mitchsmom

mitchsmom

OB, lactation

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All Content by mitchsmom

  1. Disagree with the Dr

    mitchsmom replied to q12RN's topic in Ob/Gyn

    It depends on the person and the situation. I'm pretty new so I can still use that as an excuse to question things - since I usually really am asking why or what makes something the way it is. There...

  2. labor and delivery nurse-patient ratio

    mitchsmom replied to magz53's topic in Ob/Gyn

    You're welcome :) Ok, here's what I posted in the other thread (and notice that it does address Pit, which is 1:2): "I have a photocopy of the chart, from p.42, it is labeled "Recommended nurse to pt...

  3. labor and delivery nurse-patient ratio

    mitchsmom replied to magz53's topic in Ob/Gyn

    The ratios are in this book, if you have it on your unit or can just copy the page at a library: Amazon.com: AWHONN's Perinatal Nursing: Co-Published with AWHONN: Books: Kathleen Rice Simpson,Patricia...

  4. Why do other floors think OB isn't real work?

    mitchsmom replied to lannisz's topic in Ob/Gyn

    :yeahthat: :yelclap:

  5. Silly Episiotomy Question

    mitchsmom replied to TheCommuter's topic in Ob/Gyn

    :yeahthat: We don't do very many of them, I have seen maaaybe 5 since July, probably not even that many. I don't remember seeing locals injected for them. That said, I also don't remember ever seeing...

  6. Why do other floors think OB isn't real work?

    mitchsmom replied to lannisz's topic in Ob/Gyn

    In my hospital I have not found that to be the case! They usually know we are crazy busy & I get comments about that. But I know that other people commonly have your experience too... I guess...

  7. What type of epidurals on your unit?

    mitchsmom replied to mitchsmom's topic in Ob/Gyn

    We were using ropivacaine alone (Naropin) and now the new mix is ropivacaine (Naropin) with fentanyl for everyone. Each anesthetist may do their bolus differently... not usually exactly sure what...

  8. labor and delivery nurse-patient ratio

    mitchsmom replied to magz53's topic in Ob/Gyn

    As far as I remember without having it in front of me, 2 labor pts is acceptable (not with added labor checks) but it becomes 1:1 with pushing and during epidural placement. Check the AWHONN standards...

  9. Birthing on all fours

    mitchsmom replied to eden's topic in Ob/Gyn

    I haven't caught a baby in this position but I'd rather have to do it than go to c/s for failure to progress. I have found exams harder that way and I'd imagine catching would be tickier but I guess I...

  10. How long is your orientation??

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

    Ours is 12 wks in L&D (LDRP), with more if someone isn't deemed ready. I guess I was ok b/c I was cut loose at exactly 12 wks (I do alternating 3/4 twelve hour day weeks). There is one girl who...

  11. Gompers...

    mitchsmom replied to BittyBabyGrower's topic in NICU, Neonatal

    Me too!

  12. Watchchild - again

    mitchsmom replied to tntrn's topic in Ob/Gyn

    We use WatchChild too. I'm a new nurse so I don't have much to compare it to, but I know that some of our agency nurses use TraceVue at the other hospital in town and seem to like it better. I think...

  13. Getting an epidural (with fentayl) may hinder breastfeeding (new study)

    mitchsmom replied to mitchsmom's topic in Ob/Gyn

    LOL ... I looked up the actual study out of curiosity... it was 4 women and one man. I didn't take it like they were trying to dog on epidurals, but more study the fentanyl component. Just because...

  14. What are the positions in the delivery room?

    mitchsmom replied to mgalloLPN's topic in Ob/Gyn

    98% of the time on our unit, it is the RN. 1.5% of the time maybe the MD (we don't have any midwives) and .5% is an LPN or CNA. We do have one LPN who "catches" babies often and does the portions of...

  15. They did a c-section without anesthesia

    mitchsmom replied to Mrs.S's topic in Ob/Gyn

    One of ours didn't have IV access, either, she was bleeding out and no one could get it until the baby was already out (mom was still on the table)... She didn't have an epidural though; same deal, we...

  16. Off Orientation!!

    mitchsmom replied to nurse79's topic in Ob/Gyn

    Hi, I've been off orientation for a couple of months now. I felt (and often still feel) the same way you do! The phone thing really got me for a while... it always seemed like I didn't tell the MD's...

  17. Caught my first yesterday!

    mitchsmom posted a topic in Ob/Gyn

    :balloons: I caught my first baby yesterday! :balloons: Mama's cervix was just melting away... I called the MD when she was 8-9 & I told her so, and she said she'd come but Superman couldn't...

  18. Any L&D nurses here?

    mitchsmom replied to flygirls2's topic in Ob/Gyn

    I went straight into L&D (my hospital needs people in all areas!)... don't regret it a bit. As a matter of fact, I'm really glad I wasn't tempted to do another area first. For someone in doubt it...

  19. LPNs in L&D

    mitchsmom replied to sissyboo's topic in Ob/Gyn

    We have one LPN that works with postpartum patients, but she can't do

  20. Do you have a nursery at your facility?

    mitchsmom replied to eden's topic in Ob/Gyn

    We do rooming-in. If someone needs it, we can usually watch a baby for a while but it's unusual. Most of the babies sleep a lot and moms sleep when their baby does. I've always heard that the...

  21. Maternal death

    mitchsmom replied to mugwump's topic in Ob/Gyn

    :yeahthat:

  22. Maternal death

    mitchsmom replied to mugwump's topic in Ob/Gyn

    If you have been involved in a bad one, you'll probably take part in a root cause analysis where everyone does that - go over what went right, what didn't work, what can be done to make it better next...

  23. Spanish for L&D nurses

    mitchsmom replied to livn4him11's topic in Ob/Gyn

    If anyone is interested, ILCA also has a Spanish breastfeeding glossary (only $2.50):

  24. Need info for circ presentation

    mitchsmom replied to onehusbandsevenkids's topic in Ob/Gyn

    What % would you estimate of circs are done in your facility? It is hard to say because many of them get it done outpatient (our medicaid doesn't pay for it, and it is cheaper outpatient (without...

  25. wannabe lactation consultant

    mitchsmom replied to maggijo's topic in Ob/Gyn

    :Snow: :Santa3: