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?

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.

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 beautiful baby girl. The patient never felt a thing!!! Never had the urge to push, never felt a ctx, nothing...her body did it for her.

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 3. Our tables are good for 12hrs and only for pt they are set for Hope that helps...

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 in L&D.

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.

Me too plz:loveya:

We get them for about $23 a piece and that is with our name screen printed on each one. We do find that people refuse them b/c they got one as a baby shower gift or it is not their first baby and they have kept a previous one. In that case we give them a light-weight robe and slipper set.

We do the diaper bag thing too, a boppy, and 2 first year golden books as "freebies"

We use binders on every c-section. We order 3 different sizes to make sure everyone has the right size. I have had several repeat c-sections that ask to make sure they get their binder after surgery:yelclap:

We take anywhere from 12-36hrs of call in a 6week schedule, depending on vacations and maternity leaves, regardless of full time or part time status. 16hrs is our max shift as well. If we need more, we make calls and/or one of us managers comes in to cover.