mitchsmom

mitchsmom

OB, lactation

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All Content by mitchsmom

  1. Home births 'as safe as hospital'

    Yeah, I thought it was weird that the study reference wasn't cited, I wanted to look it up. It looks like Medscape got it from Reuters, but no ref...
  2. Home births 'as safe as hospital'

    Here's one to the contrary - the studies seem to go back and forth. I love the debates & would love to see this study torn apart with all the ins & outs... Midwife-Attended Home Births Less Safe Than In-Hospital Deliveries http://www.medscape...
  3. The Frontier website lists these two Statistics courses as acceptable for their entry requirement; I'm wondering if anyone has taken either? Any feeback would be appreciated! TIA :) University of Washington Online Learning STAT 311 Elements of Stati...
  4. count sheets

    I know this is an old post, but here is one of our c-section count sheets (we actually count after each layer, which is not reflected on this sheet).
  5. Pit management

    We usually do checks q2 unless needed earlier for some reason; sometimes I stretch mine longer if I don't think they are needed (we have one MD who insists on q2 so I don't do it with her). Our MD's generally AROM ASAP (usually during morning rounds ...
  6. I did L&D as a new grad with 12 wks orientation. It isn't easy, I don't think it's really enough, but it can be done. It also depends on what you get in that 12 weeks, what experiences, what preceptor you have. I would advise to be very proactiv...
  7. Pit management

    Our routine orders are written to include "until effective labor pattern", and our policy states something to the effect that >10mu/min is usually not needed (although sometimes it is & we do go higher if needed; we can also often back off onc...
  8. Is the birth rate down? or are we just slow

    Maybe a tiny bit down for the year but about the same really. And this month is NOT slow so far :)
  9. How long was your L&D orientation?

    Mine is 12 weeks for a new grad, which I think is an absolute bare minimum (I did it). It really should be longer. We are a tight unit and there are always other people to help so it was almost like continuing orientation after that but officially 12...
  10. Pit management

    LOL
  11. OB-GYN nurses must love their jobs!

    Are you applying at those places anyway? I know on my unit, we are always looking for people, but sometimes it is officially posted and sometimes not (don't know why). And yes, I DO love my job most of the time :)
  12. Pit management

    Our MD's usually order us to Pit thru coupling, and it does often work for whatever reason (whether it was really the Pit or something else made it stop coupling). For details ditto what SBE said (except we can only place FSE's, not IUPC's).
  13. OR on the unit

    We have been using our own OR for about two years, we were changing over from using the main O.R. when I started my job. Right now we are transitioning into *staffing* it ourselves, with our own scrubs & circulators (before we just provided bab...
  14. Newborn Hypoglycemia Protocols?

    At risk's get one shortly after birth, then 3 pre-feeds. They have to be over 40, if not (or if on the low side) we feed via mother's chosen method and recheck.
  15. how does your l&d unit run?

    We have to alternate Christmas and Thanksgiving and usually if you have Christmas off, you work Christmas Eve. I don't think we really do that for T-giving though. The other holidays fall where they may. Our department (which includes postpartum and...
  16. Vistaril in labor induction

    We rarely do it and I wish we did with cytotec pts (we never do anything for latent phase) ... they usually are not active "inductions" in the sense that pit inductions are (most of ours don't do anything labor-wise overnight until pit starts in the ...
  17. Precipitous birth

    I just had my pt precip the day before yesterday, and I didn't even have time to get a second glove on. And that is the second time I've had that happen! I did have time to get a table and call the MD, but that last part just suddenly went super fast...
  18. Can anyone tell me what you think of this book? Medical-Surgical Nursing: Reviews and Rationales http://www.amazon.com/exec/obidos/tg/detail/-/0130304573/102-6571794-6446535?v=glance TIA for any feedback :) PS.. wouldn't mind words about these other ...
  19. Do any of you have to take this test? I have it in a couple of weeks and no idea of what to expect. Instructors haven't said a word about it, we just got an email with the dates and how to register. I don't know if maybe they talked about it in cl...
  20. How do L&D nurses REALLY feel about natural birth?

    Wow, I'm surprised they get away with that!! That would NOT fly at my hospital; if someone wants pain relief (at any time) they get it. I thought that was a big guideline by one of the powers that be (JAHCO or ???). I just think that's cruel, I supp...
  21. Which Associations do you recommend and why?

    I guess it just really depends on what your interests are, what you want out of them, and what you want to support the most. ANA is the big, broad nursing association for nurses in general. AWHONN is for women's health, OB, and neonatal nurses so it ...
  22. Stadol frequency in labor

    Yeah, I'm not sure what the deal is with our MD's not doing it. We have a lot of girls that we send home in early labor & come back already tired and 'behind the power curve' going into active labor. Maybe I'll ask a couple of the MD's... :)
  23. Stadol frequency in labor

    Most of our MD's order stadol 1-2mg q 3-4, which in my opinion is not nearly often enough... I find that it seems to wear off after about an hour. As bad as it sounds, sometimes I really wonder if a couple of the MD's do it to push the moms into jus...
  24. Help with a Brain Teaser

    Danielle, Did you find out the answer? I'm curious!! :)
  25. Help with a Brain Teaser

    In my neck of the woods, she would be sent up to OB where we would do an exam and find her cervix to be, in fact, closed. Some of our ER docs are famously bad at cervical checks! LOL I am trying to think of a real answer to your question. I assumed t...