ashleyisawesome BSN, RN

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All Content by ashleyisawesome

  1. ashleyisawesome

    Patient positioning after epidural

    ashleyisawesome replied to quazar's topic in Ob/Gyn

    Immediately after placement I lay them relatively flat (HOB elevated slightly for comfort), with a left hip roll--this is usually suggested by anesthesia to keep their pressure from dropping. Once I...
  2. ashleyisawesome

    "Epic" charting

    ashleyisawesome replied to massbaby's topic in Ob/Gyn

    We just switched to EPIC in January and it's okay. We do "pre birth visits/phone calls" where the patient comes in or calls in a few weeks before they are due and a nurse fills out most of their...
  3. ashleyisawesome

    Length of maternity/infant placement

    ashleyisawesome replied to lpn-rn_bn's topic in Ob/Gyn

    We had two 10 hour days (7a-5p) a week for 8 weeks. This was split between L&D, postpartum, and NICU. NICU we only got 1 day, the rest was 50/50 L&D/PP, depending how the census looked. I got...
  4. ashleyisawesome

    Security on Mother Baby Unit

    ashleyisawesome replied to kms6417's topic in Ob/Gyn

    Locked unit, but all the visitors have to do to get in is buzz the buzzer and give the name of who they are here to see. Unless a patient gives a list of people that are/aren't allowed to visit, we'll...
  5. ashleyisawesome

    Unlicensed personnel

    ashleyisawesome replied to Kldrn9963's topic in Ob/Gyn

    We do couplet care but still have a nursery with 1 RN and 1 tech on days/evenings. On nights there is just 1 RN in the nursery and no tech. Most of our techs are trained in labor/PP/nursery and can be...
  6. ashleyisawesome

    Post Partum pain management

    ashleyisawesome replied to ragingmomster's topic in Ob/Gyn

    lady partsl: Motrin q6 PRN Tylenol #3s q4 PRN Tylenol q4 PRN Some doctors will order Vicodin instead of the T3s. C/S: Usually a duramorph spinal dose in the OR that lasts 24h, plus toradol q6x3, and...
  7. ashleyisawesome

    Floating all staff when census is zero

    ashleyisawesome replied to jenhen82's topic in Ob/Gyn

    Most of our staff are trained in L&D, PP and nursery. We always keep at least one nurse in labor and one in triage (plus charge nurse who can take assignment if we have no other choice), even if...
  8. ashleyisawesome

    C/S scrub nurse

    ashleyisawesome replied to massbaby's topic in Ob/Gyn

    We have a couple RNs who are able to scrub (but very rarely do unless we don't have a scrub tech on, or are doing two cases at once and only have one tech). The ones that know how were either around...
  9. ashleyisawesome

    New Grad wanting to do Labor and Delivery

    ashleyisawesome replied to Lauraingalls's topic in Ob/Gyn

    Definitely mom/baby. You will get experience with moms and newborns and get to know the L&D staff (you'll need to take report from the L&D nurses, dealing with the same OBGYNs, etc). Moving...
  10. ashleyisawesome

    Outpatient Vs Inpatient Circumcisions

    ashleyisawesome replied to kthelan2's topic in Ob/Gyn

    I am not a fan of circs to begin with, but if they are going to be done, I would prefer it be done inpatient. When it's done in the hospital, the nurses can monitor for complications. If they are...
  11. ashleyisawesome

    Switching from ICU to Maternity nursing?

    ashleyisawesome replied to vzcookie's topic in Ob/Gyn

    I switched from a med/surg (mostly surgical) floor to OB about a year ago and never looked back! It's different for sure, but that's what I needed because I was sick of med/surg. It truly is like...
  12. ashleyisawesome

    EFM strips and storage

    ashleyisawesome replied to obnurse9398's topic in Ob/Gyn

    I never depend on the strip to be my legal documentation, but I would cry if they didn't allow me to write on it at all. It's so convenient to just turn around and write "R, O2, Fluids open, Dr....
  13. ashleyisawesome

