rUmad2

rUmad2

OB, newborn, gyne

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All Content by rUmad2

  1. Nurse to patient law

    rUmad2 replied to Mirth's topic in Illinois Nursing

    You expressed my concerns

  2. Nurse to patient law

    rUmad2 replied to Mirth's topic in Illinois Nursing

    Thank you! This is exactly the type of information I was hoping to find. I do not know if we are a Critical Access Facility..but now I know to find out. Again, thanks!

  3. Nurse to patient law

    rUmad2 replied to Mirth's topic in Illinois Nursing

    I work at a small rural hospital. Our census on the med-surg floor can fluctuate anywhere from 8 to 30 patients. Our OB department can go from zero to 4 mom/babies and a couple antepartums in nothing...

  4. Ephedrine IV push

    rUmad2 posted a topic in Ob/Gyn

    I work in a small rural hospital where anesthesia can become unavailable due to unexpected situations. Although rare, there have been times when a mother experiences hypotension from a labor epidural...

  5. Ephedrine IV push

    rUmad2 replied to rUmad2's topic in Ob/Gyn

    Thank you all for your great advice!! I think for our small unit, the policy of having anesthesia mixing/labeling it and writing the order is what will be best! Thanks again!

  6. Insulin and diabetic in labor

    rUmad2 replied to rUmad2's topic in Ob/Gyn

    Thanks for the response! We have had GREAT control with subq....we have diabetic educators who have good intentions but are trying to make IV insulin our "standard" and insist we use is it all IDDM...

  7. Insulin and diabetic in labor

    rUmad2 posted a topic in Ob/Gyn

    How many automatically run IV insulin and dextrose on diabetics (on insulin) in labor? I have read the ACOG guidelines but after surveying hospitals in my area, it seems many still give insulin subq,...

  8. Insulin and diabetic in labor

    rUmad2 replied to rUmad2's topic in Ob/Gyn

    How many automatically run IV insulin and dextrose on diabetics (on insulin) in labor? I have read the ACOG guidelines but after surveying hospitals in my area, it seems many still give insulin subq,...

  9. Does this make sense?

    rUmad2 replied to KK7724's topic in Ob/Gyn

    If you are willing and able to keep up all the competencies required to work in the nursery, there shouldn't be a problem. We have nurses who work full-time for our hospital then work the minimum...

  10. Does this make sense?

    rUmad2 replied to KK7724's topic in Ob/Gyn

    If you are willing and able to keep up all the competencies required to work in the nursery, there shouldn't be a problem. We have nurses who work full-time for our hospital then work the minimum...

  11. How Has "Reality TV" (A Baby Story, etc) Affected Your Work?

    rUmad2 replied to BabyRN2Be's topic in Ob/Gyn

    We are fortunate to have a wonderful childbirth educator who tells her classes, "Childbirth is NOT a spectator sport." And, the oddest experience I have ever had with the "Baby Story" was the mom who...

  12. Couplets and nurse:patient ratios

    rUmad2 replied to NICU_Nurse's topic in Ob/Gyn

    The 6:1 AWHONN guidelines pertains to well babies, only..I think? Couplets are

  13. Mother-Infant Coupling

    rUmad2 replied to niquern's topic in Ob/Gyn

    I believe "Guidelines for Perinatal" states a ratio of 6:1 for well-baby:nurse. From the units that are completely "mother-baby" I have a question, please. What are your patient satisfaction...

  14. Mother-Infant Coupling

    rUmad2 replied to niquern's topic in Ob/Gyn

    I work in one of those "old-fashioned and outdated" facilities. Our moms are encouraged to keep their babies with them as much as possible but as a rule, most of them return to the nursery at night....

  15. Cervical dilitation

    rUmad2 replied to AmAnRN's topic in Ob/Gyn

    Hang in there! I remember asking an OB-gyne about effacement. She told me what really matters is that you can tell the cervix is getting thinner or if it all of a sudden begins to swell somewhere....

  16. Labor and Delivery staffing

    rUmad2 replied to Darchild77's topic in Ob/Gyn

    Your concerns are completely valid. I work in a small rural hospital (300 births per year) so we wear many hats, too. We worked very hard to convince our administration 2 OB RNs (we do labor,delivery,...

  17. Labor and Delivery staffing

    rUmad2 replied to Darchild77's topic in Ob/Gyn

    Do your L&D nurses have other responsibilities (postpartum, nursery.) Do you do C-sections in your

  18. Central Monitoring System

    rUmad2 replied to AlaskaKat's topic in Ob/Gyn

    it's my understanding Watchchild isn't FDA approved for some reason. All monitoring systems have Sa02, b/p capabilities. You can also get them with maternal ecg. Truly, I'm not a sales rep for...

  19. Central Monitoring System

    rUmad2 replied to AlaskaKat's topic in Ob/Gyn

    I recently sat through vendor presentations from Phillips Medical and GE Medical (who was corometrics.) Go with who will provide best service. There were 5 hospitals at this presentation and the...