rpbear

rpbear

OB

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All Content by rpbear

  1. Triage Abuse!!!!

    rpbear replied to tamrnmomof4's topic in Ob/Gyn

    I only work nights so this isn't my main problem. My problem is that pt's call the doc on call, the doc tells them this isn't urgent and it can be handled in the office in the AM, well they come to...

  2. How long is orientation for new grads on your unit?

    rpbear replied to mitchsmom's topic in Ob/Gyn

    I just work LDR, 12 weeks or more if

  3. My first Birth, what should I bring

    rpbear replied to sunnym's topic in Ob/Gyn

    I agree what witheveryone else. I will add extra socks/slippers for mom, I can't tell you how many pairs of socks and slippers that have got "stuff" on them and mom has not brought extras. Also,...

  4. Doula Thoughts on L&D (long)

    rpbear replied to futureTMA's topic in Ob/Gyn

    I must be very lucky in the place I work because I have never seen this happen. We have inductions that will go on for 3 days as long as mom and baby are stable. I work with wonderful MD's and CNM's...

  5. Cervidil

    rpbear replied to Emily Canwell's topic in Ob/Gyn

    Our policy is very similar. VS q 4 hours after initial q 30 minutes x4, continuous monitoring, chart on UC's and FHT's qhour, MD or CNM inserts cervidil, RN can remove, pit can be started 1 hour after...

  6. Doula Thoughts on L&D (long)

    rpbear replied to futureTMA's topic in Ob/Gyn

    Although I don't agree with a lot of what Stephanie is saying I think this is a discussion that needs to be had between Doula's and RN's so that we can work together in a way that supports our pt's....

  7. Doula Thoughts on L&D (long)

    rpbear replied to futureTMA's topic in Ob/Gyn

    :roll That is exactly what I was

  8. Doula Thoughts on L&D (long)

    rpbear replied to futureTMA's topic in Ob/Gyn

    I will reply to each of her thought individually if you like. 1. Oxygen in Labor: The hyperoxygenation that another poster brought up is the reason. And how intrusive is a o2 mask anyway. Most...

  9. ACLS Class

    rpbear replied to nightingale's topic in General Nursing

    I work at Pres, I think you have to be an employee to access that part of the website. You can call Clinical Education 291-5392, there is a class May 4, and May 26. I think non-employees can take it,...

  10. Doula Thoughts on L&D (long)

    rpbear replied to futureTMA's topic in Ob/Gyn

    All I have to say to the author is you are trained in labor support, not medical management of labor. These are two very different and helpful bases of knowledge. I do agree with the part about...

  11. New L/D Nurse wanting quick guide

    rpbear replied to RN2Bn2006's topic in Ob/Gyn

    I have a pocket book for L&D. I think it is called labor and delivery in my pocket. You can order it form amazon for about

  12. Doula

    rpbear replied to Toothbrushx2's topic in Ob/Gyn

    Our doulas are paid by the hospital. The pt's pay a small fee for the service ($50-$200 based on your finanacial need) But if the pt is not pre-arranged and the MD or RN think that they are in need of...

  13. Nursing Instructors who are hard, pick on you, or are impossible to deal with

    rpbear replied to Town & Country's topic in General Students

    There is a huge difference between being tough on someone and being abusive. If someone is being abusive then document what is happening and take it up the chain of comand, this works both for school...

  14. Doula

    rpbear replied to Toothbrushx2's topic in Ob/Gyn

    Our hospital actually has an entire staff of Doulas. You can hire them through the hospital and we can get and on call doula for anyone that we think is in need of one. Because of this service we see...

  15. Help! Please

    rpbear replied to Soph_LPN's topic in General Nursing

    I work at Presbyterian hospital. We do have LPN's but I think they have been grandfathered in. You could check out the web site and see if there are any postings for LPN's (http://www.phs.org) you can...

  16. Regional differences in OB terminology ....

    rpbear replied to Selke's topic in Ob/Gyn

    Anyone else say "block" for epidural? We use that, even draw a little square on the pt board when they get a block. We use complete also, not fully. We say Miso, not cytotec. We say both NI and NICU...

  17. male nurses in OB

    rpbear replied to newnurse33's topic in General Nursing

    I work with 3 male OB RN's and they are all great, I can count on one hand how many times one of them has been refused by a pt. (usually because of cultural, religous, or past sexual abuse) I wouldn't...

  18. Help!! Any Nursing School Advice in Buffalo NY

    rpbear replied to dawnelle's topic in General Nursing

    I no longer live in the Buffalo area but went to ECC city. I think it was a great program with great instructors. This was 2 years ago, so I don't know how it has changed. I was going to go to...

  19. What gestational age comes to your unit?

    rpbear replied to JenniferNRN's topic in Ob/Gyn

    Same here, 20 weeks and up. We do take demises that have not yet delivered, they deliver on L&D and then go to GYN floor. We have a ante floor that takes anything pregnancy related no matter what...

  20. Customer Relations and management

    rpbear replied to LandDRN's topic in Ob/Gyn

    Is there any kind of security camera? We have cameras on out unit, in the hall, at the elevators, and at all entry points of the unit. They are not in the rooms. The crime was probably not caught on...

  21. Pt refused to leave!

    rpbear replied to tryingtomakeit's topic in Ob/Gyn

    I allways wonder how these pt's will handle being parents. We have had several of these "I refuse to leave" pt's lately and for the most part the dr's are firm in treating the pain, letting them rest...

  22. CRNAs in NM

    rpbear replied to DM74LA's topic in General Nursing

    Hi, I work in L&D in Albuquerque at Presbyterian hospital. Our hospital uses CRNA'a in both L&D (night and weekend only) and the main OR. They are not employes of the hospital though, they are...

  23. Lotus Birth

    rpbear replied to zandra's topic in Ob/Gyn

    Last year when the other thread was active I asked the midwives I work with about this. They said they have never seen it done, but say that it can increase the newbors chace of having jaundice...

  24. What do patients say that irks you?

    rpbear replied to NurseforPreggers's topic in Ob/Gyn

    I live in an area with lots of native americans and it is a widely practiced custom to take the placenta home and then return it to mother nature. I don't know all the ins and outs of the custom, but...

  25. phone protocols

    rpbear replied to babynurse2001's topic in Ob/Gyn

    We do not do telephone triage either. We simply give them the answering service number of thier CNM or MD and have them talk to the pt. It is the easiest way to avoid any