NPinWCH

NPinWCH

Family NP, OB Nursing

Member

  • Content

    374

  • Visitors

    7,510

  • Followers

    0

  • Likes

    1

All Content by NPinWCH

  1. services for antepartum moms...suggestions?

    NPinWCH replied to pelanurse's topic in Ob/Gyn

    I second the theraputic massages. We have a couple of massage therapists who offer 1 hour for $25, which is a great deal. I agree that the "spa" stuff isn't usually appropriate, but having someone...

  2. What are your thoughts about using miso

    NPinWCH replied to mugwump's topic in Ob/Gyn

    We don't do VBACs anymore where I work, but even when we were we never used miso to ripen VBACs. I personally wouldn't use it on a VBAC, it's a bit too unpredictable, but that's simply my

  3. Versions and C Sections

    NPinWCH replied to joeb1's topic in Ob/Gyn

    OK, this is just my opinion. I wouldn't even consider a version. I'm not saying there isn't a risk with a C/S, but I tend to think that a C/S under control circumstances is much better than the...

  4. Does your facility acknowledge "National Nurses Week?"

    NPinWCH replied to Nurse!Nurse!Hello?'s topic in Geriatric, LTC

    OK, I work in a small rural hosptial and they don't acknowledge Nurses Week, instead they call it Hospital Week and everyone gets acknowledged. Which I find silly! The idea of having a week/day for...

  5. If you weren't a nurse what other job would you like to do?

    NPinWCH replied to Ms. Nurse Assistant's topic in General Nursing

    I'd teach high school or college biology or some other kind of science...I might have gone into law before, but if I was changing jobs now it would be to become a

  6. Small community hospital with a Level 2 Nursery?

    NPinWCH replied to mommy2boysaz's topic in Ob/Gyn

    I didn't say it, but like NurseNora, we don't keep kids with umbilical lines either. If they are sick enough to need the umbi line they go, though we do put them in and maintain them until transport...

  7. Small community hospital with a Level 2 Nursery?

    NPinWCH replied to mommy2boysaz's topic in Ob/Gyn

    My experience and opinion... I work in a unit very similar to yours, though we are about 50 minutes from hospitals with NICUs. We do about 380 deliveries/year, LDRP, and staff with 2-3 RNs/shift with...

  8. care of patients with a loss

    NPinWCH replied to jrring1019's topic in Ob/Gyn

    I am so sorry and you are in my

  9. Protocol/policy for adoptive parents

    NPinWCH replied to onyx77's topic in Ob/Gyn

    Hey we are a small critical access hospital our OB unit has only 5 LDRPs and 1 postop room...so small isn't an excuse. Regardless of what the birth mother says, in our unit she still would have been...

  10. Protocol/policy for adoptive parents

    NPinWCH replied to onyx77's topic in Ob/Gyn

    Over the years our policy has changed, but as of now the policy is: 1. Newborn is banded along with the birth mother. While in the hospital the birth mother has the right spend time with her baby,...

  11. Refusing "Hospital Protocal"

    NPinWCH replied to HeartsOpenWide's topic in Ob/Gyn

    Routinely, for an admit already in labor: No. Sometimes the docs will use AROM as the first step in a postdate induction with a favorable cervix and every once in awhile a doc will AROM to speed...

  12. NSVD with a vulvar hematoma

    NPinWCH replied to californianclextaker's topic in Ob/Gyn

    In 12 years I've only cared for 1 woman who developed a hematoma, except this one was lady partsl. G2 P1 6 hrs of labor, no epidural pushed about 40-50 min and delivered a nice 8 1/2 # baby with a...

  13. IV med admin: terrified of making error!

    NPinWCH replied to RNcDreams's topic in Emergency

    Well I find it difficult to answer your question since there are so many variables involved in giving any drug. The amount of morphine I feel comfortable giving relatively healthy 30 year olds non...

  14. Why Do Dr's do this?

    NPinWCH replied to q12RN's topic in Ob/Gyn

    It's not limited to family docs, nor is it limited to telling a pt she is less dilated than your assessment. We have an OB who ALWAYS disagrees with EVERY RN and tells the pt they are at least 1 cm...

  15. Evidence-Based practice re: Pitocin Inductions

    NPinWCH replied to HazeKomp's topic in Ob/Gyn

    We put 10 in 500. Start at 1 mu and increase by 1-2mu (doc dependent) q 30-40 minutes. We used to start at 2 increase by 2 every 15 and we would almost always end up maxing the pts out (20mu then...

  16. Homans Sign

    NPinWCH replied to babynurse32's topic in Ob/Gyn

    I was taught this same thing back in 1994. I have been fighting this battle at work ever since. Personally, I don't do Homan's for that reason, though it is included on our assessment form. I...

  17. Do the day nurses clash with the night nurses?

    NPinWCH replied to Sassybottom's topic in General Nursing

    I worked nights for 12 years and now I've been on days for 1 1/2 yrs and I've heard it both ways. I loved working nights because I had more autonomy and I didn't have managment, docs and ancillary...

  18. charting vacuum assisted deliveries

    NPinWCH replied to babies_r_us's topic in Ob/Gyn

    :yeahthat: Read the docs notes sometimes...lol, we have a doc that sometimes writes/dictates: as per nurses notes. ANd I can't tell you how many times the doc asks me "How many pulls, how long did...

  19. Circular vs. Traditional Patient Care Units

    NPinWCH replied to abbaking's topic in General Nursing

    I've seen the circular units...which I think I would like better than the corridor unit I work on now, but I've never seen the adjoining bathroom thing. The big trend around here is private rooms....

  20. boards need to regulate MA's

    NPinWCH replied to time4meRN's topic in General Nursing

    Regardless of how long schooling is for an MA the problem is that a doctor DOESN'T have to hire a certified or trained MA to work in his office. He can hire his untrained nephew/cousin/sister/best...

  21. charting vacuum assisted deliveries

    NPinWCH replied to babies_r_us's topic in Ob/Gyn

    I ALWAYS document vac deliveries, regardless of what the doc does because everyone of them will dictate it differently. I 'mark' the strip when the cup is applied and pressure is at the yellow/ready...

  22. cervical checks, again

    NPinWCH replied to crissrn27's topic in Ob/Gyn

    You are doing just fine...I think one of the hardest things to teach people is to find the cervix, because during labor the cervix will be "floppy". Remember the cervix changes in three ways: it...

  23. counting narcotics

    NPinWCH replied to ktwlpn's topic in General Nursing

    Our policy is that anytime one of the nurses goes home and/or at change of shift the cart must be counted. At change of shift it must be one oncoming and one outgoing nurse doing the counting....

  24. New girl in need of help!! : )

    NPinWCH replied to hollygirl1021's topic in Ob/Gyn

    Welcome and good luck on your future. The only things you need to be a nurse in any field is to graduate from a nursing program with your associate or bachelor degree, pass the NCLEX-RN which is the...

  25. Guess the mispronounced medical term

    NPinWCH replied to EricJRN's topic in General Nursing

    Pt. on 5th pregnancy this one with twins had been in a "few" times with various complaints in the last month of pregnancy. She NEVER let any of the RNs check her because, "That just makes me one of...