    Does your Unit take call shifts?

    ashleyisawesome replied to caf02fsu's topic in General Nursing

    I am also in L&D. All part time employees have to take 16 hours of a call per month, in 4 hour increments. Full time employees don't take call. I usually lump them into two 8 hour blocks or a 12...
  14. ashleyisawesome

    L&D documentation

    ashleyisawesome replied to rubyagnes's topic in Ob/Gyn

    At my hospital we don't use a full sheet SBAR report sheet like they do in med/surg. We do carry little cards (about the size of a 3x5). They have pt name, age, doctor, EGA, gravida/para, relevant...
  15. ashleyisawesome

    EFM strips and storage

    ashleyisawesome replied to obnurse9398's topic in Ob/Gyn

    We save the physical strips. I am not sure for how long, but I know they are saved for legal purposes, so my guess would be 18-21 years (I have no clue where they store all those strips though!). We...
  16. ashleyisawesome

    Do you still have to do dosages math by hand as an RN now?

    ashleyisawesome replied to xmilkncookiesx's topic in General Nursing

    For pills and stuff it is usually easy to do in your head. Every once in awhile I titrate a drip manually (gtt factor, etc) and run it by gravity--I usually look the formula up and scribble it down on...
  17. ashleyisawesome

    Is LTC experience helpful for L&D?

    ashleyisawesome replied to MyFive's topic in Ob/Gyn

    Honestly, unless it's within the hospital network of an L&D unit you want to work in, it probably won't help much. It won't hurt, but something like working as a PCA in postpartum (or even any...
  18. ashleyisawesome

    OB nursing questions

    ashleyisawesome replied to LAJJmom's topic in Ob/Gyn

    Relax, you are only 3 weeks in! It is tough to learn a new specialty AND a new charting system at the same time. OB nurses are generally really anal about their charting (hence the triplicate...
  19. ashleyisawesome

    PP to Labor?

    ashleyisawesome replied to xxdiscoxxheaven's topic in Ob/Gyn

    I do L&D/PP, but was trained in PP first and had to wait my turn to train to L&D. I personally prefer L&D over PP, but I love that we switch back and forth because sometimes I get a little...
  20. ashleyisawesome

    Community vs psych nursing before LD

    ashleyisawesome replied to Hcoutinhojay's topic in Ob/Gyn

    It's been a few days, not sure if you picked one yet, but I'd go with the hospital job on the ED unit. You will probably be predominantly working with young women/adolescent girls so it's less of a...
  21. ashleyisawesome

    G1PO INDUCTIONS

    ashleyisawesome replied to Surfandnurse's topic in Ob/Gyn

    I find some of our OBs get around this by "making up" a medical reason. I saw this a lot right before Christmas (so they could deliver the majority of their babies between 12/20-12/23 and hopefully...
  22. ashleyisawesome

    PCA/tech OB

    ashleyisawesome replied to BeachsideRN's topic in Ob/Gyn

    Ohh yeah, getting a perfect circle is so
  23. ashleyisawesome

    High Spinal

    ashleyisawesome replied to OBwonKnewbie's topic in Ob/Gyn

    I had one patient with a high spinal in recovery after a c/s. Anesthesia had me sit her straight up and breathe on her hands so her brain could recognize that she was indeed breathing. He said the...
  24. ashleyisawesome

    Can you specialize and still do other things?

    ashleyisawesome replied to Lapishsunsmile's topic in Ob/Gyn

    Once you have 2 years or so of OB experience, you will not have a hard time finding a job in OB anywhere. I would worry more about getting your first OB job. That is the hard part. Once you get that...
  25. ashleyisawesome

    PCA/tech OB

    ashleyisawesome replied to BeachsideRN's topic in Ob/Gyn

    They don't get neonate vitals, only the nurses do, but they do draw the PKU/Bilis if we are busy. And I don't view it as giving up my scope of practice to the techs. Like I said they are there to help...