ashleyisawesome BSN, RN

LDRP

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All Content by ashleyisawesome

  1. ashleyisawesome

    Panic Attacks During C-Section

    ashleyisawesome replied to Barbaraleev's topic in Ob/Gyn

    I haven't had many actually panic. They get anxious, and a lot of them cry. I usually hold their hand and explain everything we are doing. I reassure them that we will make sure they are completely...
  2. ashleyisawesome

    Delivery table set up

    ashleyisawesome replied to Sholt72's topic in Ob/Gyn

    We set a new delivery table for each room (usually when a primip is around 7cms, sometimes sooner for a multip). We set it "sterile" with sterile gloves on and throw a sterile sheet over it. The docs...
  3. ashleyisawesome

    Nubain before pushing?

    ashleyisawesome replied to jjoy's topic in Ob/Gyn

    We only have one doctor that orders Nubain in labor, most others do Stadol. But regardless we don't give either if we think they are going to give birth imminently or within the next hour or two. Our...
  4. ashleyisawesome

    What EFM software do you use, and do you love or hate it?

    ashleyisawesome replied to klone's topic in Ob/Gyn

    We use PeriGen with EPIC. Before EPIC we used McKesson and PeriGen. I like it well enough, but haven't used any other program so I don't know if it's good or bad, but I haven't had any major issues...
  5. ashleyisawesome

    Night shift worries

    ashleyisawesome replied to rn_mama2's topic in Ob/Gyn

    I left a dayshift med/surg job for nights in L&D and I don't regret a thing. I actually prefer nights. I have had opportunities to switch to days on this unit and chose to stay on nights. It can...
  6. ashleyisawesome

    Anyone use Gnosis for training?

    ashleyisawesome replied to klone's topic in Ob/Gyn

    We use it! My hospital actually makes all of the residents take the modules too! It is very time consuming, but I learned a lot from it. They make us retake it every couple of years as a refresher,...
  7. ashleyisawesome

    Magnesium sulfate question

    ashleyisawesome replied to Kdavisobrn's topic in Ob/Gyn

    1. Generally they are on bedrest with bathroom privileges, but if they are a postpartum NICU mom, we usually let them visit NICU in a wheelchair with an RN escort. I also let them get into the chair...
  8. ashleyisawesome

    Rooming in on another unit?

    ashleyisawesome replied to Lady_Leijing's topic in Ob/Gyn

    We have a nursery and a nursery nurse on staff. We mostly room in, but a few moms will choose to send the babies to the nursery overnight for a few hours. We still practice couplet care. The nursery...
  9. ashleyisawesome

    Simple mask or NRBM?

    ashleyisawesome replied to AvaRN22's topic in Ob/Gyn

    We do 10L simple face mask. I've only done OB in one hospital so I don't know any
  10. ashleyisawesome

    Are We Still Holding Back Baby's Head?

    ashleyisawesome replied to Kooky Korky's topic in Ob/Gyn

    Lol absolutely not. I have caught a few babies, or walked in the room to find a baby in the bed, when the doctor was not available (in another delivery, in the OR, seeing a patient on another floor)....
  11. ashleyisawesome

    Tell me about your PP job

    ashleyisawesome replied to Scarlettz's topic in Ob/Gyn

    I work on a unit where we are trained to PP and L&D and float back and forth, but many hospitals have them as separate units. When in PP I start out assessing moms and babies (I usually have 3-4...
  12. ashleyisawesome

    Staffing for LDRP, Antepartum, Triage, and Peds

    ashleyisawesome replied to melanianne's topic in Ob/Gyn

    Our facility is similar to yours. We are all trained in L&D, antepartum, PP, OR/PACU, triage, and nursery (but we don't do peds!) Our census has been through the roof and it has caused problems...
  13. ashleyisawesome

