NPinWCH

NPinWCH

Family NP, OB Nursing

Member

  • Content

    374

  • Visitors

    7,510

  • Followers

    0

  • Likes

    1

All Content by NPinWCH

  1. Adjusting to night shift--HELP!!

    NPinWCH replied to Annebug's topic in General Nursing

    My advice: 1. Make sleep a priority! I worked nights (and loved it) for 11 years and this was much easier before I had kids, but even with kids I put getting rest as close to the top of my list as...

  2. Vitamin K Administration

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

    When caring for a neonate vitamin K is ALWAYS given IM in the vastus lateralis, and for the record I always aspirate. I actually have aspirated blood on 2 occasions and like someone already said, it...

  3. Need to pick your brain....

    NPinWCH replied to LilDKessler's topic in Ob/Gyn

    If I understand what you are talking about the "troll" type thing is called a dermoid cyst or tertoma. It is a cyst formed from the germ cells of the ovary and they can contain teeth, nails, hair,...

  4. loss of confidence

    NPinWCH replied to scrubnurse's topic in Ob/Gyn

    Some people just don't feel good about themselves unless they feel they know more than someone else. This is HER problem, not yours. You took good care of your patients, you bonded and regardless of...

  5. do you actually wait?

    NPinWCH replied to StacieRN's topic in General Nursing

    It depends on the situation. I'll give a postpartum mom tylenol at 2am then tell the doc to write to order when I see him at 7am, and I'd never do that with a narcotic, but if a woman walks in with...

  6. itching after cesarean section

    NPinWCH replied to mani3433's topic in Ob/Gyn

    I argue almost daily with my fellow nurses who complain about their patients complaining about the itching. They are quite fond of saying, "Oh come on...she's got to understand it's better to itch...

  7. All CRNAs need to READ this

    NPinWCH replied to janecristensen's topic in Certified Registered Nurse Anesthetist, CRNA

    OK, first I am not a CRNA...simply a soon to be NP student, and I have no idea what thread this may have started from, but there were a few things in your post that I can't keep from commenting on....

  8. Liability of threatened AB on M/S unit?

    NPinWCH replied to new_nurse_2006's topic in General Nursing

    I know we are talking about a second trimester abortion. All I'm saying is that a THREATENED abortion won't be admitted to our OB dept or Med/surg. If we have a fetal demise at 16-18 weeks she would...

  9. Liability of threatened AB on M/S unit?

    NPinWCH replied to new_nurse_2006's topic in General Nursing

    My biggest question is why she was admitted to the hospital at all. I know that sounds heartless, but there isn't anything a hospital can do with a 16-18weeker. I work in a rural LDRP dept and she...

  10. nurses infected with HCV

    NPinWCH replied to caymen's topic in Patient Safety Issues

    I work with a nurse with HCV, it's a non-issue. She has had two rounds of treatment without clearing the infection. She's getting ready to start some new drugs. The only problem she has is like...

  11. Newborn Transition Policy

    NPinWCH replied to JaneyW's topic in Ob/Gyn

    We put babe to mom's chest, clamp/cut cord, and then dry and do initial VS with babe skin to skin. We keep baby there as long as mom wants. Usually, when the doc is done with exam/repair we put baby...

  12. Do you get a lot of false alarms coming in?

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

    My last 10 triage pts: 1. 29 wk g2p1 c/o "sharp pains in my crotch when I move it also hurts when I pee" came from work. U/A, Rx for Abx and home. 2. 36 wks g1 c/o "I think I'm having...

  13. Is there a Doctor in the house? Working a code without one in an LTAC

    NPinWCH replied to MrsWampthang's topic in General Nursing

    You, as the nurse, are held to a standard of care. If you don't maintain the standard you breech your duty. Unless the pt has an advanced directive in writing indicating that you shouldn't begin...

  14. Is this considered safe practice?

    NPinWCH replied to rkmoyers's topic in Ob/Gyn

    Awhonn standards clearly state that there should be 1 person in the delivery room who's sole responsibility is the care of the newborn. Where I work the OR staff is responsible for circulating and...

  15. Peripartum Cardiomyopathy...does your unit regularly assess for this *and*

    NPinWCH replied to carachel2's topic in Ob/Gyn

    I've been an OB nurse for more than 12 years and I've seen 2 pts with PP cardiomyopathy. One that was diagnosed almost immediately after delivery and another who wasn't diagnosed for about 3 weeks...

  16. Question on Nursing Hours Required

    NPinWCH replied to Lynn07's topic in General Nursing

    Don't know what state the OP is from, but in OH all RNs renew in August every two years (the odd years, LPNs in the even years)-no matter what. So, if you passed your boards in January you still must...

  17. equipment sterilization/ hiv-hep

    NPinWCH replied to lauralassie's topic in General Nursing

    When I worked in an OB/GYN office we had some sort of solution that we used to pre-clean our instruments BEFORE autoclaving, but if you read the bottle there were actually instructions for chemical...

  18. LPN's in OB

    NPinWCH replied to obnurse13's topic in Ob/Gyn

    We have 1 LPN in our small LDRP unit. She usually does couplet care, but also attends deliveries to do initial newborn care. She can't assign apgars, do initial assessments or gest. age, but does...

  19. question

    NPinWCH replied to sweetieann's topic in Ob/Gyn

    Basically the answer to all your questions is, Yes. I won't use internals unless I have to, because of the increased infection risk, but sometimes you have to. If the pt is obese, or the baby is in...

  20. What are the huge "DO NOT EVER DO" things that new nurses need to know about? calling

    NPinWCH replied to katiebugg's topic in General Nursing

    With all the technologies we have it's sometimes hard to remember that there is a person attached to all that data. ALWAYS treat the patient not the numbers. I can't tell you how many times I...

  21. What exactly is Rural Nursing

    NPinWCH replied to pat8585's topic in Rural

    We are a small county hospital: 8 bed ER, 14 bed M/S, 5 bed OB, 5 bed ICU. No pharm after 1600, but we do have x ray and lab 24 hours. Surgery is on call after 1600 or after cases are finished for...

  22. evidence based practice

    NPinWCH replied to nurse79's topic in Ob/Gyn

    My list of why we don't use EBP. 1. Resistance to change by nurses. 2. Resistance to change by docs (some who feel unless the study was done by MD/DOs at some great teaching hospital it isn't worth...

  23. Help understanding a question

    NPinWCH replied to krazykev's topic in Nursing Student Assistance

    #1 - Agree with your answer, but normal cells are exposed at the same rate as the cancer cells BUT they have a better ability to correct the damage to their DNA #2 - Answer is "Fatigue relieved by...

  24. Help name our ROBOT

    NPinWCH replied to Nurse_Smith's topic in General Nursing

    Dr. A. Proxia - a state characterized by the doctor's inability to perform skilled or hands on diagnosis, generally caused by doctor being in another part of the

  25. That MD is a %^&( and this is how I dealt with it....

    NPinWCH replied to MoriahRN's topic in General Nursing

    Not long ago a friend of mine had a baby delivered by a family doc and was also taking the baby to this same doc. She called me at home about a week after she delivered and said, "I was holding her...