palesarah

palesarah

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All Content by palesarah

  1. No Internet access at work

    palesarah replied to pricklypear's topic in General Nursing

    we were given internet access sometime in the last year or so (there was one computer that already had access, now they all do). We don't have to log in with passwords or anything, so usage is not...

  2. is this normal newborn care? advice please

    palesarah replied to wobble's topic in California Nursing

    agreed. I can't speak for fergus but I also think rectals are barbaric and too risky- babies may fuss more with an axillary, but they are equally accurate and you're not risking rectal perforation....

  3. is this normal newborn care? advice please

    palesarah replied to wobble's topic in California Nursing

    no, no you are not wrong for thinking thingd things are generally unecessary in a low risk population. We are a community hospital, LDRP model with a level 2 nursery doing 60-70 deliveries on...

  4. Intimidated by the thought of learning vag exams...help!

    palesarah replied to onehusbandsevenkids's topic in Ob/Gyn

    it can take a while to "get it", and that's OK. When you're starting out, anything that's round with a hole- close your eyes, and use your fingers to feel the inside diameter. Compare against a...

  5. certified in fetal monitering

    palesarah replied to mugwump's topic in Ob/Gyn

    I took a basic AWHONN fetal monitoring certification course about two years ago. My unit is also now in the process of certifying everyone, one of our nurses and our nurse educator went through the...

  6. Fundal pressure

    palesarah replied to SheaTab's topic in Ob/Gyn

    Wow, that's a lot.... Deb or Betts or another more experienced poster will be able to help you better, here's my take- Fundal pressure- NEVER! I've never seen complications firsthand becuase it is...

  7. 16G or 18G for IV access?

    palesarah replied to k_cole21's topic in Ob/Gyn

    18s here, occasionally

  8. MDs overriding protocol?

    palesarah replied to JaneyW's topic in Ob/Gyn

    by the way, GOOD FOR YOU for standing your ground and keeping your patient's safety in mind! You sound like a great nurse

  9. MDs overriding protocol?

    palesarah replied to JaneyW's topic in Ob/Gyn

    Sticky situation for you to be in but pretty clear legally- a doctor's order won't cover you in court if it goes against your facility policy. And if a legal situation did arise where you were...

  10. IUD insertion - taking a bath afterwards?

    palesarah replied to WhatToDo's topic in Ob/Gyn

    I don't think you have anything to worry about but if you have any concerns about your health it's always best to give your doctor a call :) I had an IUD inserted last fall, and I don't recall them...

  11. An interesting birth story

    palesarah replied to LydiaNN's topic in Ob/Gyn

    I missed the interesting (or not) story. Any chance you'll repost

  12. Anyone have a NON healthcare job while in nursing school?

    palesarah replied to Curious1alwys's topic in General Nursing

    I worked full time, then part-time for an insurance company processing homeowner's insurance applications, while I was in school. It was terribly mind-numbing, but I had very flexible hours and the...

  13. Gloves for waterbirths

    palesarah replied to Marijke's topic in Ob/Gyn

    you're welcome

  14. Religious circumcision rituals

    palesarah replied to ReinventingMyselfAgain's topic in Pediatric

    well, that is always a possibilty for me

  15. Gloves for waterbirths

    palesarah replied to Marijke's topic in Ob/Gyn

    We use veterinary gloves. No, they are not sterile, but neither are the "clean" gloves we wear for most tasks. If a sterile glove is needed, we put a sterile exam glove on over the long vet gloves....

  16. Path to CNM

    palesarah replied to chuckc's topic in Ob/Gyn

    We have two OB practices: one is an all-woman group with 4 OBs and 4 CNMs; patients can request CNM preference (many do, but there's always an MD available for backup if it get sticky). Occasionally...

  17. Religious circumcision rituals

    palesarah replied to ReinventingMyselfAgain's topic in Pediatric

    I actually read about something similar, about a year ago I think, on CNN.com or similar- I'm sorry my memory is a little vague. Apparently there is a method that some ultra-ultra-orthodox rabbis...

  18. Wedding planning while in nursing school

    palesarah replied to Aneroo's topic in General Students

    congrats on the forthcoming nuptials! I got married my first semester of nursing clinicals- which means I planned it during the year of pre-reqs, which I took through the summer as well. I actually...

  19. Choice: cesarean v.s. vaginal birth

    palesarah replied to jclumb's topic in Ob/Gyn

    in short, no. I personally don't agree that it's ethical to offer primary elective c-sections and am glad to work with providers who agree, in a hospital where C/S are still considered out of...

  20. Need Input from the Pros

    palesarah replied to StressedDad2Be's topic in Ob/Gyn

    Congrats Dad! Any chance you might come back and post a picture of your little

  21. Career Ladder

    palesarah replied to hello2you's topic in Ob/Gyn

    I think we may have a similar career ladder, as we have to do a "project" to go from Level 2 to Level 3. There are other factors- educational points, certain number of hours worked, etc- but the...

  22. Syringe Pump or Buretrol?

    palesarah replied to QTBabyNurse's topic in Ob/Gyn

    buretrol on the IV pump for fluids, syringe pump for meds

  23. Swaddling...arms out or in???

    palesarah replied to USA987's topic in Ob/Gyn

    Crying is a late sign of hunger. We teach our parents to watch for & respond to early signs of hunger such as rooting or when baby is bringing his/her hands to the mouth to try to suck on them....

  24. Cytotec po or vaginally

    palesarah replied to allevi's topic in Ob/Gyn

    Deb, is your facility still using cytotec po? Is your policy the same for po & lady partsl re: monitoring, doses

  25. Swaddling...arms out or in???

    palesarah replied to USA987's topic in Ob/Gyn

    sounds like those moms aren't really feeding on demand, does