L&D_RN_OH

L&D_RN_OH

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All Content by L&D_RN_OH

  1. Do you count?

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

    I agree with Deb here. Noone assumes a Mom won't have the urge to push or that she can't push. Manye women with epidurals can feel pressure with an epidural but still may have a hard time figuring out...

  2. Do you count?

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

    She's actually a travel nurse with 34 years of experience. Granted, she has been a nurse longer than I've been alive, she remembers twilight sleep for heaven's sake...... But I have my own "style" and...

  3. Do you count?

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

    I try to discourage Moms from holding their breath while pushing. Rather, I tell them to take a deep breath to fill their lungs, then exhale slowly through pursed lips while pushing, kind of like...

  4. Pitocin protocol for Inductions

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

    We mix our own. 10 units Pit/1000 cc LR, or 20 units/1000 cc LR if Mom has PIH or chronic HTN (double concentrated= 1/2 cc dose via pump) We have 2 protocols, low dose is 1 mu/min up by 1 mu q 20-30...

  5. Cervical checks...need help learning

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

    I too, have checked my own cervix. :) I agree with whomever said to use the dilatation chart. Once you have found the cervix, take a mental picture of how far apart your fingers are, then compare....

  6. Do you count?

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

    Personally, it annoys me. I don't need direction. For my pts, it annoys me when some docs insist on counting even when Mom was pushing great before they walked in the room. With some Moms, especially...

  7. Sort of a POLL: Medwives or midwives?

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

    --generally, the midwife model. But they do have some pts who become high risk at some point during pregnancy and/or labor who require more intervention. --Besides when pt condition warrants...

  8. Natural Childbirth and L/D nurse-do they mix?

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

    Yes, depending on the facility. I delivered naturally, in a birth center, and was a doula before becoming an L&D nurse. I am huge natural childbirth advocate. It was hard for me at first, and can...

  9. What are your thoughts?

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

    I delivered in a facility like this, and would love to work there. It is very low intervention. It is the birth center at one of the local hosp, separate from the L&D unit but within easy access...

  10. Recommend epidurals?

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

    I'm sure the epidural placed too early played a large part in it. That is just crazy. She wasn't even in active labor. And now that decision could affect every pregnancy

  11. Pros and Cons of L & D Nursing

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

    1. Birth itself, as an experience. 2. OB is a happy place, generally. 3. Love my coworkers 4. Autonomy. 5. The chance to experience natural, low risk cases, but also gain more experience with high...

  12. Recommend epidurals?

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

    I have seen it both ways. Sometimes they do seem to slow things down a bit, especially if given before an adequate labor pattern is established. Then we intervene with Pitocin. But I have also seen it...

  13. Recommend epidurals?

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

    Like I said before, there are risks with epidurals. There are risks with IV pain meds as well. You have to assess your own perception of pain, and what you can tolerate. Explore your options. You...

  14. How do I go about...

    L&D_RN_OH replied to PCGrad06's topic in Ob/Gyn

    You don't have to be an RN for 2 years. Many hospitals now hire new grads to L&D. Look for a hospital with an internship

  15. Labeling Pitocin

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

    We have a 24 hr pharmacy, but....... our protocol is to start Pitocin within 30 minutes for a scheduled induction. By the time the pt is admitted intothe computer system, the orders placed by the...

  16. cephalic OP position and pushing, what is the best position for mom to push?

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

    I agree with Ca CocoRN. Hands and knees is a good position, obviously w/o an epidural. And alternating rt and lt sides can aid in turning

  17. Postpartum rooms in your hospital, are they all private?

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

    All our rooms are private and exactly the same. We were originallyall LDRP. Now, we keep some pts back in L&D in LDRP's, until the census requires us to transfer pts out to PP. The rooms are...

  18. Recommend epidurals?

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

    Yes, there are risks with epidural use. And yes, I think there are better ways to deal with pain than analgesia. But, that is a personal opinion. Some pts labor w/o pain meds and do just fine. Others,...

  19. Male L&D nurses

    L&D_RN_OH replied to Cadeyl's topic in General Nursing

    I don't have a problem with male nurses in L&D if that is where they want to be. I can tell you that we don't have any male nurses on our unit. I can only assume that is because none are...

  20. have you had an abortion?

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

    Choosing to continue or end a pregnancy is a very personal decision. I agree with everyone who has suggested counseling. I think feeling confident with your decision is the most important factor in...

  21. We had an OB patient die today

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

    I know how you're feeling. We lost a pt a couple months ago. There was no warning. She was fine, then she wasn't. She had only been at the hospital for about an hour when we called the code, so we...

  22. New to Ohio and frustrated

    L&D_RN_OH replied to tomkat612's topic in Ohio Nursing

    Kettering is my alma mater. :) There wasn't a waiting list when I attened there. At times since, I have heard there is, but I don't believe it's any where near the wait at Sinclair. In fact, that was...

  23. Episiotomy vs. Spontaneous laceration?

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

    All the 4th degrees I have seen, were episiotmoy extensions. I have never seen a 4th degreee laceration. Luckily, only 1 of the dos I work with does them on a regular basis, and we hardly ever see...

  24. Cholostrum/breastmilk as eye treatment

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

    I talked to one of the midwives the other day. They are writing it all up. I'm not sure who all they are sending it to though. I was glad to hear they are following up with it though. Change won't be...

  25. Cholostrum/breastmilk as eye treatment

    L&D_RN_OH posted a topic in Ob/Gyn

    Does anyone have a reference for using cholostrum or breastmilk in place of antibiotic ointment? I know I have heard of it and read about it. But all I can find now is for eye infections. Nothing...