enfermeraSG

enfermeraSG

Member
  • Content

    268
  • Visitors

    4,185
  • Followers

    0
  • Likes

    3

All Content by enfermeraSG

  1. "OB" ACLS?? Anyone heard of this?

    Hi all, Our dept has finally decided to require all L&D nurses to be cert in ACLS. We slid by without it before because we have an anesthesiologist and CRNA exclusively available to us 24/7....
  2. A psych tech posted some wonderful advice over the summer that I meant to copy, but didn't. Now of course I cannot find it. I will be starting psych clinicals in a few weeks and wanted advice anyone...
  3. Hi Brand New L & D Nurse in the House

    Welcome to OB, glad you are enjoying it. My advice is to be plenty patient with yourself. OB is a steep learning curve and it will be a couple of years (at least, and that's if you're in a busy...
  4. Hi all, I am wondering if any of you out there use the BD Insyte Autoguard angiocaths at your facility. If so, does anyone else experience any difficulty with them? I have been starting IV's for...
  5. intermittent monitoring

    Hi all, I have searched the AWHONN site and their wonderful book but cannot find the answer to this specific question. Regarding intermittent monitoring, it is clear how often FHR needs to be...
  6. intermittent monitoring

    Personallly, I agree that high-risk should be on continuous monitoring - however AWHONN does give guidelines for high-risk intermittent monitoring in the event a pt wants it. (Of course a situation...
  7. Help me with my "spider" problem!

    I have been in health care for almost 12 yrs in tech positions, and am finally starting nursing school this fall. From being on my feet I already have many spider veins, and am afraid of getting...
  8. Hi all! I am planning on transferring to the ER this fall, and at that time will have just over a year experience in L&D. I work on a high-risk, high-volume unit and started there as a new grad...
  9. L&D to ER; how to prepare for transition?

    Wow! Thanks for all of the wonderful tips! I am going to take a PALS, ENPC, and TNCC course by the end of the year. I don't have a date yet but expect to transfer this fall. The orientation in our...
  10. ACLS Question

    We have approximately 5-6,000 births per year, and are currently in the process of getting everyone cert'd in ACLS. (See my post regarding "OB ACLS" has anyone heard of this?) Anyway, I think it is...
  11. OB Spanish

    Hola! Always I must pop in on this popular topic and offer my little words of caution. Be careful using online translation because they can be quite inaccurate, even babelfish. Many, many things and...
  12. Hispanic patients

    I have to agree with a previous poster (Crocuta, I think) do not use programs, plain ol' online translation sites, dictionaries, or microsoft word, etc to translate. The majority of the time the...
  13. Confused about Variability & Decelerations

    If you look at the top of the OB/GYN forum this subject is a "sticky", the websites are great! Don't feel too much pressure to be able to read strips like a pro, it is a long learning process and can...
  14. mag sulfate bolusing

    Same here, no Mag on AP or PP. We also do all the above, except that BP is q 15 just like for epidurals, and DTR's, lung sounds, recording vitals, and I/O's q hour. Everything double checked with...
  15. HELP!!! Ob OR Standards

    Wow, nurse's aides trained to scrub c-sections. Well, a previous poster mentioned that this is no big deal as a C-section is "not hard", at this I had to post-up. You are correct, a textbook, every...
  16. HELP!!! Ob OR Standards

    I have never heard of a unit claiming to have "different" O.R. standards than AORN calls for. I mean, it is an OR and the goal is to protect the pt from infection, injury, etc. We are expected to...
  17. labor and delivery nurse-patient ratio

    Thanks for all the info! Also, I appreciate Mitchsmom typing all of that for us. I agree with another poster, 1:2 on pit is quite a challenge - mostly because of the charting, but bouncing from room...
  18. labor and delivery nurse-patient ratio

    I must learn to navigate that website better! I couldn't figure out where to find that info. Anyway, I'll just ask you instead....is being on pitocin for induction/augmentation bump a pt into high...
  19. IV start tricks

    PICC line sure sounds reasonable to me. The best tips (including your own!) have been posted. Aside from those, the only other thing that I can think of is to position the arm hanging down, milk...
  20. What are the positions in the delivery room?

    Check with your local hospitals because it really depends on what positions they utilize. We do not use LPN's on L&D, but sometimes mom/baby does. We do use Surg techs but JCAHO requires cert....
  21. Amnioinfusion...pump or no pump???

    Anyone know where I could get my hands on current literature stating the importance of running the amnioinfusion on a pump at least after the bolus is in? I work at a large teaching facility that...
  22. Lactation Consultants - need your advice

    Oh my! Didn't even know that was a form of noxious stimuli, although it certainly would be noxious! What happened to good old sternal rub?! Seriously though, there are so many things not right with...
  23. The Magical Fundus Question

    I agree with CoopergrrlRN, I use the side of my hand and begin somewhere around the "U", pressing in a down & sideways motion in the direction of Mom's feet. If you start at about the U - you...
  24. Confused in IA!!

    OK, let's see if I can be of any help. Presentation is the easiest, it simply means which part of the baby is entering into the mother's pelvis/birth canal first. For example, "breech" presentation...
  25. Hi, this is just curiosity, but any of you out there advance the entire needle and catheter when starting IV's? (You know, instead of just gaining access to the vein with the stick, advance slightly...