jennf83

jennf83

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All Content by jennf83

  1. Jaundice help!

    jennf83 posted a topic in Pediatric

    I am usually good at knowing if a newborn has jaundice of the face, but I'm having a hard time with the body. I'm a home health nurse and now have to use my judgment about drawing bilirubins and I'm...

  2. Pumping to induce labor??

    jennf83 replied to Schmoo1022's topic in Ob/Gyn

    We actually just got a midwife recently that wrote a protocol on nipple stimulation. Of all the inductions I've seen that have used like cervidil/cooks foley balloon, nipple stimulation was enough for...

  3. Pitocin and Decels

    jennf83 posted a topic in Ob/Gyn

    I am in need of an opinion. I'm sure some people have differnet reasonings/philosophies on this, so I would love to hear it. Pt was on low dose pit, ctx every 3 minutes. After epidural placement...

  4. Pitocin and Decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    So even in doubt when you arent sure what kind of decels are going on, or arent sure if you're picking up moms heart rate, its better to turn pit off the same time you are trying position changes? I...

  5. Pitocin and Decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    Well thats what we thought too, to try position changes first. The docs will get upset if you turn pit off with every decel you see, and we werent even sure if we had a true decel to begin or we were...

  6. Pitocin and Decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    Yeah, she did have fluids wide open and a pulse ox on (we always have them on with epi's) and at times it was hard to tell if it was mom or babies. Before all this had happened it was me and another...

  7. Pitocin and Decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    Yeah, we ended up getting a lot of extra hands, but when it was just me and her, it took both of us to turn her because of her epidural, so in between all of that both of us kinda forgot that she was...

  8. pitocin and oxygen

    jennf83 replied to Valerie RN, BSN's topic in Ob/Gyn

    I've seen pitocin used and never cause the baby stress at all, the babies will look perfectly happy (as we call it). Oxygen use is a resuscitative measure. Even if my patient starts having decels, we...

  9. pitocin and oxygen

    jennf83 replied to Valerie RN, BSN's topic in Ob/Gyn

    We only use oxygen when a patient's condition warrants it, regardless if you have pitocin running or not. For example, if a pt is having recurrent late decels we'll give some

  10. When a baby is born....what does your hospital do?

    jennf83 replied to DutchgirlRN's topic in Ob/Gyn

    We play a lullaby to everytime a baby is born unless we have a mom that lost a baby on our floor or if our fetal loss group is meeting, then we dont play it. Parents seem to really enjoy their baby's...

  11. Confused about Variability & Decelerations

    jennf83 replied to luv2shopp85's topic in Ob/Gyn

    Can you explain the variability vs variable deceleration to me, because sometimes what I would think would be a variable, someone said its just

  12. Confused about Variability & Decelerations

    jennf83 replied to luv2shopp85's topic in Ob/Gyn

    In a previous post, they said not to confuse variability with variable decels, how do you distinguish between them

  13. help a new scrub nurse

    jennf83 replied to JadeRN7's topic in Ob/Gyn

    Would you send me this guide? I pm'd you, hopefully it went

  14. Late decel?

    jennf83 posted a topic in Ob/Gyn

    Hello We had a patient the other day that me and another nurse thought was having late decels. They started out looking like subtle lates and then a few minutes later looked like obvious lates. We...

  15. Intrapartum vaginal bleeding

    jennf83 posted a topic in Ob/Gyn

    I had a patient the other night who was a cervidil induction. She was sleeping throughout the night and rang for us in the morning. She had moderate amt of bright red bleeding. In nursing school we...

  16. Infant airways and decels

    jennf83 posted a topic in Ob/Gyn

    Two questions here..I just started a new job in labor and delivery and they were showing me how to check the infant warmers. We were going through all the equipment and came across these little...

  17. Intrapartum vaginal bleeding

    jennf83 replied to jennf83's topic in Ob/Gyn

    Yeah, thats what I thought...or maybe she was 3 cm, I dont remember, I know she was around

  18. Intrapartum vaginal bleeding

    jennf83 replied to jennf83's topic in Ob/Gyn

    They started cervidil around 9 pm and she was about 2cm, and then when we checked her in the morning she was

  19. Infant airways and decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    Oh. I'll have to look at them more closer next time we check infant warmers. And no, we didnt try ephedrine, never would have thought to try

  20. Infant airways and decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    And you can attach an ambu bag to that kind of infant airway? I never took

  21. Infant airways and decels

    jennf83 replied to jennf83's topic in Ob/Gyn

    Thanks everyone! And yeah, we were doing interventions for that lady. It all started after she got her epidural, and we tried different positions, oxygen was on, pit d/c, fluids wide open. Our last...

  22. OBs doing unnecessary C-Sections and inductions

    jennf83 replied to a_wallace4's topic in Ob/Gyn

    Where are you

  23. Narcan administration in newborns

    jennf83 posted a topic in Ob/Gyn

    Quick question for you experienced OB nurses. I have never had to give Narcan to a newborn following birth, but how do you know when you are to do it, I know the "obvious" reason, but how do you know...

  24. Narcan administration in newborns

    jennf83 replied to jennf83's topic in Ob/Gyn

    Thanks everyone! So in other words, you dont really want to jump for the narcan right away, you wanna just follow nrp guidelines

  25. Managing decelerations

    jennf83 posted a topic in Ob/Gyn

    How soon when there are decelerations noted on the fetal monitor strip do you do oxygen, left side, and fluids wide open? When they are experiencing the beginning of a decel, even if its just a...