ducknurse

ducknurse

L&D, PP, a little WB, note taker NICU

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All Content by ducknurse

  1. save our unit!

    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 reneg...
  2. Water Birth

    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 d...
  3. 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...
  4. Epidural Education

    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.
  5. 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.
  6. 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 the...
  7. Vaginal Delivery May Be OK After C-Section

    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?
  8. 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/...
  9. Who is using amnisure??

    Our physician did not like them in trials and we went back to Nitrazine and ferns
  10. Project ideas for ob nurse training/online?

    Talk to your Information Services guys at work. They would probably love to help set this up...child labor is always good too though;)
  11. Project ideas for ob nurse training/online?

    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.
  12. What's the weirdest baby name?

    Queendariah
  13. Wondering what other policies are re: Warming Bottles

    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.
  14. RNC....Which one??

    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.
  15. How does your facility deal with fetal demise?

    What is the area code?
  16. What's the weirdest baby name?

    One of our docs swears he went to school Crystal Shanda...which is not bad until he said her last name was Lear
  17. OB T-shirt slogans?

    Are we still talking about T-shirt slogans?
  18. Anyone going baby friendly?

    Has anyone looked at the other models out there? Texas and Colorado have both developed their own program b/c the baby friendly steps were too restrictive.
  19. I had a patient that who was a parapalegic(sp) following a car accident. She came in only b/c she was spotting; dilated 9 with BBOW. Few ctx's later SROM, and crowning. Of course I was the first one to get gloves on and 2 ctx's later delivered a b...
  20. Policy Questions and Hello

    1. We wear our own scrubs regardless of type of delivery; we just add the shoe covers, hat, and mask. The support person going in with the pt does get a cover gown though. 2. We use Betadine or Hibiclens for vag deliveries and Chlora-prep for c/s ...
  21. What's the weirdest baby name?

    My cousins best friend is Corey, but his last name is Anders...they must not cook much, b/c they had no idea why i chuckled
  22. What's the weirdest baby name?

    I went to school with Tequila, Chablis, and Daiquiri...
  23. LPNs in OB - do they have them where you work?

    We have 2 LPN's working mother/baby, but after they retire, they will be replaced with RN's only. We have hired LPN's that have previously been OB techs...with a contract that they will return to RN school within a year or be transferred. No LPN's ...
  24. What's the weirdest baby name?

    I know a Tuesday and she was not born on Tuesday... We have had Morning Glory, Espn (pronounced espen), and Cinderella What is up with nevaeh?!?! So tired of that...everyone thinks they are the first to come up with it and its sooo orignal and cute:...
  25. IBCLCers? Started down the road, anyone else?

    We have 5 on staff...if you need a resource or just to talk to someone, let me know and i can get you their email address.