palesarah

palesarah

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All Content by palesarah

  1. Lotus Birth...What do yall think about this?

    palesarah replied to JVanRN's topic in Ob/Gyn

    Licking the baby clean? I try to be respectful of unusual birth plans and different paretning styles, as do most people here, but that's just nasty. We've had a few patients request that we defer...

  2. monitoring for pre-op c/s

    palesarah replied to babyktchr's topic in Ob/Gyn

    on our low-risk scheduled sections, we only do a doppler on the floor and another in the

  3. Funny Overhead Pages

    palesarah replied to AngelaEbel's topic in Nursing Humor

    one night they were paging the hospitalist to our floor in an emergency- "Dr Beatty to the Birth Center stat" no too funny when you read it, but the way it was pronounced we ALL thought she said "Dr...

  4. Where do your Miscarrages admit into

    palesarah replied to JHUBRAIN's topic in General Nursing

    The law in NH, at least, is up to 20 weeks or so many grams (I forget the weight cut off) the remains are still considered a "surgical specimen" Luckily the nurse in charge of our bereavement program...

  5. TAB's?

    palesarah replied to jrring1019's topic in Ob/Gyn

    Nurses on my floor absolutely can refuse to participate in TABs (we occassionally have them on the floor as second-trimester induction). Those who feel it is immoral for them to assist, have a little...

  6. Externship or take the summer off?

    palesarah replied to jessinMS's topic in General Students

    In my area, an "externship" is a summer program for nursing students, and not affiliated with any of the schools directly. They work 1:1 with a nurse and do pretty much everything! An "internship"...

  7. OB Policy and Procedures " HELP PLEASE"

    palesarah replied to Caseyrnbsn's topic in Ob/Gyn

    it's in our policy to attempt to do so in the case of hyperstim... I think someone was successful once. Just the one time though. Those pills are so tiny I can barely get them in, never mind

  8. UNH Direct Entry Program

    palesarah replied to arciedee's topic in General Nursing

    I only know that it's a new program. Didn't they just start it last January? Last year we had a group of students from the direct entry MSN program come through to do their maternity rotations on my...

  9. C/S as a birth option vs need

    palesarah replied to valene's topic in Ob/Gyn

    It's starting to be the next big thing in my area (although NOT my hospital!) Last fall there was an ad in a local paper for a doc in a solo practice at another area hospital offering elective...

  10. Stirrups? WHY???

    palesarah replied to RNLaborNurse4U's topic in Ob/Gyn

    I'm still a fairly new nurse, so maybe I'm wrong, but I thought fundal pressure was never appropriate in the second stage of labor. Suprapubic pressure, yes, when warranted, but never fundal...

  11. Catheterization? Do you remember your 1st time?

    palesarah replied to twinbee25's topic in Nursing Student Assistance

    I never cathed anyone in school, my first was on the job. I had only been working a few weeks in LDRP and was still orienting to mother-baby care, but they liked to get us newbies any opportunity to...

  12. OB Policy and Procedures " HELP PLEASE"

    palesarah replied to Caseyrnbsn's topic in Ob/Gyn

    placing those tiny little bits of pill lady partslly is tough! We don't administer it much on night shift though so I don't often have to wrestle with those little pills. Our P&P for cytotec is...

  13. Do you see good results with doulas?

    palesarah replied to Jess-RN in 2006's topic in Ob/Gyn

    a good doula is worth her weight in gold! A former nurse who teaches some of the childbirth classes at our hospital also works occasionally as a doula, and while I've never personally had a patient...

  14. How much control do mom's really have during birth?

    palesarah replied to WhatToDo's topic in Ob/Gyn

    actually, what amuses me is when the couple come in with a birth plan stating she'd prefer an episiotomy to tearing! I think that demostrates a lack of knowledge and education. In most cases tears...

  15. Stirrups? WHY???

    palesarah replied to RNLaborNurse4U's topic in Ob/Gyn

    good for you! Way to advocate for your patient

  16. Nurse perform amniotomies

    palesarah replied to LizzyL&DRN's topic in Ob/Gyn

    verbal informed consent (which I document on the flowsheet and the provider documents in their progress notes) for amniotomies and all other interventions besides induction of labor using misoprostyl...

  17. Two wonderful deliveries, no Pitocin

    palesarah replied to camay1221_RN's topic in Ob/Gyn

    crazy... I can go 3 months without having a woman on pitocin at

  18. RN Programs

    palesarah replied to tleesto's topic in General Nursing

    I'm not sure if this is what she meant... but if you work for a hospital (as an LNA or tech), most will pay for all or part of your RN education. They usually allow you so many dollars per year...

  19. Nurse perform amniotomies

    palesarah replied to LizzyL&DRN's topic in Ob/Gyn

    amniotomies are not in the nurse's scope of practice in my state. Thank goodness, I don't want that responsiblility or liabilty- we have

  20. fetal heart monitor strips as a legal document

    palesarah replied to rdhdnrs's topic in Legal

    we're going from paper charting to OB Trace-vue in a couple weeks. Currently we document on the strips and flowsheet, but when we go to computer charting we're no longer going to be able to chart on...

  21. How accurate do you think sonograms at 4 mnths. preg. are?

    palesarah replied to mishayla96's topic in Ob/Gyn

    I'm going to guess that it depends some on the skill of the sonographer as well. LOL, we've done some informal scans at work with our portable US machine (we have 3 nurses who are expecting this...

  22. MD's trying to change the way we care for newborns

    palesarah replied to SamOBRn's topic in Ob/Gyn

    State-- New Hampshire # births/year-- 800 Do you do couplet care? yes! Who attends deliveries? nurse for mom, nurse for baby, MD or CNM (responsible for intubating if needed)- peds attendance at...

  23. Where are the docs??

    palesarah replied to jrring1019's topic in Ob/Gyn

    hmmm... I work in a community hospital, we just topped 800 deliveries last year. We have 2 OB/CNM practices with priveledges, plus the family doc at the prenatal clinic does a couple delivieries a...

  24. Hi Need Links to Great Nursing Uniforms

    palesarah replied to angelique777's topic in General Nursing

    I've purchased scrubs online from http://www.allheart.com (some members have reported less than stellar service but I haven't had any problems), http://www.lydiasuniforms.com/ (good prices and they...

  25. Poll: Are there openings in L&D?

    palesarah replied to ER1010's topic in Ob/Gyn

    I work in New Hampshire. If you would like more info feel free to PM