RNmommy

RNmommy

Postpartum, Lactation

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All Content by RNmommy

  1. Regional differences in OB terminology ....

    RNmommy replied to Selke's topic in Ob/Gyn

    That is most certainly not true. 1) Our unwed FOB's do not have to watch a video. 2) My dh did not have to watch a video when our dd was born (we were not married at the time). They are only...

  2. Regional differences in OB terminology ....

    RNmommy replied to Selke's topic in Ob/Gyn

    Funny, I never thought about it before but we call it Cytotec when inducing labor and misoprostil when trying to stop a PPH. We use FLK a lot . We say complete and use TOLAC. I'm shocked by the...

  3. lithotomy...seriously?

    RNmommy replied to elizabells's topic in Ob/Gyn

    I agree 100% with SBE. I'm in CA. Where I work, the typical patient wants her entire stay to be pain free. This is an EXPECTATION. They are beside themselves that there is ANY discomfort when...

  4. Improving head shapes on neworns

    RNmommy replied to Laura SW's topic in Ob/Gyn

    I personally, and without any real evidence, think that flat head syndrome comes from letting babies stay in their infant carrier all the live long day. Some people barely ever take their kids out of...

  5. LATCH: a breastfeeding charting system and documentation tool

    RNmommy replied to baby&mommynurse's topic in Ob/Gyn

    We use LATCH and have for at least 5 years. I also fill in the LATCH score and then narrate on top of it. Not very useful in my

  6. Formula Companies & Big Tobacco

    RNmommy replied to futureTMA's topic in Ob/Gyn

    That's awesome. Hospitals and healthcare workers should be dedicated to advocating for optimal health. Formula feeding is NOT optimal. It's not the "next best" to breastfeeding, either. Why should...

  7. Starting PO after c/s

    RNmommy replied to Altalorraine's topic in Ob/Gyn

    Our patients are compliant for the most part. I'm sure it has to do with our population. Our C/S pts get duramorphs. They have sips/clears ordered for 24 hours. Most start on ice after 2h if no N/V....

  8. postpartum hemorrage PPH

    RNmommy replied to livtek's topic in Ob/Gyn

    Our policy is to do fundal checks immediately post void x3 voids. It's important to note the height AND position of the fundus, as well as lochial flow. If I pt is 4+ hours post delivery and has ANY...

  9. Anybody in Austin?

    RNmommy posted a topic in Ob/Gyn

    We are thinking of relocating within the next couple of years. We are currently in San Diego but the high cost of living is driving us mad. We want to move somewhere with a lower cost of living,...

  10. Anybody in Austin?

    RNmommy replied to RNmommy's topic in Ob/Gyn

    Thanks for the info. We are heading to Austin in February to check it out and if all goes well we will plan our move for the summer. We have been looking in Round Rock and Cedar Park. We've been...

  11. Lactation Consultants: Where do they chart?

    RNmommy replied to Choircat's topic in Ob/Gyn

    Our LCs have their own consult worksheet. It is triplicate and the original goes in mom's chart, one in baby's chart and another gets filed in the LC office (for future reference if mom calls for...

  12. LPN's in OB?

    RNmommy replied to LanaBanana's topic in Ob/Gyn

    We use LVNs in postpartum. They function mostly as CNAs, an assistive role. They do not take their own assignment. We don't use LVNs in

  13. Anybody in Austin?

    RNmommy replied to RNmommy's topic in Ob/Gyn

    Anybody?

  14. "VIP"s in labor

    RNmommy replied to RaeT,RN's topic in Ob/Gyn

    I like to treat all of my pts like VIPs but we do often times have "special"pts that the higher ups want to make sure are "well taken care of". That really doesn't bother me. I mean we all want the...

  15. Ice Packs?

    RNmommy replied to Aneroo's topic in Ob/Gyn

    Ours are from PHS medical. Their website is phsyes.com but there wasn't any product information

  16. Ice Packs?

    RNmommy replied to Aneroo's topic in Ob/Gyn

    I work on Tues. PM. I'll let you know what brand we use. Speaking from personal experience, they are FABULOUS!! And they feel better than real ice, even crushed, which gets very cold and can be...

  17. When did you take off for maternity leave

    RNmommy replied to MSMCnurse2004's topic in Ob/Gyn

    Myself and most of the RNs I work with took maternity leave at 36 weeks. I delivered my last @ 38 weeks and was so bored for the two weeks prior to delivery. With my next baby, I will try to work up...

  18. Staffing ratios for C Sections

    RNmommy replied to KRoman4's topic in Ob/Gyn

    One circulating RN for mom. The ALS team stabilizes the baby, lets it meet mom and transports it to the well baby nursery, where the nursery nurse performs the admission assessment and bathes the...

  19. What do you want your OB patients to get from childbirth class?

    RNmommy replied to Mahnikuh's topic in Ob/Gyn

    In the early PP period, a manual fundal check is necessary to assess the tone and height of the uterus. If the uterus is atonous, there will be excess bleeding and possibility of hemorrhage....

  20. What do you want your OB patients to get from childbirth class?

    RNmommy replied to Mahnikuh's topic in Ob/Gyn

    As a mother-baby RN, I would like my patients to have realistic expectations of the newborn. Newborns like to eat, A LOT. Every 2-3 hours is for 7 day olds :) Babies tend to enjoy most of this...

  21. Checking perineum during assessments?

    RNmommy replied to sparkiern's topic in Ob/Gyn

    We also assist vags to the BR 2-3 times before we want her doing it herself. We have a 99% epidural rate and it is fairly common for a woman to need to void more than once before she has her legs...

  22. Placenta Previa

    RNmommy replied to crb613's topic in Ob/Gyn

    Can you give a Power Point presentation? If so, you could import some illustrations of placenta previa. If you can't use Power Point, you could find a really good illustration and have it blown up...

  23. Routine newborn blood glucose testing?

    RNmommy replied to bbnurse's topic in Ob/Gyn

    We also only do SGA, LGA, GDM, pre/post term and those with symptoms. If the "routine" treatment for an asymptomatic hypoglycemic is po formula, I think that you are doing more harm than good in the...

  24. Best Stethoscope for Mother-Baby

    RNmommy replied to FizzgigRN's topic in Ob/Gyn

    I also use a Littman pediatric. If I ever have to do an involved mom assessment, I use one of the unit scopes. But most of my day, I assess heart lung and bowel sounds on babies. It is hard to hear...

  25. does anyone know this answer????

    RNmommy replied to cna2005rkfd's topic in Ob/Gyn

    First Response claims to be able to detect hcg up to five days BEFORE an expected period. The earliest I've ever had an accurate result is the day before my expected