L&D_RN_OH

L&D_RN_OH

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All Content by L&D_RN_OH

  1. timing of newborn bath

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

    I'm curious. Do you never have a Mom who wants baby cleaned up before she wants to touch it? We encounter that quite a bit

  2. timing of newborn bath

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

    Yes, our NSY Ballards all newborns. That's how they determine SGA, LGA,

  3. timing of newborn bath

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

    I think you missed my point too. That was teasing, hence the big cheesy grin. I also think you aren't reading all of my posts. Most babies are put directly on Mom's belly. Moms and babes have the...

  4. timing of newborn bath

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

    Resp.

  5. Confront a fellow nurse or not?

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

    I think you should continue to do what you are able to, but I wouldn't go above and beyond. Tell her you are happy to help as you can, but when there are other pts on the floor, your help may be...

  6. 24 hour urine....refrigerate it or not?

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

    Does it have additives? We don't ice our containers in OB because they have boric acid (I think?) in them. However, when I worked in the lab, we told pts to ice them at home. It depends on what the...

  7. timing of newborn bath

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

    Same

  8. timing of newborn bath

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

    This is the way we do it when we CAN do bedside transition. But not all L&D nurses have done a complete newborn assessment, given meds, or Ballard, etc. so if the NSY is busy and can't come out...

  9. timing of newborn bath

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

    There is an RT at every delivery here. For the majority of deliveries, there is only one nurse. It's actually a help to me that the RT is available to handle the baby, while I assist the doc with...

  10. timing of newborn bath

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

    Because the Nsy nurses do the transition here. Not the L&D nurses. The RT's do the intitial assessment and Apgars. The L&D nurses do a set of vitals at 30 min, allow parents and baby to bond...

  11. timing of newborn bath

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

    Unless I'm reading it wrong, I think that's what most people are saying, right? That they wait an hour or so, but it's still done during Mom's recovery. I usually don't take the babies into the NSY...

  12. timing of newborn bath

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

    I'm not sure what our exact policy is, since I don't work in the NSY, but most baths are done within the first 3-4 hours. I don't even take my babes to the NSY until they are over an hour old, unless...

  13. confined to bed after 4cm?

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

    I think that is a great plan. I would definitely talk to your doc about hosp. "policy", go over a preliminary birth plan, and if he agrees with it, ask if it is possible for him to write an order for...

  14. speaking of inductions... question

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

    No docs I know. It does seem pretty over thr top, and I would assume that ACOG requires a medical indication for all inductions. Of course, docs can come up with any diagnosis they want for a medical...

  15. Terminations

    L&D_RN_OH replied to tamrnmomof4's topic in Ob/Gyn

    I'm still confused, probably because I work in a Catholic facility, and we don't handle any terminations. But, are you saying these pts had PPROM, or AROM? I didn't realize they did second trimester...

  16. speaking of inductions... question

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

    I'm lucky enough to work in a facility where inductions are done for medical indication or >41 weeks gestation. No one is indueced early w/o a medical reason. However, there are a couple other...

  17. transferring vaginal deliveries to postpartum/gyn unit

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

    We have LDRP's and PP. We can only keep a certain amount back in our LDRP's before we have to transfer up front. We transfer with a score of 8 or above. We always get them up to the bathroom for peri...

  18. Cytotec

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

    That's the point though. You can use Cytotec or Cervidil with an unripe cervix. You should not use Pitocin. I think the Bishop's score is used more for what type of induction agent will be used, more...

  19. Elective C-sections

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

    The "squeeze" helps clear out fluid. Many babies delivered, well, most babies, delivered by csection require suctioning, delee suctioning at times. While most vag births do fine with bulb suctioning...

  20. Cytotec

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

    Check out:

  21. Cytotec

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

    The Bishop's score is used to determine inducibility. It's a chart that assigns a number for each of several categories, effacement, dilatation, station, etc., etc. I think there are 5 categories....

  22. Elective C-sections

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

    Totally agreed. And very well put. I think that women requesting CS don't really understand all the risks of a CS, because they are so common now. We take for granted that things always go smoothly....

  23. Cytotec

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

    That's the way ours is stocked in our Pyxis. It comes from the pharmacy, 1/4 pill in a dissolvable capsule. Some of the docs prefer to place the first does, but let the nurses place the next doses....

  24. Need advice: non-hospital birth?

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

    I transferred care to the birth center in the last week of my pregnancy because my hgb was low and I had a history of bleeding after the birth of my first son, plus I'm a redhead (although I don't...

  25. Cytotec

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

    Some say low dose Pit, has the same effect as Cytotec or Cervidil, but I haven't seen good outcomes. If the cervix isn't ready, it's just not ready. I think docs inserting Cytotec would be the best...