nocturnalnurse

nocturnalnurse

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All Content by nocturnalnurse

  1. hypothermia therapy

    nocturnalnurse posted a topic in NICU, Neonatal

    Smaller hospital here, we ship out our really sick or really early babies but we recently had a case that I was wondering if the babe could have been treated with hypothermia therapy but wasn't. I...

  2. hypothermia therapy

    nocturnalnurse replied to nocturnalnurse's topic in NICU, Neonatal

    40 weeks by good dates. didn't get cord gases (i know i know.it wasn't me). first sugar WNL. just barely over 1800. asymetrical IUGR. no mec. apparently normal fluid volume. no cord issues seen. in...

  3. Interesting cases anyone?

    nocturnalnurse replied to Humbled_Nurse's topic in NICU, Neonatal

    reminds me of a vid i saw recently about a mom who's baby had a Tessier defect. maybe try this link i think that will pull you up the

  4. Fluid over load in blood transfusion

    nocturnalnurse replied to Petra81's topic in Ob/Gyn

    You can fluid overload someone on regular IV fluids as well. I do not have a specific answer as to why it seems to happen more with blood products. My hypothesis is that it is likely because the...

  5. Done it All.... Now THIS.

    nocturnalnurse replied to Bezoars's topic in NICU, Neonatal

    I dunno I very much like the celebration party a few of us "new" nurses threw when one of "them" retired recently. Spider-Man cake and

  6. hypothermia therapy

    nocturnalnurse replied to nocturnalnurse's topic in NICU, Neonatal

    Sounds like the newborn would have been a good candidate. I would like to see my area doing more of this, the results in studies I've reviewed seem promising.access to this is our biggest hurdle, have...

  7. Done it All.... Now THIS.

    nocturnalnurse replied to Bezoars's topic in NICU, Neonatal

    lol Bortaz! My goal is just to outlive everyone else. I'm young. :) Those "chilly" nurses are nearing retirement! But in all reality, I've been there. They did warm up after some time. I think...

  8. Magnesium for Neuroprotection

    nocturnalnurse replied to BellsRNBSN's topic in Ob/Gyn

    Mag is only good for neuroprotection if it is "onboard", so to speak, at the time of delivery (administration 2-24hrs prior to delivery is recommended by ACOG, I think). So, for instance, a mom at...

  9. What's it like being an labor and delivery nurse?

    nocturnalnurse replied to Smk22's topic in Ob/Gyn

    OB nurse, to me, in 10 words: Emotional, gratifying, terrifying, heartbreaking, enlightening, joyous, exhausting, exhilarating, humbling, and LIFE. Its the best and worst of what makes me a nurse. It...

  10. dermal anchors

    nocturnalnurse posted a topic in General Nursing

    Ok, so the "new generation" of nursing students that have been around our unit make me feel old, even though I'm not, but I saw something the other day that had me wondering... A student had a few...

  11. Prolapsed cord

    nocturnalnurse replied to loving2's topic in Ob/Gyn

    thankfully they aren't common. I've been in L&D going on 6years and have yet to have one. our facility doesn't deliver thousands of baby's or anything but we usually see 1 a year. rarely is a...

  12. Presenting part

    nocturnalnurse replied to loving2's topic in Ob/Gyn

    We had a case not to long ago, FP doc was in-house and did all the vag exams, didn't realize the baby was frank breech until it was dang near crowning after 1hr of pushing. stat c-section. a shame...

  13. Pain Relief in Your Facility

    nocturnalnurse replied to Leggings and Lattes's topic in Ob/Gyn

    a lot of other country's (and maybe in the USA, I'm not sure, but nowhere around here) use inhaled nitrous oxide for pain releif. I believe that is the "gas/air" they refer to. We have about a 60%...

  14. Is working in the NICU a good idea for me, as a person with mild cerebral palsy?

    nocturnalnurse replied to bella201's topic in NICU, Neonatal

    you'd have to go to quite a bit bigger hospital, but some of them have "step down" nurseries...the babies aren't QUITE as sick, they don't respond to deliveries so no running to that STAT c-section,...

  15. what certification?

    nocturnalnurse posted a topic in Ob/Gyn

    I work L&D, Normal newborn, Special care newborn (down to 34wks with short term CPAP), and Postpartum....our hospital is pushing (and paying) for us to get a specialty certification. (I do hold...

  16. what certification?

    nocturnalnurse replied to nocturnalnurse's topic in Ob/Gyn

    I like both L&D and special care nursery equally...wouldn't the maternal-newborn certification be a more well-rounded certification for a nurse that does L&D, PP, normal newborn, and...

  17. who intubates?

    nocturnalnurse posted a topic in Ob/Gyn

    Who intubates at your deliveries? I work in a small hospital, 40-50 deliveries a month-no NICU, most of our delivery docs are not NRP certified so it comes down to the 2 nurses in the room for all...

  18. who intubates?

    nocturnalnurse replied to nocturnalnurse's topic in Ob/Gyn

    the problem with our anesthesia is that they are not NRP certified, have refused in the past to come up and help recussitate, and the last code I have they refused to use the right sized ET tube as...

  19. RNs wearing gowns to feed newborns

    nocturnalnurse replied to camrn98's topic in Ob/Gyn

    We also wear just scrubs provided and washed by our hospital, hand wash or sanitize between infants. One exception is newborns who haven't had first bath, then they are contact precaution until...

  20. What's the max dose Pitocin is allowed at your hospital?

    nocturnalnurse replied to violet_violet's topic in Ob/Gyn

    our policy's max is 20mu/min, and rarely at physicians discretion can we go above that. happens maybe once a year. Honestly, we rarely have to go above 12 and with good bishops scores, rarely above...

  21. L&D Nurses: What's in your pockets?

    nocturnalnurse replied to ischialspines's topic in Ob/Gyn

    I always carry a double pair of latex-free gloves (allergy) ever since the precip I had when I didnt have a pair with me-yuck. usually my cell (yes my personal phone, its an addiction I swear) and an...

  22. How do you administer Nifedipine?

    nocturnalnurse replied to winter_green's topic in Ob/Gyn

    we give 10mg q20min X4 and then 10 or 20mg q4hrs after that as long as b/p >90/50. havn't had any big drops, never had to hold a dose. however, with terb, we frequently had to hold subsequent...

  23. Maternal Deaths and Heart Disease

    nocturnalnurse replied to Lilnurse0803's topic in Ob/Gyn

    thanks for the link. had a pregnant 3rd trimester mom code at home. came in a full code blue by ambulance, c-section in the ER. full code on the baby for almost 20 min. lost mom and baby both....

  24. Amazing nursing stories.

    nocturnalnurse replied to carolmaccas66's topic in General Nursing

    I love my job as a delivery nurse. Every shift for me is an amazing story. Every time I get to hand a parent the baby they have waited so long for is amazing. My job is to ensure a new life enters...

  25. what nerve!

    nocturnalnurse posted a topic in Ob/Gyn

    just to vent... OK, we are experiencing a few growing pains and have a few newly hired nurses that are beginning orientation to our unit. one of them has been orientating for a little over a...