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You expressed my concerns perfectly....

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! Bet

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 flat. Am I in favor of this patient law? Of cour...

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 and needs ephedrine but anesthesia has become tied...

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! Beth

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 patients in labor--in good control or not. Thanks ...

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, check capillary glucose frequently and have dextr...

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, check capillary glucose frequently and have dextr...

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 number of shifts at another hospital for the big buck...

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 number of shifts at another hospital for the big buck...

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 insisted it be on while she was pushing. Of cour...

The 6:1 AWHONN guidelines pertains to well babies, only..I think? Couplets are 4:1.

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 comments? I do believe the key here is not only educatin...

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. Are your rooms arranged so nurses can be frequent...

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. She was a very down-to-earth person but hearing tha...

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, pp, and nb with our C-sections being done in surg...

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

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 either company! I've just been looking into updating o...

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 consensus was Phillips product was less busy and more...