babynurse357

babynurse357

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All Content by babynurse357

  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...

  2. 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...

  3. 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...

  4. 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

  5. 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...

  6. 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...

  7. Phototherapy ?

    babynurse357 posted a topic in NICU, Neonatal

    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...

  8. 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...

  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...

  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...

  11. Good evidence based practice websites

    babynurse357 posted a topic in Ob/Gyn

    Does anybody have any good evidence based websites. There are several issues in the facility where I now work that need to be addressed. I'd like to have studies to back me up before I go to the DON...

  12. 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....

  13. Contraction Stress Test?

    babynurse357 posted a topic in Ob/Gyn

    The other day we had a G5L4 (all delivered in the last 5 years) with decreased fetal movement. She was 31 weeks and some change. Her biophysical profile was 6/10 in the dr's office so he wanted to...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. Good evidence based practice websites

    babynurse357 replied to babynurse357's topic in Ob/Gyn

    Thanks for the input. The previous place where I worked for like 5 years did have 2 nurses present for delivery, so I'm aware of how things should be done (that's why I'm on this mission). What I...

  19. Funny OB things people say

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

    We had a couple that delivered a few days ago; when the nurse put the hat on the dad immediately pulled it up so it wasn't covering baby's ears. She adjusted it again to cover the ears. He very...

  20. initial post-op assessments for C/S moms

    babynurse357 posted a topic in Ob/Gyn

    The old facility where i worked required a head to toe assessment & vitals initially when a c/s mom came out of PACU, then we did another set of vitals and another assessment every 15 minutes x2...

  21. Nurses managing epidurals on L&D

    babynurse357 replied to kathiecnm's topic in Ob/Gyn

    I agree with a previous poster. You need to check with your state BON and determine what is in your scope of practice. If you are practicing out of your scope and something bad happens, you will be...

  22. I do not think I can make it in L&D... devastated

    babynurse357 replied to RNKatrinaK's topic in Ob/Gyn

    I would definitely be searching for a hospital or birthing center that does fewer deliveries and allows for that nurse/pt bonding. I've been doing L&D for 5 years and having 3 deliveries every...

  23. Core staffing for L&D

    babynurse357 posted a topic in Ob/Gyn

    I've been working OB for 5 years and recently relocated. I'm still working OB and I have a question about "core staffing". The first hospital I worked at delivered on average 50-60 babies per month....