tag(we do put our degrees on our tags). BUT I am proud of my BS in biochemistry, I worked hard for it, so I will put down BS RNC-OB if...
Does anyone chart electronically??? Have you ever heard of CPG's! (Clinical Practice Guidelines!) CPG's are care plans which drive our practice based on evidence based medicine, this is an...
I have been pulled over a FEW times in my 25yrs of driving!(i have a lead foot, sorry:)I have received warnings but only once have I received a ticket and that was just last month on my way to work...
Remember highlandlass, a care plan is a guide, it is what drives best practice! and you don't have to get a new care plan every time your patient crashes, you individualize it. Something else to think...