NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. My 2 cents on natural birth/birth plans

    NPinWCH replied to feebebe23's topic in Ob/Gyn

    Well...some people are going to sue regardless of the why, and some are going to win. Many times a jury gives a pt big $$ based on emotion...so it doesn't matter what you do. I'm going to assume...

  2. My 2 cents on natural birth/birth plans

    NPinWCH replied to feebebe23's topic in Ob/Gyn

    Feebebe23, I understand what you are saying...I empathize with you entirely, but I don't agree with you. I've done L&D for 12 years and I've seen some really wacky stuff in those 12 years. I...

  3. What's wrong with eye drops?

    NPinWCH replied to Jo Dirt's topic in Ob/Gyn

    All moms recieving prenatal care where I work are retested for chlamydia/gonorrhea as well as GBS between 35-36 wks. So a negative result would be reasurring; of course even if negative at 36 weeks...

  4. sterile or clean

    NPinWCH replied to happyrn10's topic in Ob/Gyn

    A midwife I used to work with would say, "There ain't nothing sterile about a lady partsl delivery." That being said she believed in keeping things as close to sterile as possible...but she wasn't...

  5. Who does your newborn screen/bilirubin labs?

    NPinWCH replied to samsmom95's topic in Ob/Gyn

    Lab does most bili levels, since we only do them on as needed basis so there usually aren't that many. RN caring for the couplet does newborn screens. We even do all repeats that show up at the...

  6. boards need to regulate MA's

    NPinWCH replied to time4meRN's topic in General Nursing

    The problem is that MAs really don't have any scope of practice. I know the rules vary from state to state, but in many states they aren't licensed. some are certified, but come on without oversight...

  7. post c-section pain control

    NPinWCH replied to L&DRNJenn's topic in Ob/Gyn

    Pretty much everyone, except true crash C/S, gets an epidural. They'll try spinals if they can't get the epidural in, or it won't take. Our pts up at side of bed in 8-12hrs and foleys pulled in...

  8. post c-section pain control

    NPinWCH replied to L&DRNJenn's topic in Ob/Gyn

    Most pts get epidurals. They come back to us with continuous epidural infusions of fentanyl/-caine drugs running at 8-12ml/h. They also have PRN orders: Toradol 30mg IV q6h and Morphine 1-2mg IVP...

  9. How is this possible?

    NPinWCH replied to Heloisea3's topic in General Nursing

    OK, so here is a longer explanation. My grandmother had Type II, which according to the doc was from being overweight and possibly r/t problems from Lupus. She was initally tx with oral meds...did...

  10. How is this possible?

    NPinWCH replied to Heloisea3's topic in General Nursing

    Umm...yep you're right, that's what happens when you post after working 16 hrs over night and haven't gone to bed yet. I meant to say Type two then went to type one. My fingers were moving faster...

  11. HELP HELP!! BABY born not breathing

    NPinWCH replied to nurse79's topic in Ob/Gyn

    It sounds like you did fine. OB is occasionally like that, but like everyone it's usually not. We don't have NICU and we don't call baby codes...though everyone knows if OB pages, "RT to room X"...

  12. How many RNs in a delivery?

    NPinWCH replied to Montessori Mommy's topic in Ob/Gyn

    Like everyone already said: 1 person for mom and 1 for babe. Most days that's what you get...when it's wacky wild, well it may just be you and the delivery doc. Usually, if busy the second nurse...

  13. How is this possible?

    NPinWCH replied to Heloisea3's topic in General Nursing

    My grandmother ended up with both type I and II. She was initially type two...didn't stick to her diet, went on oral meds...was controlled for a short time, but eventually needed insulin as her beta...

  14. My Kingdom for some linen!!!

    NPinWCH replied to 33-weeker's topic in Ob/Gyn

    Working in L&D/nursery I agree we need linen, and like you said sometimes it's just a big surge in deliveries. I don't think most of management understands how much linen is used for a normal...

  15. Health Informatics Survey

    NPinWCH replied to dbb89b's topic in General Nursing

    I'm always willing to help out a fellow masters student so I just finished your survey. Good luck with the thesis :)

  16. How much fluid bolus before epidural on your unit?

    NPinWCH replied to mitchsmom's topic in Ob/Gyn

    We try to get in 2L, but sometimes the CRNAs are in so much of a hurry to get it done and get back to OR that it can be as little as 500mls. I wish they would wait, but I can't say I'm totally...

  17. How to handle newborn hypoglycemia?

    NPinWCH replied to Elvish's topic in Ob/Gyn

    Where I am, we only have a level 1 nursery and we would have fed the kid. If he were breast feeding and fed well we would recheck the sugar 1/2 hr after the feed; if still low we would supplement...

  18. Had my first experience with a fetal demise today (m)

    NPinWCH replied to eandgsma's topic in Ob/Gyn

    :icon_hug: It is OK to cry. I cry every time I'm involved with a demise. I've cried at deliveries, while I bathed the baby, when I hand the baby to mom. I've cried beside the bed of grieving...

  19. NP NO Masters

    NPinWCH replied to FocusRN's topic in Nurse Practitioners, NP

    I am starting the Ball State FNP program this fall, it is completely online and it seems doable since it's set up as a part time program. I'll be taking about 6-7 hrs each semester...including the...

  20. Refusing "Hospital Protocal"

    NPinWCH replied to HeartsOpenWide's topic in Ob/Gyn

    I teach our hospital's childbirth ed class since no one else wanted it and I tell each and everyone of my students that they have the right to refuse ANY care they do not want, BUT if you choose not...

  21. Ball State's Online NP Programs...

    NPinWCH posted a topic in Nurse Practitioners, NP

    I will be starting the FNP program in the fall and was wodering if anyone out there is currently in this program or planning on starting this program soon? If so do you like the program? Do you feel...

  22. Lactation consultants

    NPinWCH replied to khine2mn80's topic in Ob/Gyn

    We have a lactation consultant who is on staff, she also works for the health department in our county. She usually stops in in the morning and asks if we have any new breastfeeding moms or any in...

  23. NP in Rural America

    NPinWCH replied to natrgrrl's topic in Nurse Practitioners, NP

    Don't know...but I've always wondered and while I don't know income specifics I heard from a reliable source that they both cleared 6 digits last year and the year

  24. Postpartum assessment at your hospitals

    NPinWCH replied to DCJ3's topic in Ob/Gyn

    That's just plain risky. I had a C/S after a 2 day pit induction VBAC attempt with my second child and I had one serious postpartum bleed. Hgb dropped from 14 to 6 something. I was numb from my...

  25. NP in Rural America

    NPinWCH replied to natrgrrl's topic in Nurse Practitioners, NP

    Rural OH, here. I've just been accepted to Ball States FNP program and one of the reasons I pursued my FNP is that in the county (total pop no more than 30,000) I live in 2 FNPs opened up their own...