L&D_RN_OH

L&D_RN_OH

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All Content by L&D_RN_OH

  1. Your views on Doulas?

    L&D_RN_OH replied to sunnybrook23's topic in Ob/Gyn

    Love them. Of course, I was a doula before I was a nurse. At my facility, we have quite a bit more women who choose natural childbirth over medicated. Unfortunately, sometimes we are just too busy...

  2. Loss

    L&D_RN_OH posted a topic in Ob/Gyn

    Last night/this morning was my first really bad experience at work. I mean, I have had bad ones, but this was the worst. I had a pt who was being induced at 20 wks for amnionitis. I was hoping she...

  3. Loss

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

    That is our theory. That since they can't "fix" it, they feel incompetent. I was glad this baby passed through the night. His cord prolapsed at some point. I don't know how I would have handled...

  4. M. Murray has scared the pants off me

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

    Definitely unsafe, and unethical on some of the docs parts. Is the NM aware of your concerns? Are the other nurses concerned as well? And yes, there are hosp that support their nurses. :) I work for...

  5. Pulling-Sorry It's Whiny

    L&D_RN_OH replied to imenid37's topic in Ob/Gyn

    We only get floated to the GYN unit. But, we keep a log of when everyone is floated, so we end up taking turns. Maybe this would work for you. It seems like it would be cheaper to call in a NA rather...

  6. must allow nursery observation?

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

    Are they allowed to do that? We have a hosp policy against "gifts" from any reps. This means no more pizza lunches or bagel

  7. must allow nursery observation?

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

    No kidding. Personally though, as a parent, I would be upset if my newborn was given formula or glucose water w/o my knowledge, and I respect those feelings for my

  8. Weeks pregnant and abortion?

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

    Good luck Debbie! I hope you are able to find something soon. Your present facility doesn't sound like one that many nurses would be happy

  9. must allow nursery observation?

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

    I'm sorry if I misunderstood your statement. I read it to mean that parents were freaking out about babies getting sugar water, but now I guess you're saying that people in authority (nurses,...

  10. Meds during labor

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

    Get them quite a bit as we have a good sized midwife practice. I love them! It is a much more empowering experience for everyone involved,

  11. Weeks pregnant and abortion?

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

    Agreed. While I consider myself pro choice, I think aborting a viable fetus is not right. And I'm glad to say that I work in a Catholic facility, so I don't have to deal with this at work. In this...

  12. Does everyone get an IV?

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

    No, they will not get an IV if they are low risk and not planning for IV pain meds or an epidural. And yes, pitocin can be given IM if it is needed. Not all pts need pitocin after delivery. And I...

  13. Meds during labor

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

    We give 5-10 mg Nubain q 2 hrs x 2 doses. And can augment that with Phen 12.5-25 mg q 4 hrs. The first dose seems to be the best. After that, it doesn't seem to help as much. I think we're pretty...

  14. Ethical Question

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

    In this area, pregnancy is not an automatic emancipation. We have to have consent from the parent for treatment, although the minor can make decisions for baby. Of course, the parent signs the consent...

  15. must allow nursery observation?

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

    But why is it even necessary? And some babies do have a difficult latch so why confuse them with trying to differentiate between an artificial nipple and the breast? Some babies can switch back and...

  16. Premie vs. "Miscarriage"

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

    My 7 pounder is turning 1 next month. She weighs 18 lbs. Sounds like your "little" preemie has caught up.

  17. Premie vs. "Miscarriage"

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

    yes. this pt had no sac around baby a, on

  18. Premie vs. "Miscarriage"

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

    I think what icesk8ie probably meant was I think that if the doc (and everyone else) in this case agreed that 24 wks is viable, then they definitely should have taken action much faster than they...

  19. Breastfeeding and BCP Question

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

    Are you just not willing to take your chances with the mini pill? If it has worked for you so far, why change? I too, am on the mini pill and nursing my 11 mo old. I have noticed a decrease in supply...

  20. must allow nursery observation?

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

    An example of resistance to change..... last night, we weren't real busy. We had one PIHer and the M/B nurse was taking care of the PP pts back in L&D. WE had 2 pts come in and deliver through the...

  21. must allow nursery observation?

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

    We just switched to LDRP's, sort of. The pt stays in the same room for delivery, recovery, and pp. But, the care is still split between L&D, M/B, and NSY RNs. The NSY and L&D are all...

  22. must allow nursery observation?

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

    Gee, I just mentioned this and several people thought it was abnormal. Anyway, that's another thread. We will try to accomodate parents who request bedside transition if staffing allows. I would...

  23. timing of newborn bath

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

    Nope. That was me that said that. We do quick assessments and check VS, but the full assessment: VS + BP, measurements, Vit K, erythromycin, Ballard scale, bath, et. is done by the NSY nurse. I would...

  24. timing of newborn bath

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

    The RT is only in the room for delivery. They assign Apgars. They only assess the baby immediately after birth. That is it. The full assessment, Ballard, Vit K, etc. is done in the NSY during...

  25. timing of newborn bath

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

    I'm not familiar with Dubowitz. I have only ever seen the Ballard scale used at the facilities I've been in. We also stick the blankets under the warmer. But instead of calling for another nurse, our...