nocturnalnurse

nocturnalnurse has 11 years experience.

Latest Activity

1. What do NICU nurses consider "viability"?

   nocturnalnurse replied to Summers_Off's topic in NICU, Neonatal

   I was looking at the website mentioned for outcomes calculation, and I think I have seen it before, but it appears the data was based off of evidence collected between 1998-2003? Not the most up to...

2. Halo sleep sacks

   nocturnalnurse posted a topic in Ob/Gyn

   Our hospital started participating in the Halo Sleep Sack (SIDS prevention) program. We purchase Halos for hospital use and then, at discharge, provide a new unused unopened halo sack for families to...

3. Why do epidurals fail?

   nocturnalnurse replied to knufflebunny's topic in Ob/Gyn

   not a CRNA, just a nurse who asked "why aren't these epidurals working?!" and found a great anesthesiologist to explain it all. Better educated nurses=better educated patients=happier

4. Why do epidurals fail?

   nocturnalnurse replied to knufflebunny's topic in Ob/Gyn

   Epidurals can fail for many reasons. Sometimes technique or circumstance causes a poor placement of the catheter. Sometimes patients anatomy can cause problems with how the medication travels in the...

5. Do I still need the AWHONN course if I already have my C-EFM?

   nocturnalnurse replied to perfexion's topic in Ob/Gyn

   C-EFM should prove suficient competency in fetal monitoring. Congrats on passing, by the way! I would think the course, therefore, would be irrelevant. My institution requires the certification and...

6. Abdominal binder question

   nocturnalnurse replied to j0yegan's topic in Ob/Gyn

   I have only had a very rare complaint about a binder causing incision irritation. It has been easily fixed by placing a pad (without the sticky side) on top of the incision before placing the binder...

7. Low Heart rate after epidural?

   nocturnalnurse replied to borka's topic in Ob/Gyn

   Both bradycardia and tachycardia are known possible side effects of epidural anesthesia. I have seen both. epidural placement particularily at the L2-L3 location block sympethetic outflow to nerves...

8. How long until day shift on your unit?

   nocturnalnurse replied to 24gaDalek's topic in NICU, Neonatal

   You mean people WANT day shift? *shudders* all those people. doctors wanting to DO things with patients, management and other weirdos from the hospital milling about, phones ringing... lol jk I'll...

9. The most ridiculous birth plans you've had the pleasure of reading

   nocturnalnurse replied to PeepnBiscuitsRN's topic in Ob/Gyn

   Ok, in my defense I love the Doulas in our area because of the wonderful support they provide to our patients and I'm not against birth plans at all...HOWEVER...I've heard some weirld things,...

10. Becoming Fearful

    nocturnalnurse replied to climbingeverest's topic in Ob/Gyn

    I am very proud of our orientation for new L&D nurses. Sometimes it seems a bit excessive especially considering we, technically, don't do high risk and don't deliver (on purpose) below 34 weeks....

11. What baby catches you every time?

    nocturnalnurse replied to NicuGal's topic in NICU, Neonatal

    I have a thing for those babies that had nothing wrong until a perinatal event....abruption, uterine rupture, shoulder dystocia.... We almost never get to keep them which is fine, I like the...

12. Terbutaline protocol

    nocturnalnurse replied to OBERrural's topic in Ob/Gyn

    We use terb. Not near as much as we used to not as many doses and only as sub q shots, no longer pumps or iv. We don't have a policy and are expected to know the drug we are administering just like...

13. Personal fertility issues a detriment in OB Nursing?

    nocturnalnurse replied to Baubo516's topic in Ob/Gyn

    We have multiple nurses and a few obstetricians who never had children if their own, some by choice some not, and all are excellent at their job. Everyone, even those who have kids, sometimes get...

14. Salary?

    nocturnalnurse replied to __patiently_waiting's topic in Ob/Gyn

    Midwest here...a new grad gets paid approx 21/hr. Our shift diff is only 1.25. We get paid the same as normal nurses at my hospital but ate required to be certified and hold current on NRP, BCLS,...

15. H & H

    nocturnalnurse replied to sandseaandstone's topic in Ob/Gyn

    We have mom's up and running around the unit at 4-5hgb and are juststarted on iron and others who are super symptomatic and getting transfused at 8... it's really individualized. We do, however, give...