CarrieRNC

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 put them under their "butt" and make sure they are s...

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 monitoring

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. There is an attending on my floor that has eluded to ...

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 could have caused the decel! In this case she really j...

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 is RH neg or if the infant becomes jaundiced, at th...

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 and spending too much time finding equipment/suppl...

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 Monitoring

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 "safe charting" and you will always have the backi...

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 specialty to keep up your credentialing. The hospi...

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 agree, and we all tend to describe decels but what we r...

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 it is an email or letter. If I am signing my name I...

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 interdisciplinary approach........Assessments/interventions, ...

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 AND it wasn't even for speeding! It was at 645am try...

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 organization you work for. For example Watchchild(Navi...

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

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 about is the other ancillary depts that are invol...

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 opinion on how things should work on a unit, get ...

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 institution(still in L&D) and have just gone live w...

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 central monitoring. The hospital wants to make KBC work ...

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 is just going live with KBC throughout the house f...

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 or L&D and PP transfers, does the system you us...

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 charting world:yeah:

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 always wanted to do! Go and talk to the floor mana...

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 college went into a Medical Technician program. I w...

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 practice to place them. There is no policy that states we...