L&D_RN_OH

L&D_RN_OH

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All Content by L&D_RN_OH

  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...

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

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

    We use it frequently for cervical ripening. Generally, it is placed every 4 hours. Monitored 30min prior to dose, and 2 hours after. We do not give the next dose if the pt is contracting , 5 min apart...

  17. transferring unstable pts to postpartum

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

    I agree with the others. What is "unstable"? Some of our PP nurses seem to think if a pt is unable to void during their recovery period, they shouldn't be moved. That is definitely not unstable. Pts...

  18. stupid questions on L&D nurses' function

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

    That sounds similar to our setup. Although L&D nurses do keep PP pts if our load allows it. But our PP nurses are not crosstrained to L&D, so if L&D is busy, we give up our PP pts to a PP...

  19. Record number of deliveries?

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

    We have 12 LDRPS, and avg 100-150 births/month. Which is an avg of 3-5 deliveries per day right? Of course some days we have 1, and other days we have 8, but...... I'm not sure where we are this month...

  20. What is the visiting policy in your L&D?

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

    We allow 4 visitors in L&D. We do have visitors who scam the system somehow and have ended up with 7-8 people in a labor room. It can get ugly when trying to explain the visitor policy over and...

  21. LDRP ~ outgoing or continuing trend?

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

    Don't know where to point you for statistics. At our facility, we were LDRP's when they created the new unit several years ago, then were LDR's. We are now transitioning back to LDRP's. I think it is...

  22. Nurses that give bottles to breastfeeding babies.

    L&D_RN_OH replied to at your cervix's topic in Ob/Gyn

    Have pts complained? Do you have a breastfeeding policy? I have had a problem with one nurse who has fed my breast babies bottles, without a medical indication. Pts have complained, and since it goes...

  23. Pay Scale

    L&D_RN_OH replied to NICU RN wannaB's topic in Ob/Gyn

    In Southwest Ohio, new grads start out at a little over $19/hr, plus shift

  24. Do you count?

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

    This is how open glottis pushing has worked for my pts. I encourage them to grunt or moan lowly while pushing if that helps them. It's hard to hold your breath and grunt. :) For my pts that have...

  25. Do you count?

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

    I understand that people use their own experiences to make generalizations about situations. I'm sorry that the nurses at your delivery made assumptions about your ability to push. I was merely...