BETSRN

BETSRN

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All Content by BETSRN

  1. Premie vs. "Miscarriage"

    BETSRN replied to acuteobrn's topic in Ob/Gyn

    The tiertiary care center we use will not accept anyone under 24 weeks. I think you are mistaken with the idea that 20 weeks is viable. It is not. Most OB units have to take problem pregnancies...

  2. must allow nursery observation?

    BETSRN replied to threesacharm's topic in Ob/Gyn

    If all your staff do not do all areas, then yo are not a true LDRP. ALL staff have to be crosstrained to all three areas to be a real LDRP. It is a hard changeove and you haev to have a manager...

  3. must allow nursery observation?

    BETSRN replied to threesacharm's topic in Ob/Gyn

    We had the changeover thing too about 14 years ago when we went to LDRP. It was tough at first, but even the oldtimers who stayed on had to learn all three areas (LDRP) and now would not do anything...

  4. timing of newborn bath

    BETSRN replied to kyobnurse's topic in Ob/Gyn

    Why do you do B/'s on a well newborn? Get rid of thoswe old school nursery nurses! they screw more up for new parents than most people do. We still have a couple of die hard nursery people but like...

  5. Confront a fellow nurse or not?

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

    I am sorry but I have to add something else. I reread your post. This nurse writes out assessments on the patien before they even get there????? Excuse me, but I think that' grounds for a complaint...

  6. Confront a fellow nurse or not?

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

    I think what you are doing is reasonable. You were busy with a patient wo needed you more than doing stuff for the next shift. I would do two things: talk to the manager about these issues (you can do...

  7. must allow nursery observation?

    BETSRN replied to threesacharm's topic in Ob/Gyn

    We push our scale into the room every time someone has their baby. All our babies are weighed in Mom's room (except section babies who come back to the nursery with Dad while we wait for Mom). I say...

  8. timing of newborn bath

    BETSRN replied to kyobnurse's topic in Ob/Gyn

    I ha to laugh about this "stress on the L&D nurse! All nurses who work with infants ha to be NRP certified. All the L&D nurse has to do after delivery is help with breastfeeding initiation and...

  9. timing of newborn bath

    BETSRN replied to kyobnurse's topic in Ob/Gyn

    Someone said the assessment must be done within the first two hours. Isn't that one of the jobs of the L&D RN taking care of the mother??? I guess I just assume that, as we do LDRP and have to do...

  10. timing of newborn bath

    BETSRN replied to kyobnurse's topic in Ob/Gyn

    Most of our baby baths are done at the bedside and as a teaching demonstration for the parents. We hold the bath until the baby is about 99.6. Baby needs to nurse and be skin to skin with Mom for a...

  11. confined to bed after 4cm?

    BETSRN replied to littlemrs's topic in Ob/Gyn

    I am so gald he is approaching this in this manner. However, you still have to deal with the nursing staff and they are going to be a very integral part of the process. I would make sure you talk to...

  12. OP babies=more pain?

    BETSRN replied to ChristyE's topic in Ob/Gyn

    I would wager that at nmost places, the nurses are much better than docs at all of this labor stuff. That's why we all keep docs out of the room as long as possible!

  13. exams

    BETSRN replied to ktwlpn's topic in Ob/Gyn

    There should be as FEW exams as possible, as fergus said. My motto always is "if the head is hanging out, she is

  14. confined to bed after 4cm?

    BETSRN replied to littlemrs's topic in Ob/Gyn

    ACOG (American College of Obstetricians and Gynecologists) has a postion statement about intermittant fetal monitoring. This type of monitoring is an accepted standard of practice. Also, the birthing...

  15. OP babies=more pain?

    BETSRN replied to ChristyE's topic in Ob/Gyn

    Canoehead: do you ever just let your patients alone and just let the baby come down without the aid of pushing? The uterus WILL bring that baby down without cheerleading and pushing until the mother...

  16. OP babies=more pain?

    BETSRN replied to ChristyE's topic in Ob/Gyn

    I did a completely posterior labor with one of or midwives laterly. We had the woman push on her side and while doing so, the CNM was often putting gentle pressure on the side of the baby's head in...

  17. OP babies=more pain?

    BETSRN replied to ChristyE's topic in Ob/Gyn

    I am sorry for your unpleasant experience. YES, OP babies are far more painful and usually take a lot longer to come on down because of their position. They are pushing against your coccyx in a way...

  18. confined to bed after 4cm?

    BETSRN replied to littlemrs's topic in Ob/Gyn

    NO, that is NOT the way it is in lost of places. It sounds as if you are headed for a place that is really into interventions. I am an LDRP nurse and if the patient wants to deliver standing up, she...

  19. speaking of inductions... question

    BETSRN replied to mitchsmom's topic in Ob/Gyn

    No, we do not routinely induce all patients. I'd tell anyone to RUN from a doc who does that. As someone else said, sometimes you have trouble even getting the medically necessary ones in and yes, I...

  20. Wanting to work L&D

    BETSRN replied to luvbbs's topic in Ob/Gyn

    Don't waste your time becoming an LPN. It's a very limited career in many hospitals. I work in an all RN hospital, for instance. All of our LPN's had to go back to school for their RN or become techs....

  21. Need advice/help w/bad situation!

    BETSRN replied to gypsyatheart's topic in Ob/Gyn

    Not too sure how to asnwer that one. I guess the professioal thing to do is gove two weeks notice. I would make darn sure I have an exit interview and site exctly why you are leaving. I would talk to...

  22. Acoustic Stimulator

    BETSRN replied to babynurse32's topic in Ob/Gyn

    We have been taught not to use accoustic stim. Why would someone let a patient go with an unreassuring strip for that long without hydration, position changes, etc.? Then one should have a biophysical...

  23. + Uds

    BETSRN replied to RN,@yourCervix's topic in Ob/Gyn

    I believe mecs are sent

  24. Need advice/help w/bad situation!

    BETSRN replied to gypsyatheart's topic in Ob/Gyn

    It's time to revisit the conceot of LDRP. If these nurses are not doing their job, then the manager needs to get involved. You have to have a committed manager to make an LDRP run smoothly. That's why...

  25. Need advice/help w/bad situation!

    BETSRN replied to gypsyatheart's topic in Ob/Gyn

    If you are truly doing LDRP, you (in the nursery) need NOT be the one responsible for a newborn admission. the nurse taking care of the mother through labor and birth would be the one responsible for...