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AM nurses, tell me what I can do to make your shift start easier.
Good Question, I find it helpful when supplies are stocked. Also helpful is when, if the unit is slammed at shift change, the PM nurse is willing to stay a few extra minutes to help with the small stuff that can add up for one nurse! Getting water, starting an IV ect.
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Documenting decelerations
Today while I was taking a fetal monitoring course the instructor said that if she was documenting on a fetal strip and there was ONE late deceleration noted she would not document it unless the majority >50% of contractions had a late decelerations that followed. What do you think? I have always documented all types of decelerations.....am I over charting?
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What do patients say that irks you?
How about when you go to perform a sve and someone asks "do you need a light." Nope!!!!! but thanks!! or jokingly while i emptied a foley i said feel better now?? and the patient replied "i didn't feel it." ok ok, i was KIDDING!!! maybe nurse jokes should be saved for nurses!! hehe
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Magnesium sulfate and procardia
Hello everyone!!! I had a patient with preterm labor. we initially started terb subcut and and procardia po. a second dose of terb was given. still- patient contracted and contracted. so, magnesium was started. the physician also wanted to continue procardia. have any of you done this??? the am nurse freaked out on me and stated that the combo causes pulmonary edema... any thoughts?
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constipation and contractions
If someone is constipated can that cause them to have contractions?
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Chloraprep
I have seen ob physician prep abdomen for c-section with chloraprep WITHOUT sterile gloves or any gloves for that matter. I also witnessed a nurse prep a breast without sterile gloves on:eek: also... is this actually ok?!!??
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just sick to my stomach with nerves
try color therapy, may sound weird but it may help....nervous? think blue! breath the color in and out! it really does help... that's or scrubs are blue/green!!
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Paraplegic and delivery
i had a patient last week who was a paraplegic, paralyzed from t8-t9 down and on mag for preterm labor. when the physician performed a cervical exam she was extremely sensitive to it...couple questions arose!! how can she feel the cervical exam and how is she going to deliver lady partslly (the doctor was talking like it was very possible.) can you delivery without pushing? thanks!
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I was fired.... Now I feel lost....
We are all human, charting on the wrong chart got you fired?! I cannot believe that! I've done that, everyone probably has. if you love L&D go for it, you only live once.. and you've waiting a long time go for it!:heartbeat
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Pushing Instructions
Instruct patient put chin to her chest, take a deep breath and hold while pushing, to grab under thighs and pull legs toward abdomen curling around her belly, to RELAX LEGS and push. I tend to give a lot of supports/cheer patients on!!:typing
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Bicitra
nope! take it straight like a shot of whiskey!
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assessing effacement and station
I am pretty new at sve and feel clueless when it comes to effacement and especially station. I cannot feel the ishial spines!! Please help!
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Electric fetal monitoring...and how to master the art
RNBelle, I place a washcloth over the u/s and then the belt over the washcloth.
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Electric fetal monitoring...and how to master the art
Anyone have advice/techniques:typing to find and KEEP a HR on EFM? Sometimes I will find baby and take a step away and the HR will be lost! I have tried a washcloth to hold a HR, but that's the only trick I know!
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Info on cross-trained staff
We have labor and delivery nurses that also help catch other labor and delivery nurse's babies (unless we expect complications then nursery is involved). Once the babe is assessed and stable then back to your own patients it is! Once mom is recovered they are moved to post partum/gyn. L&D nurses give report to nursery nurses once babe goes to nursery!