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Acoustic Stimulator
Is there any documentation stating that it is acceptable to utilize an acoustic stimulator when a patient is in active labor? I had a patient today who came in at about 0130 with contractions. When I came on it was 0700 and there really had not been any accelerations is the FHR during the entire tracing. We then decided to acoustic stim her, we did not get a response from it and when we reported this to the Dr, he said that you should not use the acoustic stimulator during labor, there was not documentation to prove that would be useful. Just wondered what you thougt?
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Bili Lights
When an infant is under phototherapy are you turning out the bulbs before drawing the next bili level? If so how long before you draw the bili are you turning off the lights?
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Homans Sign
Are you routinely checking and documenting a Homan's sign on a normal lady partsl delivery patient? C-section?
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EFM Question
We do have certain criteria fro reassuring Vs. Not. i am wondering if you are charting a fetal heart every 15 minutes on our flow sheet, and you are now at 1400, how much of the strip do you look at to document for that time slot. Example, do you go from the 1400 marking and look at what happened the 15 mintues previous, or do you wait until some of the strip has run through after 1400 and write according to what has shown up previous to and after?
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EFM Question
When reading your fetal monitor strips, how much of the strip do you take into account? For example, if you are charting for 1400, how much of the strip do you chart on? Five minutes before and after 1400, 15 mintues before 1400, etc. Just looking for an idea of how everyone is doing it. Thanks
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footprinting newborns
At my hospital, we put two bands on the baby and one on mom, all have matching four diget number s that are read each time the baby is taken out to mom. We also foot print the baby and moms index finger.
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Tests during Orientation???
Yes, I had to take a pharmacology and a drug calculation test. Some of the other new grads I started with had to do one in moderate sedation as well, if they were heading to ICU or stepdown.