mitchsmom

The nurses at my work are supportive of natural birth if that's what a patient wants. I'd be happy it if all (well, most all!) my patients wanted to go natural. But as a nurse I am limited to MD orders ("protocols" aren't mine, they are the hospital...

Our town proper has about 10-11,000 residents but our community hospital serves a tri-county area of about 165,000 population. We have around 1000-1200 deliveries a year. We have recently split our LDRP into an LDR and separate Postpartum. However, ...

Suctioning (especially if vigorous) can also make babies defensive against oral activity... i.e. breastfeeding

We have one doc whose orders say it's ok "if vertex well applied" ... BUT they all insist on continuous monitoring from the minute they are admitted so most of our patients are strapped to the bed (they do get unplugged for bathroom in not ROM'd). A...

Fundal checks are definitely a mainstay for any postpartum pt on our unit. I have never had an order not to do them - even with bladder nicks, etc. For those ofyou who don't routinely do them... what all do you assess? I am curious, because I have pa...

" most babies C-sectioned are on Tuesdays so the doctor can sleep in on Mondays"... while we're talking about babies... on my OB unit, I could see more babies sectioned on Tues morning - because we don't schedule inductions (or repeat/planned cesarea...

from the preeclampsia foundation website (wonderful site!!!): risk factors for preeclampsia: http://www.preeclampsia.org/faq.asp#five preeclampsia statistics: http://www.preeclampsia.org/statistics.asp hypertensive disorders of pregnancy complicate ...

not true at my smallish community hospital... last week our hospital was FULL ... something that doesn't usually happen for us unless it's snowbird (Winter) season...

I don't have much to offer here. I feel the same way. We have the same issues. I am part-time, so lately I've gotten ours when it has already been attacked. Plus I have kids and can only do it when dh is off work (cutting into our few days off togeth...

what do you think about a nurse breastfeeding her infant at the l&d nurse's station during a break?

This link show a diagram (thru perineum): http://www.accessmedicine.com/search/searchAMResultImg.aspx?rootterm=delivery+by+ritgen+maneuver&rootID=44752&searchType=1 It is also described in Varney's Midwifery.

Just assume that work space, breaktime, etc. isn't an issue; just asking more purely from the breastfeeding viewpoint.

YES!!! We have one MD who uses it all the time (thru the rectum). Ugh!!!

PS: If for any reason you or someone else can use it, the Dept of Health and Human Services has put together a nice/informative kit on "The Business Case for Breastfeeding: Steps for creating a breastfeeding friendly worksite" that can be obtained he...

Hopefully it will be percieved as being a good role model for other women and patients & the best thing for your baby since that's what it is :) We have someone pumping right now and it hasn't generally been an issue (although someone had an issu...

Ours is similar, except we don't write orders when we put the induction in the book. When mom just comes in, we assess/examine cervix/ get a strip, etc. and call for orders at that time. Often our MD's don't see pt until they deliver (and that could...

12hours/ week $2/hr + time & 1/2 hate it; one of the reasons I've gone part-time

I know this has probably been discussed before but I didn't find it when I searched. Do you allow patients to take home their placentas if desired? Do they have to sign anthing in order to do so? Do you address this in your policies? This doesn't co...

questions: 1. do you circulate your c sections? does your unit provide the scrub tech & baby nurse also? 2. do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? 3. do you recover them as well? where (in a pacu in your unit, i...

Thanks for the feedback! :)

Do you use OB techs who scrub in for your c-sections and do other duties on the floor (CNA)?? Do you know what an expected pay range is for this job? Thanks!

Our pp unit sounds like yours. Ideally they say they would like it to be 4 couplets but many times it isn't. We pass trays & we have a lot of other time consuming things like q4h vitals on all moms and babies all the time (more for recovering of ...

The unit I'm going to work at (& did my preceptorship at) uses alot of spinals (not sure how many spinals vs. epidurals)... when asked about it by a pt, an anesthesiologist basically told her that nowadays they use so little medication in the spi...

Get as much education as you can.

I agree with the last link for a pocket fetal monitoring book. If you want a pocket clinical guide, Clinical Handbook for Maternal Newborn Nursing & Women's Health Care (7th Edition) is a good addition too.