    Best area of nursing prior to OB

    ashleyisawesome replied to nursewifie's topic in Ob/Gyn

    I mean, there is no reason not to go straight into OB if you can snag a job there. I work with plenty of nurses who started in OB as new grads and they didn't have a problem. But if you are finding it...
  14. ashleyisawesome

    Pitocin WARS

    ashleyisawesome replied to kdot2003's topic in Ob/Gyn

    http://mail.ny.acog.org/website/OxytocinForInduction.pdf Of note it mentions interventions for tachysytole with a reassuring FHR-- reposition, bolus with fluids, give O2, decrease the pit by half, and...
  15. ashleyisawesome

    Infant Warmer

    ashleyisawesome replied to rn_bobi_69's topic in Ob/Gyn

    I always make sure to have: ET tubes (at least two of each sized 2.0, 2.5, 3.0, 3.5, 4.0) at least two stylets Blades in sized 00, 0, and 1 EtCO2 detectors suction catheter bulb syringe blankets...
  16. ashleyisawesome

    What time do you do vitals at night on mother baby

    ashleyisawesome replied to BSNbeauty's topic in Ob/Gyn

    lady partsl deliveries are Q4h in PP for the first 24h, then q shift until they are discharged. We lump vitals in with our fundal checks and do them approximately at 2000, 0000, 0400, 0800, 1200,...
  17. ashleyisawesome

    Lying to Patients. Is it for the Best?

    ashleyisawesome replied to bluemoon28's topic in Ob/Gyn

    I don't think I have ever lied about why I am doing an intervention, but I do try to make it sound like it's not a big deal because I don't want them panicking. If I see a big decel or some recurrent...
  18. ashleyisawesome

    Cytotec inductions

    ashleyisawesome replied to Miki34's topic in Ob/Gyn

    We never do cytotec and pit at the same time. Our cervical ripening inductions come in at night (around 2000), get checked/monitored, then get a dose of cytotec around 2200. They are checked again in...
  19. ashleyisawesome

    new NRP guidelines

    ashleyisawesome replied to Surfandnurse's topic in Ob/Gyn

    We've been doing the new Mec guidelines for at least a year now. It's been working out fine. I have had plenty of mec babies and only one had issues and needed resus and a NICU stay (related to mec...
  20. ashleyisawesome

    Poor L&D Orientation

    ashleyisawesome replied to Lavender619's topic in Ob/Gyn

    You are going to feel like that no matter how much orientation you get. I didn't feel confident until I had about a year of experience on my own, and even now I still run into situations that make me...
  21. ashleyisawesome

    Cervidil

    ashleyisawesome replied to jules55's topic in Ob/Gyn

    We place our cervical ripening inductions in triage overnight. We usually have 1-2 of them, but there are 4 triage rooms total. So the triage nurse is in charge of the inductions, plus any triage...
  22. ashleyisawesome

    OB Tech/LPN Scrub

    ashleyisawesome replied to granolatrees's topic in Ob/Gyn

    I would apply. Most of our OB surg techs have little to no medical experience. They are trained on the job. A few are CSTs, but it's not a requirement. The biggest thing will be learning all of the...
  23. ashleyisawesome

    Magnesium sulfate

    ashleyisawesome replied to maxienurse's topic in Ob/Gyn

    Our policy is usually to run the bolus over 30 mins, then the maintenance Mag at 2g/hr. It should specify the rate in the order though, and this may vary by hospital or ordering
  24. ashleyisawesome

    L&D--what are your patients like?

    ashleyisawesome replied to auson16's topic in Ob/Gyn

    It's a bit of a mixed bag, but coming from a med/surg, the atmosphere is a million times more positive. Every once in a while you will deal with a crazy/mean patient and/or family, but most are nice....
  25. ashleyisawesome

    What is a typical day in OB Nursing?

    ashleyisawesome replied to ratk50's topic in Ob/Gyn

    Honestly there is no typical day. There are so many things I could walk into when I start my shift. I rotate between labor, postpartum, antepartum and nursery. I am usually in labor, so I will stick...