mitchsmom

mitchsmom

OB, lactation

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All Content by mitchsmom

  1. IV Phenergan and Toradol "Push"

    mitchsmom replied to CrohnieToo's topic in Emergency

    We give it all the time (in OB) & dilute with 10cc ns and push slowly. I don't think I've given it through a heplock without fluids

  2. Emergency C/S with local anesthetic only

    mitchsmom replied to kathiecnm's topic in Ob/Gyn

    I'm not sure that the procedure is more risky for baby in itself; it's just that the baby is most likely already compromised in the first place if you are doing a truly emergent c-section. We wouldn't...

  3. Emergency C/S with local anesthetic only

    mitchsmom replied to kathiecnm's topic in Ob/Gyn

    -After experiencing this, I find it unimaginable to think that we really haven't had the availablity of anesthesia for that long relative to our history as humans. This used to be a regular event....

  4. Water labor &/or birth

    mitchsmom replied to kathiecnm's topic in Ob/Gyn

    You could also try asking around at this policy sharing group to see if anyone can share their policy with you if you don't find luck here:

  5. Emergency C/S with local anesthetic only

    mitchsmom replied to kathiecnm's topic in Ob/Gyn

    Unfortunately, this has happened twice very recently on my unit. I was there both times. The babies still didn't make it. Even though it was the only option at the time, it is extremely upsetting for...

  6. I'm IN!!!

    mitchsmom replied to babynurse2001's topic in Certified Nurse-Midwives, CNM

    Me too, me

  7. Pelvic Exam Question

    mitchsmom replied to santhony44's topic in Certified Nurse-Midwives, CNM

    You may also want to try this question on the OB/Gyn forum, since a lot of OB nurses do spec exams (nurses don't currently do them on my floor):

  8. Cytotec in the News!!

    mitchsmom replied to rtoi123's topic in Certified Nurse-Midwives, CNM

    I'm an RN; we use it all the time on our unit. I asked why we never use cervidil and I was told it was too expensive. We use 25mcg lady partslly; I've only seen more used for demises. We monitor for 2...

  9. Variable and Variability

    mitchsmom replied to Kristi Lee's topic in Ob/Gyn

    Here are links on monitoring: Fetal Heart Rate Monitoring FHR Monitoring- American Academy of Family Physicians You can probably find more if you Google it. A "variable" is a variable deceleration...

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

    mitchsmom replied to mitchsmom's topic in Ob/Gyn

    Thanks for the feedback and please keep it coming; I'm trying to get an idea of where the cutoff typically is for in-house services so I'd really love to see more responses - just post a number and...

  11. Newborn nurses please help!

    mitchsmom replied to sweetcheekers's topic in NICU, Neonatal

    You're talking hep B, not vit K, right? Does your paperwork have the rationale? Just curious because we don't do that. We use tb syringes for newborns (a regular birth unit, not a

  12. Postpartum nurses and circumcisions?

    mitchsmom replied to AmericanChai's topic in Ob/Gyn

    I have managed to stay away from them so far (I've been doing mostly labor although we are an LDRP). I hope to keep it that way. If it comes up I will probably try to be gone or switch the duty with...

  13. What do you have?

    mitchsmom replied to babynrsrn's topic in Ob/Gyn

    Ours sounds kind of similar to yours :) We have 13 private LDRP rooms, 2 stretcher triage room, and an OR with 2 bed PACU room. But, it's not big enough and a lot of pp couplets have been going out to...

  14. Changes to NCLEX-RN this February 2007 -- part of 3-year cycle?

    mitchsmom replied to snoopyleader's topic in NCLEX Exam, Programs

    I don't really know the answer to your question specifically, but I can tell you that I did do a survey for them a couple of months after I took the NCLEX. It had all kinds of questions about how well...

  15. Help with school project PLEASE!!

    mitchsmom replied to ConfusedStudent3's topic in General Nursing

    1) How many years have you been in this job? 2) What is your educational history? BA (in Education from college right out of high school), BSN at 35. 3) If you had your educational years to live over...

  16. Just need a hug.. Anyone else??

    mitchsmom replied to healer27's topic in First Year After Licensure

    LOLOL... you probably didn't mean it to be but this struck me as really funny right about now!!! And I needed it since I'm as tired and stressed out as the rest of you. :)...

  17. Question on when infants die

    mitchsmom replied to BSNtobe2009's topic in Ob/Gyn

    20 weeks seems to be the cutoff for most of these things where I am. They do embalm babies here, at least in my experience. There is also a local assistance program for those in need, the local...

  18. nursing diagnoses!

    mitchsmom replied to MIA-RN1's topic in Ob/Gyn

    Have you tried searching this one? It seems like a student asked this same question on the site before (I'm pretty sure- but I don't know which forum). My dx book (Nursing Dx Handbook: A Guide to...

  19. Triage

    mitchsmom posted a topic in Ob/Gyn

    Does your unit allow new nurses to do OB triage? If not, how do you determine who is assigned to do it? Thanks in advance for any feedback-

  20. Triage

    mitchsmom replied to mitchsmom's topic in Ob/Gyn

    That's what I tend to think too. There's a place down the road that pays more and I'm sure that's one thing that keeps people going in that direction instead of here (it's too far for me to drive or...

  21. patient ratios?

    mitchsmom replied to MIA-RN1's topic in Ob/Gyn

    Good question... we are over the recommended ratios alot too. I haven't really had it much because I'm new and they are taking it easy on me so far but I know it won't last. But it seems like everyone...

  22. Triage

    mitchsmom replied to mitchsmom's topic in Ob/Gyn

    Our unit sound like yours (LDRP and the rest), except the labor nurses don't often end up with couplets so we frequently end up with a labor and a triage (if not more!). Ummm... and as you may...

  23. Triage

    mitchsmom replied to mitchsmom's topic in Ob/Gyn

    Do you mean that only people who are done with orientation do triage? Or do you mean they do triage and don't do anything else? Do they continue to care for triage pts who are admitted or do they...

  24. Have started nights on my L&D...

    mitchsmom replied to HappyNurse2005's topic in Ob/Gyn

    My hat's off to you night guys!! Especially long stretches... I have to recover after working even 3 day shifts (although that's mostly due to the damage that my all-male household does to the house...

  25. To paint or not to paint... cords

    mitchsmom replied to 33-weeker's topic in Ob/Gyn

    We officially use alcohol but I really don't do it b.c I knew about the aforementioned studies. I don't do postpartum a whole lot