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

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...

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...

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...

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 lady partslly, both used to ripen the cervix, and both can cause

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...

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...

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

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...

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

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...

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...

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...

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...

15. Does NO use of Stirrups=Shoulder Dystocia

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

    Rarely use stirrups. Many of our docs don't break the bed down and those that do still don't use the stirrups. We do 100-125 deliverie/month and rarely see a dystocia. I think the last one we had...