ducknurse

Our supply budget was a big focus. We stopped stocking "extra", really paired down OR and pt room supplies. Organization of those rooms really helped us see the extra's we had and labels helped focus stocking. Our organization as a whole has renegotiated a lot of our supply contracts for better rates.

I am looking for policies and procedures regarding water births...anyone have any they would like to share? Any suggestions for evidence based practice to support P&P's? We have 1 (new) physician that is willing to do them and I would like to do some education and preparation. Thank you in advance:nurse:

The difficulty I have is my Pitocin is in the lowest port so just b/c I begin my IVP with a CTX, how much gets in during that point...and even if it gets into the bloodstream, you cannot assess how fast the patient will metabolize it, so who know how much is getting to the baby and at what point...and we have to push narcs over 10 minutes so there is NO way to be that exact every 2-4 minutes while pushing meds.

We request an anesthesia evaluation prior to delivery, like b/t 24-36wks This gives them time to ask questions in a controlled environment and provide an accurate health history to anesthesia.

No, all our secretaries have access to it. But they do have to sign who got the data and entered it, so we have some accountability for accuracy. I am the only one who runs reports and submits those.

We do an Excel spreadsheet, but it gets transcribed from a Birth Log book. I use the spreadsheet formulas to collect monthly, quarterly, and yearly data in conjunction with Quality Mgmt. The girls just cannot seem to get away from the book, but they know it must in the computer even it is double charting?!?!

For those that are currently doing VBAC's regularly...Does your OB stay in-house? Asleep in a call room? What about during office hours?

We use QS for traige, L&D, recovery...then change to Meditech. I would love to have EVERYBODY, L&D PP WB NICU, on the same system, but no luck yet... I would love to hear if anyone has built an interface for QS and Meditech and how involved/diffulcult/time consuming it was...

Our physician did not like them in trials and we went back to Nitrazine and ferns

Talk to your Information Services guys at work. They would probably love to help set this up...child labor is always good too though;)

Teleconference is becoming very popular and cheaper than travel. Email Power Point slide. Dial in the morning of. Allows for discussion and interaction while information is shared. Allows smaller hospitals to get CEU's and more people to attend.

We have a penquin bottle warmer for all breastmilk from the fridge or freezer. Our policy is simply to use it per manufacterer protocol. It will do warming and/or defrosting. We leave formula at room temperature.

I am certified in Inpatient Obstetrics and am primarily an L&D nurse. It was a lot of L&D with some PP and a little WB.

What is the area code?

Are we still talking about T-shirt slogans?