PegRNBSN

PegRNBSN

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All Content by PegRNBSN

  1. We Saved a baby yesterday

    PegRNBSN posted a topic in Ob/Gyn

    We had a mom come in on her own for decreased fetal movement for one day. The nurse got heart tones in the 120s and had mom change. 2 minutes later mom was on the monitor and heart tones were in the...

  2. Why I am thankful I am a nurse

    PegRNBSN posted a topic in Ob/Gyn

    This is long....... 18 years ago, pregnant with my second child, working half time as a nurse in L &D, I had a conversation with a college friend. She had just received her masters and had a...

  3. We Saved a baby yesterday

    PegRNBSN replied to PegRNBSN's topic in Ob/Gyn

    What a coincidence that someone posted on this old thread.... Baby Jesus came in for a one year follow up with Neos recently. He is doing well, slight developmental delays but overall

  4. venting: fetal demise

    PegRNBSN replied to redhedgoddess's topic in Ob/Gyn

    Some things to consider,: Staying in the hospital may have been more than an inconvenience to this mom. I have had moms leave AMA from our antepartum unit because they had no one to watch their...

  5. yrs in L&D before nurse-midwife??

    PegRNBSN replied to crazylilkelly's topic in Ob/Gyn

    I know some midwives who had less tha one year land d experience. They all seemed very low on confidence and skill. Two of them even waited a year before getting jobs as

  6. Question for you.

    PegRNBSN replied to babydoll99_99's topic in Ob/Gyn

    I always do my own assessments. There are some nurses on my unit who, when admitting a patient, will take the medical student or residents assessment and then chart their findings. I do my own for...

  7. loss of confidence

    PegRNBSN replied to scrubnurse's topic in Ob/Gyn

    Don't worry, it happens to everyone, including the MDs and midwives! We had a 20 year experienced RN call a co-worker an ant lip when she was only 3!! The thing you can take away from this is how to...

  8. Help me analyze this delivery...

    PegRNBSN replied to shortstuff31117's topic in Ob/Gyn

    As long as there is proper testing from 40 plus weeks I am okay with 42 week inductions. They are usually 41 plus inductions. This midwife group will induce earlier if the NST looks anything but...

  9. Help me analyze this delivery...

    PegRNBSN replied to shortstuff31117's topic in Ob/Gyn

    Work in the Midwest, 3000 deliveries a year. Level 3 hospital, full time perinatologists. Actually the midwife group who was inducing this patient induces between 41 and 42 weeks all the time. Well...

  10. Help me analyze this delivery...

    PegRNBSN replied to shortstuff31117's topic in Ob/Gyn

    I clearly stated that unless it was unsafe. I took this to be a differing of opinion for care. I also stated that I talk to the physician about my concerns outside the patient room. If it is truly...

  11. Help me analyze this delivery...

    PegRNBSN replied to shortstuff31117's topic in Ob/Gyn

    Sorry I think the above is passive aggressive. What if while you "can't find" the vacuum, the heart tones really go into the toilet? What if you delay asking for what the doctor wants and the result...

  12. Is PP Hemorrhage usually pretty obvious???

    PegRNBSN replied to azzurra29's topic in Ob/Gyn

    I was recently called up to the M/B floor to help cath a patient. When I arrived the woman was totally pale and the chux underneath her had a moderate amount of blood. I asked the nurse for a brief...

  13. How to judge effacement??

    PegRNBSN replied to shortstuff31117's topic in Ob/Gyn

    After 25 years of checking women, i have come to the conclusion that except in the case of preterm labor, you just need to know if the cervix is thick, thin or somewhat effaced. I tend to use thick,...

  14. on call hours for L&D

    PegRNBSN replied to moon25's topic in Ob/Gyn

    More and more studies are showing increased errors if working more than 12 hour shifts. Our hospital is going for zero preventable errors in 2008 and part of the initiative is going to be limiting...

  15. ACLS Question

    PegRNBSN replied to JenTheRN's topic in Ob/Gyn

    2800 deliveries a year. Level 3 350 bed hospital L&D Do not require ACLS yet. Rumor has it coming within the next

  16. POLL: How many births/yr and do you have in-house anesthesia / OB providers?

    PegRNBSN replied to mitchsmom's topic in Ob/Gyn

    3,000 deliveries per year yes anesthesia yes OB

  17. Video cameras banned in L&D

    PegRNBSN replied to rph3664's topic in Ob/Gyn

    No video during birth until okay is given. Our risk management came up with this policy after several law suits elsewhere in the state where video alteration was believed to have

  18. Most important thing for a new LD nurse to know

    PegRNBSN replied to Elisheva's topic in Ob/Gyn

    Mine are more for any nurse. When you are busiest, take the most time to check, double check and triple check. Make feeling rushed and stressed your trigger to slow down. Never be afraid to call a...

  19. midwife or MD?

    PegRNBSN replied to Jayla's topic in Ob/Gyn

    There are so many generalizations and stereotypes being thrown about in this thread! I have been an OB nurse for 24 years. In that time I have worked with wonderful OBs, FPs and midwives. I have...

  20. Can you be an OB RN with an Assoc. Degree?

    PegRNBSN replied to kmj1228's topic in Ob/Gyn

    Our hospital is one that is phasing out LPNs. We have both ADN and BSN grads in our unit. However, they are changing our career ladder so to advance past a Nurse 1 you need to have a BSN. To be a...

  21. Walking during labor...please bear with me

    PegRNBSN replied to 2curlygirls's topic in Ob/Gyn

    The latest studies I have read do not support the relationship between walking and length of

  22. Time outs for C sections

    PegRNBSN replied to Suebee6's topic in Ob/Gyn

    We do more than patient and doctor. We do gestational age allergies All staff who are needed are present? (mostly for neonatology) duraprep dry ( to prevent MDs from draping too

  23. Patient controlled epiduarls

    PegRNBSN posted a topic in Ob/Gyn

    We are going to be starting PCEAs and are currently writing the policy. We have found standards that we must assess the status of the motor and sensory block but all sources are vague as to...

  24. Patient controlled epiduarls

    PegRNBSN replied to PegRNBSN's topic in Ob/Gyn

    This is for labor patients. None of the published resources we found had assessment interval

  25. Prayers needed please

    PegRNBSN posted a topic in Ob/Gyn

    Over the weekend my friend and coworker's daughter was in a horrible car accident. She was following her mom and didn't stop at a stop sign. She was hit broadside by a speeding pickup truck. She...