L&D_RN_OH

Latest Activity

1. Calcium Gluconate

   L&D_RN_OH replied to immaturern's topic in Ob/Gyn

   Try collaborating with your pharmacy.

2. Amniotic Fluid Embolism Scare...

   L&D_RN_OH replied to rndani's topic in Ob/Gyn

   Wow! what interesting stories. I have had one pt lose her uterus, due to uterine atony despite meds and massage. We also lost a pt to AFE last February. She coded, then went into DIC and started bleeding out while we tried to resuscitate her. From S...

3. Do your OBs do circs everyday?

   L&D_RN_OH replied to dawngloves's topic in Ob/Gyn

   Our OB's do them daily, if the consent is signed by the parents. The CNA's on days assist since they are done after morning rounds. I'm thankful I'm not required to assist as I don't think it is a necessary procedure. Even the AAP says it's not routi...

4. What do you think about the use of Cytotec?

   L&D_RN_OH replied to CardioTrans's topic in Ob/Gyn

   I don't tell them it is an off label use, but I do tell them it is an ulcer medication that has been found to ripen the cervix, which I guess is telling them of it's off label use in a round about way. I guess I just meant I don't actually say "Thi...

5. What do you think about the use of Cytotec?

   L&D_RN_OH replied to CardioTrans's topic in Ob/Gyn

   Cytotec is a pill. Cervidil is impregnated on a thick tampon like string. They are both inserted vaginally, both used to ripen the cervix, and both can cause hyperstimulation.

6. What do you think about the use of Cytotec?

   L&D_RN_OH replied to CardioTrans's topic in Ob/Gyn

   Were you told that treatment of PTL is an off label use of Brethine? Many drugs have off label uses that they are effective for. No, I don't tell pts it is an off label use, because I think it is a moot point. I do tell pts what they are being induce...

7. What do you think about the use of Cytotec?

   L&D_RN_OH replied to CardioTrans's topic in Ob/Gyn

   This sounds like my facility. We're had great results with very few cases of hyperstim. In those cases, if you review the strip and the contraction pattern, generally the last dose shouldn't have been inserted. That is a nurse error, not a med error....

8. What do you think about the use of Cytotec?

   L&D_RN_OH replied to CardioTrans's topic in Ob/Gyn

   I read an article awhile back about that. I believe the possible side effects are the same, but it is not always as effective given po.

9. monitering pt on Magnesium sulfate

   L&D_RN_OH replied to Soul's topic in Ob/Gyn

   Is it possible you were checking for protein in the urine, since she was probably on Mag for PIH? Mag sulfate does help prevent eclamptic seizures but it doesn't necessarily control the spread of the disease. Women can go quickly from PIH to preeclam...

10. pushing with an epidural

    L&D_RN_OH replied to starry nights's topic in Ob/Gyn

    Definitely! We have a little more freedom on nights.

11. Postive UDS's What is your facilities policy?

    L&D_RN_OH replied to cabbage patch rn's topic in Ob/Gyn

    Moms with positive UDS get a chemical dependency consult and a SS consult. If baby pops up positive, it is referred to CPS. Where it goes from there depends. If mom has a history with CPS, they baby may go into protective custody, or be sent home wit...

12. What do you think about the use of Cytotec?

    L&D_RN_OH replied to CardioTrans's topic in Ob/Gyn

    I read all the horror stories about Cytotec too, and was shocked that anyone would keep using it. However, since I've been working as an L&D nurse, I much prefer it to Cervidil. Our cervidil inductions require continous monitoring while Cytotec d...

13. pushing with an epidural

    L&D_RN_OH replied to starry nights's topic in Ob/Gyn

    I agree with Deb. If Mom has no urge to push, then by all means let her labor down. If however, she feels the pressure and wants to push, and baby is at +2 station or more, than go ahead and encourage her to push. Some docs will insist pts start push...

14. Writing on Fetal Heart Monitor Strips

    L&D_RN_OH replied to rdhdnrs's topic in Ob/Gyn

    I occasionally chart on the strip just as a reminder to chart in the computer. We do save our strips, although if they are not labeled and we cannot id them, they get tossed. They are downloaded every morning onto disc anyway.

15. fundal pressure

    L&D_RN_OH replied to mark_LD_RN's topic in Ob/Gyn

    I've never heard a doc request fundal pressure during a routine delivery. Only once did we use it. The pt "seized", collapsed, FHR dropped to 70's. Pt went from 1-10. Pt alternated between being lucid, combative,and unresponsive. She was barely able ...