winterblue

Preparing a family for discharge on mom/baby unit, I told the patient I was going to remove her baby's infant security tag. She said, "Before you do that, can you please take a picture of my baby's monitor with my husband's monitor?" I looked at her...

Where I have worked (level 2 nsy) kiddos 36wks and up roomed in with parents, but required AC glucoses, vitals q3hrs, be fed q3hrs, and be supplemented with either formula or donor breast milk. They stayed a minimum of 48 hrs.

When introducing patients to the lovely disposable mesh panties during pericare on postpartum: "These are Victoria's Other Secret."

Our unit now considers sweetease a drug; therefore we must scan it into emar whenever we use it for procedures, along with measuring exactly how much we give and can only give it so many times per procedure. Anyone else do this?

Thanks for this! I admit I was annoyed by our policy at first but now it really does make sense, esp since it DOES get overused. It's not that difficult to get it from pyxis when needed for certain procedures, and we can lock it in bedside cart. My p...

Any advice on dealing with a dad who comes into the NICU reeking of cigarette smoke and BO to sit next to his kid? Its enough to make us gag and the other moms don't appreciate it (neither do the babies, I'm sure). I've used deodorizing spray. I take...

"Are you gonna start the Potassium now?" It's pitocin! No, you don't want a potassium drip right now... :)

"Even with Effexor, which is probably the worst (withdrawal) of the bunch." ITA with you on this. Speaking of this sort of withdrawal, are there many RNs/Docs who are now aware of it? (officially known as Discontinuation Syndrome). I find that too ma...

I can relate to the intense itching, it feels like its really deep inside. Doc said it was due to allergies. I too thought I had no wax in either ears, until I tried "ear candles" that you can buy at any health food market. Whoo! The stuff that comes...

SBE, I love your idea of voice-activated charting. The docs get to dictate their notes, why shouldn't we?! I hope one day someone can invent: Cordless EFMs that stick to the belly (telemetry but without the darn belts) and indicator stickers placed o...

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Recently attended a legal nursing seminar. Was taught to always use names. Also, it is appropriate to use personal pronouns in charting when describing your own actions, I didn't know that before. BTW, the stories told in that seminar were a bit scar...

A pt's husband once asked me upon introducing myself: "Can we get a nurse that's not twelve?"

I too was told a version of this story in OB orientation. Some nurses were talking about dystocias and I happened to ask, What's the worst thing that can happen in a delivery such as that, besides a broken clavicle? The nurse replied, "If the shoulde...

I love making pts laugh. Whether its by accident (falling off the stool when I'm trying to say something profound) or cracking jokes (during pericare after delivery, I tell new moms the unattractive mesh panties are Victoria's Other Secret). Most fin...

I used to work at a facility that highly discouraged pushing with a rim...it was always best to wait and let mom labor down first. (Concerns about cervical swelling and lacerations). This was for both primips and multips. At my new job, I checked my ...

Deliveries per month:1200-1400 Per year: over 17,000 Most in 24hrs: 78 36 LDRs 200 PP beds 80 bed NICU And finally a mag recently noted us as the busiest maternity unit in North America!

I have yet to catch my first baby after over a year in OB. It is a rare event where I work because there is almost always someone around, so if needed we call overhead for any OB or midwife in house to come to the LDR. I am so glad we are trained to...

I tell my pts to try not to fight the shakes...this tends to make them worse...Usually works and they are able to relax.

We have a strict policy that no one, under any circumstances, may stand outside a pt's door and wait...they must either remain in the room behind the curtain or go to the waiting area. Too many visitors have been literally run over when a stat came r...

I was hired as a new grad in L&D, but did my preceptorship in nursing school on a med/surg unit, and I have mixed feelings about it. One one hand, I value the experience of med/surg b/c we often see pregnant women with medical conditions (the oth...

I see RNs pushing ephedrine much too often, without using other interventions, as mother/babyRN mentioned. We can give 12.5 mgs IV x1 and then call anesthesia if unresolved.

Normal delivery: one RN, one OB tech...the nursery admission team RNs come about 30 min following birth Complicated delivery: one RN, one OB tech, and NICU rescus team (an RN and an RT) We always have a recus team for C/S. :)