babynurse357

Latest Activity

1. Overtime

   babynurse357 posted a topic in General Nursing

   I know mandatory overtime has been discussed numerous times. I've found plenty of cons about it but no benefits to it. I'm working on a project for my RN-BSN program regarding mandatory OT and I need to list both pros and cons. The only thing I ca...

2. Staffing guidelines without central monitoring

   babynurse357 replied to babynurse357's topic in Ob/Gyn

   Well as of right now we do staff 1:1 with our labor pts. It was just that somebody brought up staffing guidelines the other day and I'm a little concerned that when we do start having more babies he'll hold us to to 1:2 without central monitoring.

3. How to deal with "coupling" or "doubling" contractions?

   babynurse357 replied to Jiayou's topic in Ob/Gyn

   I agree with HeartsOpenWide. In early labor when they have pit already going and start coupling I turn it up as coupling is a dysfunctional pattern.

4. Staffing guidelines without central monitoring

   babynurse357 replied to babynurse357's topic in Ob/Gyn

   Approaching the board is out of the question because our OB/GYN is the head of the board. It's a new physician owned facility and he hates central monitoring. He wants the nurses at the bedside and says with central monitoring nurses spend too much...

5. Staffing guidelines without central monitoring

   babynurse357 posted a topic in Ob/Gyn

   I've looked on AWHONN's site and can't find any recommendation about staffing when you don't have central monitoring. I've been a labor nurse for 6 years and I've always worked in a facility with central monitoring and the place I am working at now d...

6. Phototherapy ?

   babynurse357 replied to babynurse357's topic in Ob/Gyn

   Yes the baby is in an open crib and she has the light practically resting on the top of the crib. I do think we have a meter just haven't ever messed with it because I've never needed to with these lights. What's the recommended reading with the b...

7. Phototherapy ?

   babynurse357 posted a topic in NICU

   What is the distance the Olympic Bili-lite (the overhead light with like 6 or 8 bulbs) should be from a baby? We are having major disagreements about this at work and don't have the manual. The unit was a used one purchased from a small hospital th...

8. Phototherapy ?

   babynurse357 posted a topic in Ob/Gyn

   Can somebody tell me the correct distance to have the Olympic Bili-lite (the old one on a blue stand with casters) should be from the baby? Our hospital just bought a used one without a manual and there is some major disagreements about the proper d...

9. opinions about homebirthing

   babynurse357 replied to momma/babyrn's topic in Ob/Gyn

   Shoulder dystocia is my greatest fear because you never know when it will happen and how bad it will be. We had a t/f in with dystocia, the head was delivered and all attempts and maneuvers they tried to deliver the rest of the baby failed. They pu...

10. Funny OB things people say

    babynurse357 replied to at your cervix's topic in Ob/Gyn

    I think I heard my best/dumbest one yet the other night. A laboring pt's sig other says "too bad you couldn't be like my aunt, she had my cousin an hour after she went into labor." No bid deal I thought until he added "but he came out really fast b...

11. opinions about homebirthing

    babynurse357 replied to momma/babyrn's topic in Ob/Gyn

    Let me clarify myself. I was referring to hospital based birthing centers. If there even was one around where I live I'd consider one. Simply saying delivering at home wouldn't be my preference. Kudos to those that do, I've just seen too many del...

12. opinions about homebirthing

    babynurse357 replied to momma/babyrn's topic in Ob/Gyn

    I'm all for birthing centers that are more like home and use midwives. I'm totally not into delivering at home. Too many things can go wrong-not that they do very often, I just would rather not risk it. Many birth centers with MWs still do intermi...

13. Hold that Push!

    babynurse357 replied to moz's topic in Ob/Gyn

    That's just dumb that she's angry with you for having the pt push! She should be thankful that you tried the other interventions but had the common sense to know that this baby didn't like where it was at and need to come out. Good judgement call. ...

14. Contraction Stress Test?

    babynurse357 replied to babynurse357's topic in Ob/Gyn

    Points off for tone and breathing movement. He claims her strip was nonreactive but at 31 weeks looked fine to me. Intermittent minimal variability, but also average at times, 10 X 10 accels, no epidsodic decels even with occasional ctx. What more...

15. Had my first experience with a fetal demise today (m)

    babynurse357 replied to eandgsma's topic in Ob/Gyn

    Definitely ok to cry, it shows that you care. I've had several demises and cried almost every time. A while back I had a mom come in to deliver her 1st baby-not a demise but her husband was in a very tragic (and very preventable) accident just 6 we...