NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. Pushing/delivery positions and epidurals

    NPinWCH replied to CEG's topic in Ob/Gyn

    I've found that if they can get into the position, which depends on how heavy the block is, getting them onto their knees while using the back of the bed to support their upper body works pretty good....

  2. Somedays I just wish EFM would go away....

    NPinWCH replied to kathiecnm's topic in Ob/Gyn

    Babyktchr makes a good point to ensure you have a FHR not a maternal one. A few years ago we had a pt come in with a c/o "My car was rearended yesterday and the baby hasn't been moving as much and I...

  3. Typical rate/dosage pitocin after C-Section

    NPinWCH replied to TooterIA's topic in Ob/Gyn

    All I can say is OUCH!!! I attempted a VBAC with my second and after a 2 day pit induction went for a repeat c-section for a 9#14oz girl...well we all know what happens after 2 days of pit and a big...

  4. Gardasil: has your daughter had this vaccine?

    NPinWCH replied to Morgan314's topic in General Nursing

    One thing to remember: Gardasil only protects against 4 of the 10 strains of HPV that cause cancer, and it does not protect at all against the other 20 strains of sexually transmitted HPV. Many of...

  5. Calling the OB for decels..

    NPinWCH replied to nurse79's topic in Ob/Gyn

    NICHD definition of Late Decel: Visually apparent gradual decrease (onset to nadir is ≥ 30 sec.) of FHR below baseline. Return to baseline with a uterine contraction. Nadir of deceleration occurs...

  6. Calling the OB for decels..

    NPinWCH replied to nurse79's topic in Ob/Gyn

    OK, so a spin on this question (allow me to play devils advocate...since our docs play this game ALL the time): Is 1 isolated late appearing decel truely a late decel since by definition a late decel...

  7. Action Alert! FDA is trying to outlaw natural medicine!

    NPinWCH replied to Aunt Bytes's topic in Activism, Healthcare

    Let me start by saying I have more "alternitive" meds/herbs...in my house than FDA approved ones, BUT even I feel the herb/supplement industry needs more oversight. Many people believe everything...

  8. question re: nurses doing vaginal/cervical exams

    NPinWCH replied to ljb's topic in Ob/Gyn

    I work in a small community hospital. We do vag exams, as we don't have any docs around to do them. I have friends who work at the big teaching hospitals, including the big university hospital and...

  9. add your funny TRIAGE complaints from pts

    NPinWCH replied to er nursing's topic in Emergency

    From OB: 32 wks pregnant with twins, "I don't feel so good, I think the babies are pressin' on my prostrate." "My water broke up." (after several questions, pt was vomiting "some kinda chunky green...

  10. PCA Pump Settings

    NPinWCH replied to Scoobiedoo's topic in General Nursing

    If the actual order reads "Demerol PCA 10/10/80" I would have to call to clarify the order. I need more info. You also need to be familiar with the type of PCA pump available at your facility, since...

  11. New here and in position...Need advice!!!

    NPinWCH replied to NelliRN06's topic in Ob/Gyn

    We aren't allowed to phone triage anymore, though when we did we had a log book that listed date/time of call, pt name, doc, complaint and what was said. We still get calls and we always ask: What...

  12. Assessment of FHR during second stage of labor

    NPinWCH replied to Jemma's topic in Ob/Gyn

    Where I work we usually document every 15 min during second stage (routine healthy mom and babe), however we are required to "evaluate q 5 min" AEB entering your initials or some note via the comupter...

  13. CLEP exams

    NPinWCH replied to SoontobeAdrienneRN's topic in General Nursing

    I "CLEPped out" of Sociology and Humanities. I didn't study and had no problem with either test, but I had a strong foundation in both from high school. I would have taken every CLEP they offered but...

  14. Average pay for office nurses ohion?

    NPinWCH replied to time4meRN's topic in General Nursing

    I've seen the pay range from as low as $15/hr to $25/hr, but I've not seen it at $33. For a while I worked in a busy OB office for $15 and Health insurance, but this was a one man show. Some of the...

  15. "I'm an uncertified medical assistant"

    NPinWCH replied to Freedom42's topic in Medical Assistant, CNA/MA

    There are no credentials for "medical assistant". There are all kinds of certificate programs and such, but the term is just a catch all for people just like her. Those who don't have credentials....

  16. Going to an interview as a rural OB nurse, have QUESTIONS!!

    NPinWCH replied to cisco's topic in Ob/Gyn

    Questions: How many RNs/shift in OB? How many NRP certified people attend each delivery? (standard of care is at least 1 person completely capable of ALL the NRP skills just for the baby) How long...

  17. Security

    NPinWCH replied to magz53's topic in Ob/Gyn

    Up until last year our unit was open 24/7, but we had cc video. We now have a locked unit and the video, but no alarm bracelets. We all agree we feel more secure "buzzing" people in, the only...

  18. Pitocin induction-pit rates

    NPinWCH replied to HappyNurse2005's topic in Ob/Gyn

    Most of our docs like 10units of pit after the placenta is delivered, we have 1 doc that always wants 20. We also track our pit use: Reason for use, time pit started, time/type of delivery, was the...

  19. Pitocin induction-pit rates

    NPinWCH replied to HappyNurse2005's topic in Ob/Gyn

    OMG!!! That's just crazy, stupid and dangerous for mom and baby. How many PP bleeds do you guys have? After pouring that much pit in the uterus can't possibly even respond the way it should after...

  20. Nurse initiated SVE

    NPinWCH replied to canoehead's topic in Ob/Gyn

    Where I work all RNs, who have been through orientation and have met our minimum clinical guidlines, are then "credentialed" by the hospital to provide a labor assessment/screening exam. We still...

  21. LPN role in OB

    NPinWCH replied to kat7ap's topic in Ob/Gyn

    Congrats!! We have an LPN working in our unit, she usually takes mom/baby couplets or babes, depending on the census. She's great at assessment (I trust her judgement over some of my fellow RNs)....

  22. Funniest Write Up You have Every Recieved?!

    NPinWCH replied to nursebrandie28's topic in General Nursing

    When I was a CNA in LTC I was written up for not having my barely shoulder length hair up. OK, so that policy isn't too unusual, I have since seen similar dress codes. My only problem was the policy...

  23. Nurse initiated SVE

    NPinWCH replied to canoehead's topic in Ob/Gyn

    I work OB in a small rural hospital We always do our assessments BEFORE even contacting the doc. It's our judgement and may include: Spec exam, fern, FFN, u/a, GenProbe for GC/Chlamydia, wet prep,...

  24. Blood pressures post op

    NPinWCH replied to YA4US4's topic in Operating Room

    I think what YA4US4 is saying is that someone told her to take the pressure in the arm the pt is still lying on. The only thing this will do is artificially increase the BP. The external pressure...

  25. Pain relief options during labor

    NPinWCH replied to RNPamP's topic in Ob/Gyn

    This topic covers 3 in a series of 6 two hour classes I teach, but I'll try to keep the answer as short as possible. If I could tell every woman who is planning on having a baby 1 thing it would be...