PegRNBSN

PegRNBSN

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  1. The daughter of one of the nurses that I work with did a research project for college using our 250 delivery a month hospital. She found no increase for a full moon but did find a statistically...
  2. seizures after delivery in mom with PIH

    Mode of delivery with preeclampsia is dependent upon the condition of the mother. Often it is a race against the disease. The only way to cure the mom is through delivery. The OB must decide if he...
  3. If what you are using is Duraprep (and it sounds like it to me) please be aware that before a Bovie is used the Duraprep must be dry or you can have a fire. If you use it quickly and some drips and...
  4. Tub VS Whirlpool in LDRP

    we are planning a new hospital and have decided upon great showers with multiple jets in each room and portable tubs. Our planning showed that it was very difficult to get a large enough tub in the...
  5. Young, Unfit, Drug Addicted, etc. Mothers

    I just had a patient yesterday who was 17 and having her third child. She used drugs and had both of her other children taken away. I was the charge nurse and admitted her to the unit. When she...
  6. Another new hospital question. Awhile back I received many helpful responses to my question about LDRs vs LDRPs. I shared them with my planning team. We planned our unit as an LDR unit and things...
  7. New L&D nurse has questions!

    Our unit has a great book that talks about lab values specifically for labor and delivery. I find this a great resource even as a nurse with years of experience Talk to your manager about getting...
  8. Mixed model of care LDRs with some LDRPs thrown in

    The difficulty we are having is the size of our unit. The farthest rooms are almost two football fields
  9. Vaginal Birth After Cesarean questions

    We also don't encourage or discourage but the physician presents the facts, hopefully early in the pregnancy so dialog and plans can be made well ahead of labor. We have our patients sign a VBAC...
  10. Advice on Birthing Tubs

    Another building the new hospital and need advice question. We want to have some sort of birthing tubs in our new facility. We have gone back and forth on built ins and portables. Our sister hospital...
  11. Advice on Birthing Tubs

    Thanks for all the input. The tub we looked at drains to a level that you can open the door in 90
  12. Advice on Birthing Tubs

    The tub we have in mind is made of fiberglass and very lightweight no assembly. We had a horrible experience with a trial tub that resembled a kiddie pool. A mess, too hard to set up and take down....
  13. When One Child Is Enough

    I think it said in the article they both decided they would have the baby if one arrived. I bet many people aren't even aware of getting rid of unwanted babies if more than one arrives. Hard to...
  14. When One Child Is Enough

    In this case they both knew there would be no birth control. He had no say in the result of that
  15. Waiting for cord to stop pulsating before clamped & cut

    Was reading a thread on another OB message board and RN there was doing her thesis on cord clamping and to date had found no research based evidence of polycythemia or jaundice increasing with delayed...
  16. What is the visiting policy in your L&D?

    We allow three visitors unless patient gets an okay for more from physician. We have a visitor list that has the names of visitors that the patient will let in to see her without us checking first....
  17. Waiting for cord to stop pulsating before clamped & cut

    Actually it can be beneficial to the baby to delay cutting the cord until baby is dried and (if no meconium) stimulated. Babies were not meant to be born with someone standing by with clamps and...
  18. Surrogacy ? How do you feel about it?

    "think if all parties are agreeable, and legalities worked out well in advance, it is an absolute win-win situation for all involved. How can it NOT be?" __________________ We had a very sad case of a...
  19. When I had my first of four children I commited to being at home as much as possible with them. I have worked half time since then. I am an extremely motivated person, always envisioned myself doing...
  20. Another question has arisen in our new hospital design. We (the nursing staff reps) are lobbying for tubs in every room. They (architects and administration) are pushing for portable tubs or two...
  21. Episiotomy vs. Spontaneous laceration?

    Very few routine episiotomies (can only think of one MD where I work who does them routinely) done. My personal experience 1st baby RML (worse pain than my c-section) 2nd baby c-sectioin 3rd baby...
  22. Would you assist in abortions?

    I have enjoyed reading the above debate. I would like to ask both of you where the concept of a soul fits in your idea of when a fetus becomes a person. As a religious person, I believe we all have...
  23. Would you assist in abortions?

    I used the term 16 week baby because that is how we referred to the baby when the patient and I spoke. She strongly felt it was a baby, when the baby delivered it looked like a baby and she would...
  24. Would you assist in abortions?

    I think Justus was referring to the outrage that accompanies posters of aborted babies that may be at pro life events. I have never understood why that offends people so much. It is harsh and...
  25. Would you assist in abortions?

    Refusing to assist in a procedure which kills another patient and is not usually a medical necessity is totally different from refusing to care for a type of patient who has a true medical need....