NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. Kangaroo Care

    NPinWCH replied to twinkletoes53's topic in NICU, Neonatal

    The childrens hospital out here uses those fold up zero gravity chairs in the NICU for Kangarooing. They support up to 300#, can be wiped down easily and since they fold up they are easy to store and...

  2. Self Mutilation

    NPinWCH replied to GardenDove's topic in Psychiatric

    My two cents...take it for what it's worth. As a previous cutter, I would feel betrayed if the teacher went forward, but this student is looking for help, she's crying out for it. As a nurse and a...

  3. OB Spanish

    NPinWCH replied to Shappy's topic in Ob/Gyn

    Try here this was created especially for OB nurses and

  4. Foley Balloons for cervical ripening?

    NPinWCH replied to RAIZIE's topic in Ob/Gyn

    At my small community hospital (380 deliveries/yr) we have 1 OB and 5 family docs. We use foleys for postdates. The OB has his girls come in at noon, NST, then places the bulb, inflates to 40ml,...

  5. Pitocin induction-pit rates

    NPinWCH replied to HappyNurse2005's topic in Ob/Gyn

    We've been using the slow pit (start at 1 up by 1-2 q 30) for 3 years now. When we first changed the policy our docs were not happy campers. We gathered the stats and the slow pit worked better and...

  6. Are medical-legal concerns changing childbirth?

    NPinWCH replied to kathiecnm's topic in Ob/Gyn

    Our pts sign admission consents and then consent for epidural, primary or repeat c-section, baby admission, infant hearing assessment and hep B vaccine (and circ if desired). We don't have centralized...

  7. Stupid Nurse Trick... Don't try this at home... or work!

    NPinWCH replied to TXRN02's topic in Nursing Humor

    Umm...I once dropped a syringe which then rolled under my pt's bed, as I bent to retrieve it she pressed the button to raise the head of her bed which then caught my hair in one of the joints and...

  8. Cytotec in the News!!

    NPinWCH replied to rtoi123's topic in Certified Nurse-Midwives, CNM

    We use it at our facility. All patients must sign a special consent that actually states that it is not FDA approved. The consent also lists the risks/benefits. We give 50-100mcg PO q 4h. Monitor...

  9. RN to Midwife

    NPinWCH replied to Claire_Fraser's topic in Certified Nurse-Midwives, CNM

    i am a hospital l&d nurse with 10yrs experience and i agree with you on the inappropriate use of technology, but i wanted to say that there are some rns who believe in natural birth out there. i...

  10. What is the best way to win the battle for unit differentials?

    NPinWCH replied to NeedyourhelpRN's topic in General Nursing

    You make it sound like the only nurses with expertise in many areas are ICU nurses. On my unit most of us have expertise in several areas also. While off the top of my head I may not remember every...

  11. What is the best way to win the battle for unit differentials?

    NPinWCH replied to NeedyourhelpRN's topic in General Nursing

    I'm not sure I understand why you want a differential for working in a specific unit. Each unit has it's own set of advanced skills, what is it that your dept. does that is different from say ER, OB,...

  12. epidural pumps

    NPinWCH replied to kcrnsue's topic in Ob/Gyn

    I work in a small rural L&D and here we use regular IV pumps for our epidurals. We have a policy in place that include doing the following: 1. The epidural infusion is place inside a locked...

  13. Most important thing for a new LD nurse to know

    NPinWCH replied to Elisheva's topic in Ob/Gyn

    I just want to point out that even when you know the drug, the proper dose and the proper route you can still screw up. A few yrs ago I gave Vistaril IV, even though I knew it was an IM only and had...

  14. Doula Thoughts on L&D (long)

    NPinWCH replied to futureTMA's topic in Ob/Gyn

    I've been a Labor/delivery RN for 12 years now. I was at one time also a certified doula (I let my certification lapse when I went back to work full time). I also currently teach childbirth...

  15. Soap Suds Enema in L&D - do you still use?

    NPinWCH replied to StatRNNJ97's topic in Ob/Gyn

    When I first started working in my current hospital, 13 years ago, every doc ordered an enema and shave prep on EVERY pt. Me, being just out of school, started simply asking pts, "Do you want an...

  16. Weekends only "Baylor Plan", how realistic is this for a new grad?

    NPinWCH replied to waterlily's topic in General Nursing

    Hi Waterlily! When I first started working at the hopsital I am employed at (over 10 years ago), they had a Weekend Only program which meant you worked Sat and Sun 12 hr days or Fri and Sat 12 hr...

  17. Starting Maternal Tranport Team

    NPinWCH replied to BABYRN916's topic in Ob/Gyn

    I so wish that we had a trasfer team, but we don't. Up until last month we(an RN) also went on all of our maternal transfers via ambulance, but the lawyers have said that if something were to happen...

  18. Heavily Tättooed: Can I get into nursing???

    NPinWCH replied to YukonDave's topic in General Nursing

    Yukon Your tats shouldn't keep you from getting into nursing school. If they want you to keep them covered there is no reason you couldn't wear a long sleeved t-shirt, turtle neck or henley under...

  19. LVN Vs. RN?

    NPinWCH replied to elleon's topic in General Nursing

    I work in OB, and we have only 1 LPN on our unit but she is NOT an assistant. Somedays I don't know what we would do without her. She takes a full patient load (up to 4-5 mother baby couplets), she...

  20. Frustrations about L&D nursing

    NPinWCH replied to RNLaborNurse4U's topic in Ob/Gyn

    I know exactly what you mean. Rate pain 10, but the first question out of their mouth is "How do you dial out," or "Can I use my cell phone in here?". Not to mention the ones they dial 911, come in...

  21. OB Policy and Procedures " HELP PLEASE"

    NPinWCH replied to Caseyrnbsn's topic in Ob/Gyn

    First let me state that we do not follow the recommendations of any professional body, we know it and we don't like it. We nurses have complained and yet the docs refuse to change the policy. I work...

  22. What is your policy for scheduling inductions?

    NPinWCH replied to tamrnmomof4's topic in Ob/Gyn

    I work in a small rural hospital with a level 1 nursery. We staff 2 RNs or 1 RN/1 LPN with a 3rd nurse on call (at night anyway). I WISH we had a policy similar to yours, but alas we don't . Our...