christine_chapel

christine_chapel specializes in CCU, OB, Home Health.

Latest Activity

1. CNM giving up practicing...for now

   christine_chapel replied to mommy2boysaz's topic in Certified Nurse-Midwives, CNM

   Mommy2boys, never fear that you are raining on anyone's parade. I truly admire your integrity. I hope that, as you say, if the way "everyone else" is doing it isn't working, then I'll be able to find...

2. Frontier or Stony Brook?

   christine_chapel replied to GraceAroundTheWorld's topic in Certified Nurse-Midwives, CNM

   I'm a CNEP grad (CNM program at Frontier) and also just completed the CNM to WHNP program thru Frontier. (as in, just two days ago, yay!) I do think that Frontier has a well deserved reputation for...

3. CNM giving up practicing...for now

   christine_chapel replied to mommy2boysaz's topic in Certified Nurse-Midwives, CNM

   I think I know you. Do I know you? I am on the verge of joining a practice that exactly fits your description... Are you in the Midwest, Northeast IN/Northwest OH? Regardless, it sounds as though you...

4. Keep my patients out of the hospital!

   christine_chapel replied to christine_chapel's topic in Home Health

   thank you cookie. the COPD gentleman, who I'd seen on Friday and who went in yesterday, had an appointment scheduled to see his pulmonologist on Monday! I will try to shift my mindset to lengthening...

5. Keep my patients out of the hospital!

   christine_chapel posted a topic in Home Health

   It seems as though all of my patients are winding up in the hospital! I'm newer to home health, it's been about 5 months; I've been a nurse for over 4 years. I am case managing under supervision. In...

6. How often should someone get a TB test?

   christine_chapel replied to Nurse Kel's topic in General Nursing

   If you just had your test administered today, you might have a little redness and raised area until the irritation from the injection subsides. What they look for is induration (hard and lumpy) at 48...

7. "Caught" my first baby!!

   christine_chapel replied to Calzonan RN's topic in Ob/Gyn

   Awesome! Congrats on your first

8. cytotec question

   christine_chapel replied to garfieldrn's topic in Ob/Gyn

   You're right, I wouldn't put oxygen on if the FHR was reactive. The mask is a tangible reminder to mom that all is not well right now, and can increase her stress level, which certainly doesn't

9. cytotec question

   christine_chapel replied to garfieldrn's topic in Ob/Gyn

   This is why I hate cytotec. I'd do your standards for intrauterine resuscitation - turn onto left side, oxygen (unless FHR is fabulously reactive), IVF bolus if no contra-indications. If no accels...

10. Ugh! Delivered Baby On My Own The Other Day...

    christine_chapel replied to jenrninmi's topic in Ob/Gyn

    It sounds like you did everything exactly right. Laboring down is for when the epidural is effective, not for when some poor mom is miserable from being told not to push. And since he got there in...

11. really bad IV skills...suggestion?

    christine_chapel replied to beachgirl01's topic in General Nursing

    This was key for me; I used to blow veins all the time from getting the tip of the needle in, seeing my flash, and then trying to thread the cannula without pushing the needle in just a little tiny...

12. who should be punished

    christine_chapel replied to alfhabeta's topic in General Nursing

    I see nothing here about route or administration rate, so I think that Nurse B did what she was asked to do, and did it correctly. Seconding the motion that it's NOT about "blame" or "who should be...

13. L&D nurses? Are you all for natural births?

    christine_chapel replied to MIcrunchyRN's topic in Ob/Gyn

    I am totally all for natural births! Having said that, an unprepared mother trying to do a natural birth, sobbing as though her heart would break during each contraction, fighting them ("No, no, no, I...

14. Lost Midwife

    christine_chapel replied to Belinda-wales's topic in Certified Nurse-Midwives, CNM

    Congratulations on your acceptance! Maybe there will be some content that you can "challenge" so that you don't have to take every single class. Best of luck to

15. Process of signing up for call

    christine_chapel replied to Barkow's topic in Ob/Gyn

    Ours is online. At a certain day and time every six weeks, call "opens up" for us to be able to claim our 4 hour blocks. The time of day rotates so that it's not always, say, the middle of the day,...