rpbear

rpbear

OB

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All Content by rpbear

  1. Managing Perceptions (male nurse/student in OB)

    rpbear replied to Works2xs's topic in General Nursing

    I will put my 2 cents in as a L&D nurse. There are 3 male RN's on my floor. I love all of them and would never have a problem with them taking care of me. We live in a city that is very ethnically...

  2. IV Fentanyl for labor...

    rpbear replied to jarrn03's topic in Ob/Gyn

    Some of our doc's and CNM will order IV fentanyl, usually 50 - 100 mcg to repeat every 1-2 hours. It seems to work well on most pt's. It does cause resp problems in the baby if given within the hour...

  3. need help with case study

    rpbear replied to sonja77's topic in Ob/Gyn

    I think that they would induce labor. At 36 weeks the baby will do well. The risks of letting the pregnancy continue are too great. The only cure for PIH is delivery. If the induction doesn't seem...

  4. maternal transports

    rpbear replied to babyktchr's topic in Ob/Gyn

    We don't transport out, but we get transports in. We have a whole team of flight nurses (4 I think) that are always on call. These nurses go in either a plane or helicopter to go get mom's. We live in...

  5. ques. for L&D nurses.(Long)

    rpbear replied to sconoli's topic in Ob/Gyn

    I will give you some input as both a mom and an L&D nurse. You need to decide what type of birth you want. If you want an unmedicated birth then research ways to achieve this. Take classes,...

  6. How Much Fentanyl?

    rpbear replied to Spidey's mom's topic in Ob/Gyn

    We use 50-100 mcg Q1 hour for labor max dose 400 mcg. We also use it in epidural bags with ripivocaine but I don't know the dose off the top of my head. I works well for labor pain, but it only last a...

  7. Please help with L&D interview

    rpbear replied to scorpiolisa's topic in Ob/Gyn

    I would not expect any questions related to OB pt's, they know you have no experience based on your resume, so they should not expect you to know how to prioritize these pt's. I would expect questions...

  8. We had a mom code last night!!

    rpbear replied to rpbear's topic in Ob/Gyn

    Well I got a little update last night at work. The perinataologist thinks it was an eclamptic seizue. A PE was rulled out as well as a stroke. She did have a few high preasures from what I heard but...

  9. We had a mom code last night!!

    rpbear posted a topic in Ob/Gyn

    Last night as I started off the shift getting report from the triage nurse we heard alarms going off. This is somewhat normal, we have a staff assist alarm and code pink alarms for baby codes, but...

  10. We had a mom code last night!!

    rpbear replied to rpbear's topic in Ob/Gyn

    thanks for all the kind words. I felt the same way wannabe, we took lots of pictures and the rest of the family spent lots of time with the baby. I will keep everyone

  11. Nurses Week Gifts

    rpbear replied to Tagtg2006's topic in General Nursing

    My best... One of the Doc/Midwife groups hires a massage therapist to do chair massages on the unit for a few hours a couple days of nurses week. It is great after a

  12. When do you move your pt to post-partum?

    rpbear replied to princess99's topic in Ob/Gyn

    We keep our pt's until stable, no specific time period. It is usually about 2 hours, they have to be able to walk to the bathroom and try to pee, if they don't pee but bleeding is minimal and fundus...

  13. Is OXYGENATION an INDEPENDENT Nursing function?

    rpbear replied to Dervid Jungco's topic in General Students

    Although giving O2 is not an independent nursing function, promoting oxygenation is. You can possition for optimal oxygenation and instruct on coughing and deep breathing without a Dr order. These...

  14. hyperemesis

    rpbear replied to jeepgirl's topic in Ob/Gyn

    I don't have any suggestions for the sickness, but you need to get FMLA paperwork from your doc so you can get the time off that you need to be healthy. It will use up your PTO but it will allow you...

  15. triage

    rpbear replied to acuteobrn's topic in Ob/Gyn

    We have an 8 bed triage area on our L&D floor, we see everything from r/o labor, SROM, PIH to tooth ache, cold symptoms, and UTI's. Anyone past 20 weeks gets to see us first, even if it is a...

  16. more questions

    rpbear replied to OB_or_NICU_hopeful's topic in Ob/Gyn

    I think the old saying of "see one, do one, teach one" is kind of what OB emergencies are all about, you won't really know what to do until you see one happen, then the next time you will know what to...

  17. If expectant mums put on the pounds, so do the kids

    rpbear replied to gwenith's topic in Ob/Gyn

    I have a hard time thinking that it is just the weight that mom gained durring pregnancy that is making these children overweight. These woman that gained excessive amounts of weight durring pregnancy...

  18. Adoption Issues

    rpbear replied to Priddyeyez's topic in Ob/Gyn

    Adoption laws are unique to each state. I have recently gone to an adoption information seminar for health care profesionals, it was very informative in the nurses role in adoption. I agree with the...

  19. How much Fentanyl??

    rpbear replied to JaneyW's topic in Ob/Gyn

    We give 50-100 micrograms of fentanyl, usually to be repeated every hour. It does work well, but it doesn't last very long. Sometimes we will give the first dose with 25mg of IV benadryl, this seems...

  20. Desperately Need Advice for NCLEX

    rpbear replied to Dotd's topic in NCLEX Exam, Programs

    Has she tried taking a class to help her pass, like Kaplan. I think they are a few hundred dollars, but could be well worth it in the end. There are also tons of books and software to help you study....

  21. How Many sucessful VBAC's..

    rpbear replied to Cherry2's topic in Ob/Gyn

    I think the success of a VBAC is dependant on the reason for the first c-section. If the section was for breach or fetal distress then your chances might be beter than if it was for failure to prgress...

  22. How many deliveries do you have per month?

    rpbear replied to RaeT,RN's topic in Ob/Gyn

    400+ deliveries a month. 17 LDR rooms 8 traige beds 2 OR's 4 PACU beds I don't know how many PP beds but I think 60 18 maternal special care beds - High risk ante and

  23. Staffing ratios for C Sections

    rpbear replied to KRoman4's topic in Ob/Gyn

    We have at least one RN for mom, sometimes more especially if it is a crash section. One L&D RN for baby, plus NICU attends all of our c-sections (one NNP and one RN from NICU). Once baby is fine...

  24. Amnioinfusion...pump or no pump???

    rpbear replied to USA987's topic in Ob/Gyn

    We run the bolus to gravity then put it on a pump, we record fluid return hourly. We don't warm fluids, never knew about that. I can see how it would help in a bolus, but the fluid is going to become...

  25. Elective Cesareans/On Demand

    rpbear replied to HeartsOpenWide's topic in Ob/Gyn

    I have a very hard time with primary elective c-sections. I want to ask these women where they learned sex ed, because I learned that the baby comes out the lady parts at about 9 months gestation. If...