palesarah

palesarah

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All Content by palesarah

  1. Swaddling...arms out or in???

    we mostly swaddle with arms in- there are always some babies who like to have their arms up & out but most seem so much more secure with their arms swaddled in. I don't know what the SIDS...
  2. looking for examples of self scheduling guidelines

    night shift on my unit self-schedules and we love it- we do every other weekend, and need to sign up for 3 Fridays per schedule (out of 6 weeks) but can choose to work our Fridays as part of our...
  3. straying even further off topic but I had to chime in- while many herpetologists still think it's a humane way to euthanize, there has been some research in recent years suggesting that it's actually...
  4. seizures after delivery in mom with PIH

    we had a similar case, although she did her seizing at home. NO PIH,but did have a couple mildly elevated bps on the day of discharge. Came back to us from ED, she had been complaining of a headache...
  5. Accelerated 2nd Bachelor Program?

    what is your eventual goal as a nurse? RN: staff nurse, management, reseach, teaching? Advanced practice- NP, CNM, CRNA? Maybe if we knew what you think you want to do in nursing, we could help you...
  6. Congratulations To Charles And Camilla

    You took the words right out of my mouth! And True love is such a gift, and for them finally to be able to celebrate it as such- BRAVO! I am truly happy for Charles and Camilla and would like to...
  7. seizures after delivery in mom with PIH

    I don't know if that's the national SOC, but that is also what we do. Actually, some pts will ONLY get mag for 24hours after delivery (none during labor). The only eclamptic seizure I have seen was...
  8. Moving to southern ME, Portsmouth area

    Frisbie is in Rochester, about 10-15 minutes further up the road from WDH. I don't remember which hospitals I applied online to and which I sent hard copies to. For WDH, I brought my app in to HR...
  9. We have a stat section baggie in the OR that has lidocaine, needle, syringe, disposable scalpels and a skin prep spongy thingy (I forget what it's called, you hit the bottom and the solution goes into...
  10. Floating...vent

    Agree with Deb & jeepgirl in that your unit is being staffed very unsafely! They've both addressed it well so I won't beat a dead horse. In answer to your question re: low census: when our...
  11. Moving to southern ME, Portsmouth area

    MMC is a great hospital but Portland isn't really part of the seacoast area... I'm more familiar with the NH end of the area, as I live & work here. The area hospitals include Wentworth-Douglass,...
  12. Today was my 1st OB clinical in L&D........

    wow, sounds like you were a great help to mom & nurse both! I've met nurses who seem to do less for laboring moms than you did, bravo to you! Congrats on a great clinical experience and keep up...
  13. I love it! Thanks for sharing
  14. Car seat test for healthy 35-37 weekers

    exactly, we're testing the baby to see how well s/he responds to being in the semi-upright position that the car seat puts them in, not the car seat. We monitor them on the cardiac/repsiratory...
  15. Car seat test for healthy 35-37 weekers

    we also do car seat tests on all babies born under 37 weeks. It's been awhile since I've done one or looked at the policy so I can't offer specifics, but the nurse caring for the baby (we don't have...
  16. we recently switched over to electronic charting on my OB floor, and I love it- in most cases, my charting is done much more quickly and efficiently (and certainly neater, I have horrible...
  17. I was just checking out our state's registry recently- 2 registered offenders living in my neighborhood.
  18. Where's My Nurse?

    we have "locators", little things we wear clipped to our shirts or badges. The same computer that handles our call bell system also shows our locations. A light also goes on over the door of the...
  19. thanks! As an OB nurse, your report on the conference was an interesting read. I saw a mention of that early labor epidural study somewhere, and have really been wanting to read it. Was it...
  20. LDRP care setting

    we do approx 60-70 births in a typical month, with just over 800 for the 2004 year All of our rooms are private, and we have 10 LDRP rooms, 4 triage rooms (that are all just barely big enough for a...
  21. Transporting newborns after c-sections

    Well babies are transported via open crib, always, in my hospital. From OR to mom's room in case of C-section (well babies are never routinely sent to the nursery here), and anywhere around the floor...
  22. LDRP care setting

    with the exception of I think 2 per diem nurses who do not work often enough to keep up their labor and level 2 nursery skills, EVERYONE on my LDRP unit is oriented to and works all areas. No one is...
  23. What do you use for Post Delivery pain meds?

    Standard post-partum vag delivery orders are for 600mg Mtorin q4-6 and Percoset 1 or 2 tabs q 3, most just stick with the motrin but the percoset is pretty popular at night, especially with multips...
  24. Vaccinations

    lol, wish it were that simple... I've had chicken pox THREE times, as a baby, when I was 7, and at 21! None were particularly nasty cases, so I'll probably get it again... my brother and sister also...
  25. cathing women can definitely be hard- and working in OB, I ONLY cath women. And they're all completely different. Someone told me when I first started that if I could cath a woman right after...