CarrieRNC

CarrieRNC

High Risk OB

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All Content by CarrieRNC

  1. Advice on SVE

    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...

  2. staffing

    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

  3. Pitocin and Decels

    CarrieRNC replied to jennf83's topic in Ob/Gyn

    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....

  4. Pitocin and Decels

    CarrieRNC replied to jennf83's topic in Ob/Gyn

    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...

  5. Blood typing at birth?

    CarrieRNC replied to wonderbee's topic in Ob/Gyn

    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...

  6. New Report: Equipped for Efficiency: Improving Nursing Care Through Technology

    CarrieRNC replied to rninformatics's topic in Nursing Informatics

    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...

  7. Describing Decels

    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...

  8. Describing Decels

    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...

  9. Falsifying degree at work....

    CarrieRNC replied to Twinboys98's topic in General Nursing

    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...

  10. Describing Decels

    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...

  11. Falsifying degree at work....

    CarrieRNC replied to Twinboys98's topic in General Nursing

    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...

  12. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    CarrieRNC replied to Fribblet's topic in Nursing Professionalism

    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...

  13. Do Nurses Get Traffic Tickets?

    CarrieRNC replied to rachelita's topic in General Nursing

    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...

  14. Question for Electronic charting for Labor, Delivery and beyond

    CarrieRNC posted a topic in Ob/Gyn

    I am looking for some information on what L&D nurses use for their electronic labor record(if you are the lucky ones do not chart on paper:), and what system does it interface with within the...

  15. Question for Electronic charting for Labor, Delivery and beyond

    CarrieRNC replied to CarrieRNC's topic in Ob/Gyn

    Thank you for all your input! Has anyone out there ever used KBC (knowledge based charting) for any electronic

  16. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    CarrieRNC replied to Fribblet's topic in Nursing Professionalism

    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...

  17. Shared Governance

    CarrieRNC replied to LouisVRN's topic in General Nursing

    My unit, as well as all the units in the hospital I work at has shared governance. To start think about what nurses and ancillary members on the unit have gripes with. For instance, everyone has their...

  18. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    CarrieRNC replied to Fribblet's topic in Nursing Professionalism

    When I was in school I dreaded care plans! Then into the real world and we barely saw them, and if we did we had "pre-made" ones that we would taylor to our patients. Now I am working in a large...

  19. Question for Electronic charting for Labor, Delivery and beyond

    CarrieRNC replied to CarrieRNC's topic in Ob/Gyn

    smilingblueeyes, Thank you. What other system does the hospital use? Epic, eclypsis? Do you know if QS interfaces with your other system? We have QS, old version, only to view the tracings for...

  20. Question for Electronic charting for Labor, Delivery and beyond

    CarrieRNC replied to CarrieRNC's topic in Ob/Gyn

    I have used OB Trace Vue and loved it! That was at a small community hospital I used to work at but we only used it for labor. PP was on paper and we used Meditech for emar. The hospital I am at now...

  21. Question for Electronic charting for Labor, Delivery and beyond

    CarrieRNC replied to CarrieRNC's topic in Ob/Gyn

    Thanks for your quick reply! What other system do you use with it? Ie SCM, EPIC etc. If you don't mind me asking to put things into perspective, how many deliveries do you do a year, are you on LDRP...

  22. Conn Nurses Meet N Greet

    CarrieRNC replied to NRSKarenRN's topic in Connecticut Nursing

    Not quite sure where you are but I know that HH has several job openings posted for experienced and not so experienced nurses. Great place to work, good benefits and moving forward in the electronic...

  23. What do you need to become a L&D nurse?

    CarrieRNC replied to mollyj91's topic in Ob/Gyn

    I was one of the lucky ones who got a job as a new grad! I did an internship over the winter break before I graduated and pretty much did what geekgolightly said and here I am 8yrs later doing what I...

  24. Hurting my chances of being hired? Help

    CarrieRNC replied to NIUnurs2be's topic in General Nursing

    I went to Umass out of HS as a nursing major and HATED UMASS! I left after a year and went to a small college, Westfield State College in MASS and double majored in Biology and Chemistry, them after...

  25. Cervidil by labor nurse

    CarrieRNC replied to rickdon19's topic in Ob/Gyn

    I used to work at a small community hospital where we had a lot of autonomy and we always placed cervidil and cytotec. Currently I work in a large teaching hospital and I think its just their...