MommyLauraRN

MommyLauraRN

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All Content by MommyLauraRN

  1. Real tips for patients

    I love taking care of nurses! It's your time to relax (well--you don't have to do any charting or the like, though you will be doing very hard work :) ) and be cared for...enjoy it! Be yourself,...
  2. The Circumcision Discussion

    to the op...please read the case against circumcision as a starting point...you owe it to your baby to be completely informed before you even consider putting him through this procedure....
  3. on call hours for L&D

    I think each hospital does it differently. At my hospital, all L&D RNs who work full-time or part-time are required to sign up for 8 hours of OR Call each 2 week payperiod. They are to be called...
  4. Question about pitocin after delivery

    I was taught to run the pitocin (20units/1000ccLR) after the placenta delivers with the theory being that you don't want it to run in before the placenta delivers because you don't want the cervix to...
  5. Question about pitocin after delivery

    That's interesting Fergus..I'll have to share the info with our NM and docs. Our low risk patients with no IV access (CNM pts with no epidural, kept po fluids down during labor, GBS neg) who are...
  6. new BSN in postpartum nights?

    I did high risk AP, NB, PP (combined unit) before I switched to L&D...I can't imagine going straight to L&D, it was sooooo helpful to know the terminology, diagnoses etc. because L&D is...
  7. Sterile Water Papule--have you ever heard of this?

    Yup, but I've never seen it done (or offered for that matter) as of yet. Our nurse educator (also a CNM) said that she has used it and it works
  8. Good future L & D nurse?

    You should tell her Siberia has high pre-ecclamptic, breech, & C-Section rates!
  9. How far am I?

    The further along in a pregnancy the less accurate an U/S is in determinating gestational age. It sounds like your daughter will have to go by her U/S dates since she didn't know her LMP or when she...
  10. Epidurals and hypotension

    There are several reasons why your daughter could end up needing a C-Section that wouldn't necessarily mean "emergency or stat C-Section". CPD for instance (which could present as not dilating...
  11. Umbilical cord care

    We now teach parents not to use it. There is one pedi who insists. We teach no full baths until the cord falls off...I wonder if we'll be changing that
  12. How far am I?

    First of all congratulations! I wouldn't go by your beta since there is such a wide range of normal for each week of pregnancy. I would go by your LMP like mentioned by the above poster, or if you...
  13. Epidurals and hypotension

    Epidural or spinal anesthesia is usually preferred over general anesthesia for C/S unless it is a true emergency C/S and there is no time to do a spinal. (General anesthesia depresses the baby and...
  14. Does your staff do C/S's or does OR team??

    I think we do between approx 2500 deliveries per year. We have 2 ORs on L&D. Our own nurses scrub and circulate on all
  15. We do an NST when a mom comes in for SROM check. We assess her "Story"--basically what she felt, how much came out, color, odor etc and other symptoms. She gets a SSE to look for pooling (have her...
  16. Home birth vs. hospital

    Isn't it nice that we live in a country where we have choices :) I was very grateful that I had my son at the hospital. I had an uncomplicated pregnancy, went into labor on my own at 41 weeks, and...
  17. which acute care unit provides best experience for future L&D nurse?

    I did both med surge (neuro/neurosurg/urology, plastic surgery, ENT as the primary services--we also took all the cystic fibrosis, TB, radiation PT's because we had a special leaded room and the neg...
  18. MA's Calling Themselves Nurses?

    This is all very interesting. My husband and I applied for a large life insurance policy and they sent a "nurse" to our house to do our ht. wt. BP draw blood for HIV test etc. She didn't have the...
  19. Do your OBs do circs everyday?

    The OB's do circs daily. FP, Peds, CNMs don't do circs. I do L&D now, but I did not participate in circs or immediate post-circ care when I worked PP/NBN. I couldn't agree more! My son is...
  20. Is being an OB/GYN nurse rewarding?

    So rewarding! I did Postpartum/NBN/Antepartum for almost 3 years plus 6 mos med surge before that knowing that eventually I would make my way to L&D. I've been doing L&D 2 mos now and I love...
  21. Personal L&D w/son...want your opinions?? LONG

    I'm so sorry to hear about your awful experience. There's a lot that's bothering about your story...but it's hard to piece it all together without your medical records, kwim? It's obvious that...
  22. Writing on Fetal Heart Monitor Strips

    We have OB TraceView computerized EFM. We still use paper flowsheets (for the time being) but I still do a lot of my documenting on the computer strip and then go back and double document on the...
  23. Does everyone have to start out nights to get into Mother/Baby????

    Not in Vermont at least! It used to be that you had to wait until someone diee or retired to get a position on Maternity or L&D...now they're using travelers and are hiring new grads across all...
  24. Care plan for a 4th degree

    I had a 4th degree. (3rd degree epis cut & forceps for long brady, then tore the rest of the way.) I used ice for the first 24 hours, then I took a few sitz baths at the hospital and warm baths...
  25. Crash Sections

    Laughing at the "type"....the longer the birth plan, the quicker they go out back! I should start keeping track, because I'm sure the data is statistically significant. That's not the end of their...