catfac

Is the stethoscope you use one designed for listening to babies? The baby stethoscopes are more sensitive. Listening to known murmurs has really helped me.

Do you have a union at your hospital? Do you have a staffing committee at your hospital? Work for a staffing guideline. Such as the AWHONN recommendations. With the rise in healthcare costs we are all being faced with increased work load. You can file unsafe staffing reorts with your state board of nursing. Have you talked with your manager? You have Four years invested, work for changes. Encourage using national standards of care.

you are right I used the wrong abbreviation and a zero got dropped. I meant 600 mcg, So sorry I reviewed what I wrote and saw what I wanted and not what was there.

We very seldom use methergine. Hemabate is not used often. We use 60mg cytotec placed in the rectum. With good results. Of course fundal massage is also very important:idea:

Are you sure you understood correctly? I cannot immagine anyone associated with recovery of a delivered patient not checking the fundus by palpation. As said by others you cannot adequately assess position, firmness, and size without touching the patient.

Can you tell me where to find the evidence based studies that say to increase at 30 min. or more. We have preprinted orders for Q 20 min. the docs often cross it out and write 15. we start at 2and increase by 2. As long as we have a good strip and 1 min. resting tone between contractions.