L&D_RN_OH

L&D_RN_OH

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All Content by L&D_RN_OH

  1. transfusions/preg/refuse?

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

    We don't have a written P or P for refusal of blood products. Like the others have said, it is on the general consent form. Even if they consent to blood on the general consent, they still have the...

  2. Need advice: non-hospital birth?

    L&D_RN_OH replied to mm1021's topic in Ob/Gyn

    What about poor outcomes in the hosp? They can happen anywhere. The difference is, women who choose to homebirth accept responsibility for their births, regardless of "perceived" risk. Birthing at...

  3. Cytotec

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

    25 mcg Some of our docs are more conservative with Cytotec. For instance, I had a Cytotec induction last night. The order was for q 4 hours up to 3 doses unless contractions were less than q 10 min....

  4. Cytotec

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

    It is still being used, alot. It ismore cost effective than Cervidil, and when used following a protocol, generally has the same effect as Cervidil. Did I mention our Cervidil induction that went from...

  5. Cytotec

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

    If they need to be induced for a medical reason, this is one of the indications for the use of Cytotec, to ripen the cervix. You wouldn't want to start Pit on an unripe cervix. The docs here are...

  6. Elective C-sections

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

    I am sorry that you had to go through such an experience w/o the support of someone close to you. I think that when birth is an emergency, babies have special needs, and/or spend time in the NICU,...

  7. Cytotec

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

    That's just it. I don't think she was. If you looked further back on the strip, the pt had tripling and quadrupling (is that a word?) contractions, then 3-4 minutes later, would have another. Then the...

  8. Mucus Plug?

    L&D_RN_OH replied to can'twait2B1's topic in Ob/Gyn

    I have seen my own but I have not actually seen it in pts. It does not mean labor is imminent. Labor might begin that day, or may not begin for another 2 weeks. It is absolutely not an indicator of...

  9. Umbilical cord care

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

    We are still using alcohol, but I know another facility in town does not. They recommend cleaning with water and drying thoroughly. Personally, I put nothing on my daughter's cord and it fell off...

  10. Need advice: non-hospital birth?

    L&D_RN_OH replied to mm1021's topic in Ob/Gyn

    I seem to agree with you Dayray, on most things. :) However, this portion I don't. Mainly because, it depends on the state you are in. Ohio, for instance, doesn not recognize or license direct entry...

  11. Elective C-sections

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

    But it does matter. Maybe not to you, but to many mothers who's birth experiences did not pan out as they desired. There are many women who have "birth trauma", not neccesarily because they had...

  12. Ode to a Labor and Delivery Nurse...

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

    Thank you for sharing. It brought giggles and mists.

  13. Breech scare

    L&D_RN_OH replied to AmberL&D/RN's topic in Ob/Gyn

    I can't believe at +3 and second baby, he didn't just deliver her. With first time Moms, it's automatic CS. But for multips, depends on presentation, and who's on that night. We have a great group of...

  14. fetal heart rates

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

    I was thinking of problems with the BP cuff too. :chuckle I can think of several pts that would have ripped it off. We try to document fht q 5 min while

  15. L&D nurses and "infertility"

    L&D_RN_OH replied to AndreaRN23's topic in Ob/Gyn

    Interesting. I hadn't noticed that where I work. I had 3 mcs, and 3 deliveries, but those were all before I started working here. We have a few nurses with with twins, 3 of us with babes under a year,...

  16. Nurse to Couplet Ratio?????

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

    5 is the max. But usually, it's only

  17. Elective C-sections

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

    I think it's a sad state of affairs that it has come to pts being able to request unnecessary surgery. Besides the fact, that there are options for pain relief in labor, and there have been studies...

  18. Birthing positions

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

    Most deliveries are in semi-fowlers with support people holding the legs. Some of the docs break the bad, some don't. We only have one who uses stirrups and she is a FP doc so only rarely does a...

  19. Bad night (long)

    L&D_RN_OH posted a topic in Ob/Gyn

    Have you ever just had one of those births? When I went into work Tuesday at 5 pm, my pt was at 8 cm. She had been at the hosp since 4 am, after SROM at 2 am. Up to this point, despite being ruptured,...

  20. Cytotec for Inductions

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

    I was curious about that dose too. We only use 100 mcg for fetal

  21. Cytotec for Inductions

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

    We use 25 mcg in the posterior fornix q 4 hours up to 3 doses for cervical ripening. Followed by Pit 4 hours after last dose, if needed. We have the pt side lying for 1 hour, with 2 hours of EFM. I...

  22. Am I crazy

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

    IMO, sounds like too much, too fast. I think she should have just been left alone for awhile. And I can't believe he ruptured her while babe was ballotable. What an ass. Sounds like he had other...

  23. L&D On Call

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

  24. surgical prep for c/s

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

    Our docs have their own preferences. Some use betadine solution, some use Duraprep. But, we're spoiled. Most of our docs do their own prep.