palesarah

palesarah

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All Content by palesarah

  1. Nurse Deliveries

    palesarah replied to fourbirds4me's topic in Ob/Gyn

    very few happen at our place, but when they do happen we often get a "cluster" of them like you just had. I ahven't caught any, thank goodness (they don't pay me enough for that!) but have been at 2....

  2. How Many sucessful VBAC's..

    palesarah replied to Cherry2's topic in Ob/Gyn

    VBAC isn't "allowed" at my hospital, despite our Chief of OB & the large practice she works with's continual efforts to change policy... funny, one practice wants to offer elective primary...

  3. fundal pressure

    palesarah replied to labor93's topic in Ob/Gyn

    As has already been stated, it is never, ever appropriate to perform fundal pressure in a lady partsl delivery. In a situation such as you have quoted, the provider has the option of using a vacuum...

  4. How many deliveries do you have per month?

    palesarah replied to RaeT,RN's topic in Ob/Gyn

    we used to average 60-70 a month, but have been having high 80s-90s since June and are expecting 95 deliveries this month. We have: 10 LDRPs 3 postpartum rooms; 1 of which we can safely deliver in if...

  5. Ice Packs?

    palesarah replied to Aneroo's topic in Ob/Gyn

    I'm at work on a break now, we use "Kwik-Kold" perineal cold packs, made by Cardinal Health. Here's the website:http://www.cardinal.com/mps/brands/thermal/home.asp#maternity but I don't know where...

  6. How much did you make as a new grad?

    palesarah replied to SerenityR.N.'s topic in General Nursing

    When I started as a new grad 2 years ago, my starting pay was around $17.50, I think. Two years later the new grads are making about $19.25, I think, to start, and I'm making $23+. But, I'm looking...

  7. Male nurses and SANE

    palesarah replied to Frosty's topic in Forensic

    Frosty, I'm so sorry to hear of your experience. I think you have a lot to offer as a future SANE nurse and hope you don't give up on your plans. It's sad that there are no forensic trained nurses...

  8. Would YOU ever have a homebirth?

    palesarah replied to klone's topic in Ob/Gyn

    That's hilarious Steph! One of my coworkers had her 2nd baby at home, unplanned, about 19-20 years ago. She had been uncomfortable for a couple hours, then had one contraction and had to push! She...

  9. Sterile gloves for sterile spec???

    palesarah replied to JaneyW's topic in Ob/Gyn

    We keep our sterile speculums in the blanket warmer. And I always wrap the outer package in a warm baby blanket so it stays warm until until the exam, since it takes a few minutes to walk back to the...

  10. Dangerous lessons learned in your first year of nursing

    palesarah replied to RaeT,RN's topic in Ob/Gyn

    Thanks Deb :) It fits, don't you think? No, it's not part of our protocol to do routine mag levels. I think it would be better if it was, since they're getting fairly liberal with mag lately...

  11. survived the bon and 5 day eval

    palesarah replied to lisa bear rn's topic in General Nursing

    So sorry for all you've gone through, that's horrible. Stay

  12. Dangerous lessons learned in your first year of nursing

    palesarah replied to RaeT,RN's topic in Ob/Gyn

    As a new grad, I oriented first to postpartum/mother-baby care, for about 3 months, and then to labor for another 3 months. About a month after I finished labor orientation I took a postpartum...

  13. L&D related magazine?

    palesarah replied to NurseforPreggers's topic in Ob/Gyn

    Are you an AWHONN member? Membership includes subscriptions to JOGNN, Every Woman and AWHONN Lifelines. They're very good journals, and totally worth the cost of membership if that's the only...

  14. Pitocin to control bleeding of laceration

    palesarah replied to susi's topic in Ob/Gyn

    Don't leave us hanging Deb! Please share

  15. An update about the doc with the fundal pressure

    palesarah replied to RaeT,RN's topic in Ob/Gyn

    Good for you- and good for your patients too! That took a lot of courage. I hope you gave yourself a big pat on the

  16. What computer charting system do you use?

    palesarah replied to SuzieQ_Scrapper's topic in Ob/Gyn

    We use Tracevue, I love it. Before we went live last February they considered a couple other systems, and had a couple sessions where we could get a quick overview of Tracevue and the other system...

  17. Urban Myth or Truth?

    palesarah replied to Aneroo's topic in Ob/Gyn

    Do you not have short-term disability? Ours kicks in after two weeks (have to use our earned time to pay for those first two weeks) and then pays a %of our base pay until we're cleared medically...

  18. Yolk Sac/uterine attachment?

    palesarah replied to Katydidit34's topic in Ob/Gyn

    Unless I'm mistaken, and I could be!, but implantation bleeding usually occur around the time of the next expected /first missed period, about 2 conceptual weeks/4 gestational weeks. To the OP, can...

  19. What do you think about this?

    palesarah replied to Savonarola's topic in International Nursing

    I think this may be the correct link to the story: http://www.npr.org/templates/story/story.php?storyId=4761867 or if link does not work copy/paste: www_...

  20. Sponge Count for Vag Deliveries

    palesarah replied to Nurse4Moms's topic in Ob/Gyn

    No radiographic sponges (just sterile 4x4s) for vag deliveries; no, we don't count

  21. Patients refusing Pitocin

    palesarah replied to Minou's topic in Ob/Gyn

    Hmmm, at 1/thick/high we wouldn't even offer pitocin as it wouldn't likely be effective at that point, 'specially for a primip with membranes intact... if all checked out OK we'd offer to send her...

  22. Please think of me

    palesarah replied to lpnstudentin2010's topic in General Nursing

    I'll keep you in my thoughts now & until we hear back that you're doing well

  23. "Maternity Care Cost Saving Ideas" Please Share

    palesarah replied to Caseyrnbsn's topic in Ob/Gyn

    thanks for your response, I always enjoy reading what you have to contribute :), but I was actually meaning to direct my ?s to the

  24. "Maternity Care Cost Saving Ideas" Please Share

    palesarah replied to Caseyrnbsn's topic in Ob/Gyn

    what sort of unit do you work on? Tertiary care center, community hospital? How many deliveries a month? LDRP or is post-partum separatw, do you have a staffed well-baby nursing and what do they...

  25. "Maternity Care Cost Saving Ideas" Please Share

    palesarah replied to Caseyrnbsn's topic in Ob/Gyn

    Two pairs of panties per pt? That's awful It must feel terrible to have to be cutting costs like that. As our census has increased (but not our budget) I'm finding that we have fewer "extras"...