enfermeraSG

enfermeraSG

Member

  • Content

    268

  • Visitors

    4,185

  • Followers

    0

  • Likes

    3

All Content by enfermeraSG

  1. Question for nurses who advance both needle & cath all the way

    enfermeraSG replied to enfermeraSG's topic in Infusion, Intravenous

    Thanks Merymellen! I guess I just pictured the tip of that needle tearing little holes or shredding the vein all the way in. Obviously it doesn't or no one would start IV's that way, and some of...

  2. Determining station....

    enfermeraSG posted a topic in Ob/Gyn

    OK, I've searched as I'm sure this thread has been run through the ringer several times - but can't find one. Any tips or tricks on determining station? I know that if the head is at the level of the...

  3. Determining station....

    enfermeraSG replied to enfermeraSG's topic in Ob/Gyn

    Thanks for the input! I am still wondering if you gals are actually able to feel the ischial spines? Maybe I should press more firmly. I have no problem feeling the pubic bone however, so I think...

  4. Intrauterine resuscitation, how long for effect?

    enfermeraSG posted a topic in Ob/Gyn

    Hi all! Does anyone know how long it takes for the most common attempts at intrauterine resuscitation to affect fetus? I believe that position change should be immediate (if it's going to work), but...

  5. G's and P's question-mom has had twins

    enfermeraSG replied to HappyNurse2005's topic in Ob/Gyn

    The long version is: G: Gravity (# of pregnancies) T: Term (# of term pregnancies) P: Preterm (# of preterm) A: Abortions (spontaneous or otherwise) L: Living children (of of living children) So if...

  6. Blood patch

    enfermeraSG replied to dragonflyaltoids's topic in Ob/Gyn

    The way that I understand it is sometimes after epidural there is a slow leak of spinal fluid into the epidural space from a potential microtear in the dura. This slow leak causes a decrease in CSF...

  7. charting tips, decels, etc

    enfermeraSG posted a topic in Ob/Gyn

    I recently attended a course regarding the new NICHD terms/documenting. For example: we no longer should be describing a variable decel by how many bpms it went down or by how many seconds it lasted....

  8. montevideo units

    enfermeraSG replied to hoping to be an rn's topic in Ob/Gyn

    We don't. Not sure why.

  9. montevideo units

    enfermeraSG replied to hoping to be an rn's topic in Ob/Gyn

    Why are they obsolete with new IUPC's? I just went through a city-wide course that was wonderfully informative and was supposed to include updated AWHONN/ACOG standards. Anyway, they are still...

  10. Things Patients Have Taught Me NOT To Do

    enfermeraSG replied to Trixxy's topic in Nursing Humor

    OMG!! I can't believe that (oh,yes I can!). We actually have a policy at our hospital that we cannot let any non-employee use our scrubs for any reason. In the ER we have this closet full of...

  11. BD instye autoguard angiocaths- difficulty

    enfermeraSG replied to enfermeraSG's topic in Infusion, Intravenous

    So far, so good! Releasing the tip seal was the trick! Thanks for the advice! Don't you love it when new equip appears on your unit, and no one has been inserviced as to how it is used?! OH well,...

  12. BD instye autoguard angiocaths- difficulty

    enfermeraSG replied to enfermeraSG's topic in Infusion, Intravenous

    Thanks so far for the tips, I work tonight so can't wait to try twisting the hub first. Can't believe we never knew to do that, guess no one read the directions that probably came with them!

  13. BD instye autoguard angiocaths- difficulty

    enfermeraSG replied to enfermeraSG's topic in Infusion, Intravenous

    Thanks so much for the tips so far, sounds like the most important thing is to rotate the barrel first. I've never seen anyone do this, no wonder we have problems. I work tonight, so can't wait to...

  14. BD instye autoguard angiocaths- difficulty

    enfermeraSG replied to enfermeraSG's topic in Infusion, Intravenous

    Funny you mention that, I went on their product website and they instruct the user to do just that- rotate barrel 360º. What does that do? No one at my facility does that. Could that be the reason...

  15. feces odor in student

    enfermeraSG replied to ALoucas's topic in General Nursing

    I think that TiffanyRN probably hit the nail on the head. My youngest son is special needs so I have been familiar with a lot of the children and the problems that can come along with them. It is...

  16. New OB Nurses, Grads and Students, Please Feel Free to post your questions here:

    enfermeraSG replied to SmilingBluEyes's topic in Ob/Gyn

    My advice is to be patient with yourself, it will take a considerable amount of time to really feel comfortable.

  17. L&D clinicals - any pointers???

    enfermeraSG replied to PedsRN&momto5girls's topic in Ob/Gyn

    Ok, my advice is coming from something that I see with nursing students that have children of their own. Remember, this event is the patient's birth - not a time for you to rehash your own personal...

  18. Anyone familier with Down Syndrome newborns????

    enfermeraSG replied to LUVtxNursing's topic in Ob/Gyn

    I am not going to be very helpful because I think all that you can do at this point is wait for the chromosomes to come back. I don't necessarily think the staff is downplaying things. Sometimes...

  19. NCLEX Strategies

    enfermeraSG replied to RNKay31's topic in NCLEX Exam, Programs

    Don't forget ABC'S (S=safety), no matter what, apply Maslow's hierarchy, know the roles and limitations of CNA's, LPN's vs. RN's. Also know basic lab values. Don't just grab the first answer that...

  20. Something all OB nurses should know.

    enfermeraSG replied to NHmommy's topic in Ob/Gyn

    I want to thank you sincerely for your thoughts and feelings you've shared here. Hearing what someone has to say who knows first-hand what it feels like is invaluable. At my hospital we do have the...

  21. Should nipple piercings preclude you from breast-feeding?

    enfermeraSG replied to NRSKarenRN's topic in Ob/Gyn

    Personally, if it were me - I would remove them before feeding the baby. One of my coworkers had them and when she tried breastfeeding one of her nipples leaked constantly, completely emptying the...

  22. Babies cut during c-sections?

    enfermeraSG replied to rbytsdy's topic in Ob/Gyn

    Our policy is 3 attempts (pulls). BTW, I am horrified to hear about docs putting their foot on bed to tow back and drag a kid out. If used properly and appropriately forceps should simply give mom a...

  23. Babies cut during c-sections?

    enfermeraSG replied to rbytsdy's topic in Ob/Gyn

    I agree with the previous posters, I've never seen anything beyond "owie" marks from the forceps and we do tend to use them a fair amount. Ideally they should only be used to give mom a little...

  24. Babies cut during c-sections?

    enfermeraSG replied to rbytsdy's topic in Ob/Gyn

    It certainly is not common, but it can happen. I can fortunately count on one hand how many times I think I remember seeing it and I work somewhere that delivers ~6000 per year and avgs 3-5 sections...

  25. I have really messed up.

    enfermeraSG replied to Heather A.'s topic in Ob/Gyn

    I think you ultimately did the right thing, and it sounds like you learned from this which is of utmost importance. That shows you have conscience as a nurse. Think of the big picture the next time...