PegRNBSN

PegRNBSN

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  1. Prayers needed please

    PegRNBSN replied to PegRNBSN's topic in Ob/Gyn

    For those of you who offered their prayers they certainly worked! My friend's daughter is home and doing well. She has some problems with fatigue and retention but will be resuming college this fall....

  2. Nuchal cord x4!

    PegRNBSN replied to texas-rn-fnp's topic in Ob/Gyn

    Was working when 37 weeks pregnant with my second. He was a very active baby and wasn't moving much. Put myself on the monitor in the morning and it was flat. Got busy with work and before I left...

  3. We Saved a baby yesterday

    PegRNBSN replied to PegRNBSN's topic in Ob/Gyn

    Abruption and possible dehisence (sp?). They went so quickly after the baby they didn't check before delivery. After the baby was out there was meconium staining of the broad ligament. Baby is off...

  4. Can somebody please explain what happened in my clinicals yesterday? (Long)

    PegRNBSN replied to debrasDD99's topic in Ob/Gyn

    We have a code word on our unit when something is going on in a patients room and someone is uncomfortable with it that person tells the other person "I think we need some consensus here" We then...

  5. We Saved a baby yesterday

    PegRNBSN replied to PegRNBSN's topic in Ob/Gyn

    We all headed out to the Mexican restuarant across the street when we were done with our 12 hour

  6. We Saved a baby yesterday

    PegRNBSN replied to PegRNBSN's topic in Ob/Gyn

    That same shift we had a section going on in the morning and another patient's heart tones tanked ( she was 420 pounds, preeclamptic) We had to have one of the RNs watch vitals in the section going on...

  7. celebrity deliveries

    PegRNBSN replied to mugwump's topic in Ob/Gyn

    I have taken care of many sports celebs' wives. Like a previous poster said, a mixture of people. The one humerous anecdote was when I was very pregnant with my fourth child (other kids 5, 3 and 15...

  8. Cytotec?

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

    The only benefit that I can find in using Cytotec over Cervidil is cost. The studies I have read indicate that when the lower dose protocol (much safer than the original higher doses) is used the...

  9. How do you hold legs while pushing?

    PegRNBSN replied to Selke's topic in Ob/Gyn

    I never hold legs while pushing. Had a seminar by a physical therapist who specializes in maternal health and she talked about the damage you can do to your neck and back over time holding legs. If...

  10. suprapubic pressure

    PegRNBSN replied to Mrs.S's topic in Ob/Gyn

    It is also important when applying suprapubic pressure to have leverage./be doing it from above the patient. After a particularily horrific shoulder dystocia, we have made sure there is a stool in...

  11. My son has SVT Questions

    PegRNBSN posted a topic in Cardiac

    My 20 year old son was just diagnosed with SVT. He wore an event monitor for a month. It doesn't seem to be too severe as his only symptoms are a feeling of chest discomfort and the rapid heart...

  12. Epidural Drug Choice and Failure to Progress/Descend

    PegRNBSN replied to heartICU's topic in Ob/Gyn

    We have noticed stronger motor blocks with ropivicaine, which the anesthesiologists have used more and more without narcotics because they didn't want to sign the narcotic waste sheet at the end of...

  13. External Version??

    PegRNBSN replied to sueb's topic in Ob/Gyn

    As there is the potential need for an emergent c-section, I would make sure it is done at a hospital that can perform a c-section

  14. I Stink at IV's.

    PegRNBSN replied to Mrs.S's topic in Ob/Gyn

    Biggest helpful hint I ever got was go low and slow. After you initially get in the vein (going very slowly) lower the angle of the needle before you advance. This helps to prevent going through the...

  15. My son has SVT Questions

    PegRNBSN replied to PegRNBSN's topic in Cardiac

    The EP told us that the extra pathway was the most probable cause of his SVT. He told my son he would recommend an ablation and would probably use cryo in his case. He said if he thought there was...

  16. How Many sucessful VBAC's..

    PegRNBSN replied to Cherry2's topic in Ob/Gyn

    I am sure the variables could have been picked up, I am not sure that the lack of variability in the morning would have been. The lack of variability was the ONLY reason that I monitored in the...

  17. How Many sucessful VBAC's..

    PegRNBSN replied to Cherry2's topic in Ob/Gyn

    At our hospital we have telemetry monitors without cords that can even go in the shower. My second son would have died if I had not used a fetal monitor. He wasn't moving and I did a strip in the...

  18. How Many sucessful VBAC's..

    PegRNBSN replied to Cherry2's topic in Ob/Gyn

    First delivery lady partsl, second c-section for distress, 3 and 4 VBAC. I would only do it in a hospital where you can do a c-section immediately. In-house anesthesia and an in-house MD. Our...

  19. Nurse Deliveries

    PegRNBSN replied to fourbirds4me's topic in Ob/Gyn

    I have been in L&D 21 years, 250 deliveries a month and I have done probably 5 deliveries by myself in that time with another 10 attended by residents before the attending got there. I think 7 in...

  20. How many deliveries do you have per month?

    PegRNBSN replied to RaeT,RN's topic in Ob/Gyn

    250 deliveries per month 9 ldrs 3 triage rooms (can do a delivery in there) 2 rec room beds 2 ORs 8 antepartum rooms (which L&D staffs) Always filling up. We need more

  21. My son has SVT Questions

    PegRNBSN replied to PegRNBSN's topic in Cardiac

    The cardiologist called and he recommended going to see about an ablation which surprised me because it has never been severe enough to cause syncope or SOB. The MD did say that it was happening very...

  22. Transverse presentation - not vertex!

    PegRNBSN replied to RaeT,RN's topic in Ob/Gyn

    Unfortunately you don't most of the time. When doing Leopolds you can tell if there is a presenting part in the pelvis, you may not know if it is a butt or a head but usually when there is nothing...

  23. Transverse presentation - not vertex!

    PegRNBSN replied to RaeT,RN's topic in Ob/Gyn

    I agree. The nurses who think they know it all and aren't open to learning experiences are the ones who scare me! The fact that you shared this experience with everyone is

  24. Transverse presentation - not vertex!

    PegRNBSN replied to RaeT,RN's topic in Ob/Gyn

    It comes with time..that speaking up thing. You will learn this. It protects you too. There is no harm in a quick scan to verify a vertex presentation. And.....its how we learn. I have learned over my...

  25. My son has SVT Questions

    PegRNBSN replied to PegRNBSN's topic in Cardiac

    Thanks for the replies, still waiting for the cardiologist to