nocturnalnurse

nocturnalnurse

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All Content by nocturnalnurse

  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...

  16. Speaking of tape residue...(and other pet peeves)

    nocturnalnurse replied to Bortaz's topic in NICU, Neonatal

    I am a freak for how peripheral IVs are taped! I hate nothing more than yards of tape all over those poor baby extremities. They get awful tape burn from that and it's uneccissary! Like using an...

  17. Noise solutions in NICU

    nocturnalnurse replied to smfeitoza's topic in NICU, Neonatal

    Quiet environment is really the best thing you can do. Keep less sick babies happy to help prevent loud crying. Put infants needing sound restriction in isolettes with the tops down/sides up to...

  18. Grunting

    nocturnalnurse replied to j0yegan's topic in Ob/Gyn

    you must not have typed the right thing in the search on you tube because they have some decent vids. try typing in newborn respiratory distress grunting. that may get more medical legit. hits for...

  19. Interesting cases anyone?

    nocturnalnurse replied to Humbled_Nurse's topic in NICU, Neonatal

    to be honest we don't have a freestanding NICU at my institution so when we do see interesting things it can be quite the learning experience (and usually completely unexpected/undiagnosed prior to...

  20. Interesting cases anyone?

    nocturnalnurse replied to Humbled_Nurse's topic in NICU, Neonatal

    anesth. came up to help us tube a bad baby...4.5+K kid and they pull our 4.0 that "slipped" in and stick in.........a 2.5! lesson learned, don't call anesth. for help, we were doing just dandy on...

  21. Changing to a New Specialty

    nocturnalnurse replied to xSoCaLRNx's topic in Ob/Gyn

    I think your experience especially in oncology will likely give you a hand in Labor and Delivery/OB. you've seen how important that family unit is. You've had opportunities to be creative in patient...

  22. Becoming Fearful

    nocturnalnurse replied to climbingeverest's topic in Ob/Gyn

    My advice is to ask for more orientation if you need it, and if they deny it and you are on your own- always ask for help or a second opinion if you need it. Your co-workers should be supportive of...

  23. Blame the nurse!

    nocturnalnurse replied to Tina, RN's topic in Ob/Gyn

    We had this happen but mom was watching tv and eating supper. Thought it was odd that the blanket was moving around so called the nurse. All was ok and mom and dad thought it was funny. Never trust...

  24. Does being an RN give me advantage if i want to be a doula?

    nocturnalnurse replied to SINGMAGGIE-RN's topic in Ob/Gyn

    doulas are not suppose to hold a medical role in birth so I would say having your RN would not necissarily help you. Some states will actually require you to uphold the highest standard of care for...

  25. Projects in your OB department

    nocturnalnurse replied to Janinern84's topic in Ob/Gyn

    we just started a new facebook page for our specific unit. over 200 "likes" already! we are looking for any ways possible to increase our census. the "bigger" hospital is sucking the life out of...