LizzyL&DRN

LizzyL&DRN

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All Content by LizzyL&DRN

  1. Number of procedures scheduled per day?

    LizzyL&DRN replied to L&Doldtimer's topic in Ob/Gyn

    We are a fairly busy unit (about 300 deliveries/month) and we allow 5 procedures per day. We usually have a 0730, 1230 and 1730 c sections and then two inductions per day. We have a schedule book at...

  2. Ugh! Delivered Baby On My Own The Other Day...

    LizzyL&DRN replied to jenrninmi's topic in Ob/Gyn

    I giggled too when i read your post. This is going to happen so many more times. I don't work at a teaching hospital but I delivered one last night with the doctor right next to me struggling to put...

  3. How many L&D nurses rupture membranes or insert IUPC's?

    LizzyL&DRN replied to Salgal08's topic in Ob/Gyn

    We are allowed to AROM under certain conditions...1. We must have an order from MD. 2. Pt must be at least 4 cm dilated and at 0 station and in active labor. 3. We must have been signed off by 3...

  4. Are my fingers failing me????

    LizzyL&DRN replied to crysobrn's topic in Ob/Gyn

    Was it a nurse or doctor that checked the patient after you? I have seen doctors be unbelievable stingy with their dilation for the sake of less grief from the patient and family for a c section. I...

  5. The baby that was born twice!

    LizzyL&DRN posted a topic in Ob/Gyn

    Check out the link below about this family that underwent fetal surgery to remove a very large tumor that was growing on the baby and would have killed her had the surgery not been performed. An...

  6. Help with my clinical scenario

    LizzyL&DRN replied to cubeo's topic in Ob/Gyn

    The cephalohematoma absolutely does have something to do with the jaundice. Bilirubin is a produced by the breakdown of hemoglobin. As the baby's body breaks down the hematoma, excess bilirubin in...

  7. Think outside of the box

    LizzyL&DRN replied to mugwump's topic in Ob/Gyn

    While i'm not familiar with your computer charting I will tell you what we do at my facility. We use OB tracevue and we print out a baby H&P that has all the mother's pertinent information, like...

  8. Discontinuing Mag Sulfate

    LizzyL&DRN replied to nurturing_angel's topic in Ob/Gyn

    I'm wondering why they wean them off and "watch their pressures?" Mag doesn't lower BP hardly at all. Do they ever have to increase the mag once they've started weaning

  9. What would you do in this situation?

    LizzyL&DRN replied to camay1221_RN's topic in Ob/Gyn

    But what would have happened if L&D got busy? Would they have to move this mom in the middle of her stay? She was a c section so probably there for at least 2 days right? I completely understand...

  10. What would you do in this situation?

    LizzyL&DRN replied to camay1221_RN's topic in Ob/Gyn

    In our unit we too offer moms the option of going to a med surg floor although I have not seen a mom accept that offer in the 5 years i've been there. If a short hospital stay is expected for a...

  11. Teaching Project Ideas, anyone?

    LizzyL&DRN replied to crazylilkelly's topic in Ob/Gyn

    How about Pre-eclampsia? It's a pretty common thing in L&D. Good

  12. What do you think of this?

    LizzyL&DRN replied to KJDpreggo's topic in Ob/Gyn

    I see your dilema. I would suggest to make a special appointment with doctor to discuss your concerns. Explain to him your financial hardship. Is there another way to order the tests so that...

  13. What do you think of this?

    LizzyL&DRN replied to KJDpreggo's topic in Ob/Gyn

    While we cannot offer any medical advice I will say this. Why not get the NSTs and BPPs? These are completely non invasive tests and will only ensure the well being of you and your baby. There is...

  14. Incompetent Co-Worker? LONG IMPORTANT

    LizzyL&DRN replied to dragonfly1325's topic in Ob/Gyn

    It sounds like you need to go straight to your Risk Managment department and report this. In the interest of patient safety, it's important this situation be looked into. I would also make a call to...

  15. Twas The Night Before Christmas

    LizzyL&DRN replied to L&DRN03's topic in Ob/Gyn

    I printed this out and took it to work. Everyone loved it, it describes our unit very well. Thanks for

  16. amniotic fluid embolism

    LizzyL&DRN replied to Almabella's topic in Ob/Gyn

    We've only had one on our unit that I've heard of. She presented as a full term fetal demise patient and we were inducing her labor. The MD broke her water and she sat up for an epidural got SOB and...

  17. pain med...

    LizzyL&DRN replied to stephera's topic in Ob/Gyn

    We have one doc that orders Fentanyl 100mcg q 30 minutes. All the other docs order it q 1 hour. Q 1 hour is not often enough in my opinion, the mom's are always in as much pain as they started...

  18. Uterine Inversion !!!!

    LizzyL&DRN replied to magz53's topic in Ob/Gyn

    I have never seen a uterine inversion nor have I heard of one on our unit. I have some questions about it.... Does the mom always bleed uncontrollably following it? Does she always need a...

  19. Healthy women schedule C-sections to prevent vaginal stretching

    LizzyL&DRN replied to rph3664's topic in Ob/Gyn

    This post is to all of you judging the women who have had lady partsl surgeries to improve the look and "feel" of themselves. Following my 2 lady partsl deliveries (the first ending with a 4th...

  20. Healthy women schedule C-sections to prevent vaginal stretching

    LizzyL&DRN replied to rph3664's topic in Ob/Gyn

    I have seen several patients come in having Primary cesarean sections, electively. I try not to judge the situation and hope the doctor has informed them of the risks and benefits. Babies born lady...

  21. ??? about PP Hemorrhage

    LizzyL&DRN replied to shortstuff31117's topic in Ob/Gyn

    If she went back to OR for D&C it sounds like maybe the doc thought there may have been some placenta left in. If a chunk of placenta is stuck inside, you can very well have a firm fundus but...

  22. Sorry I have been incommunicado...

    LizzyL&DRN replied to SmilingBluEyes's topic in Ob/Gyn

    I had been wondering where you had gone to. Glad to hear all is

  23. hocus pocus

    LizzyL&DRN replied to rn_4_babies's topic in Ob/Gyn

    What is a hocus pocus

  24. Group B strep & pit concentration

    LizzyL&DRN replied to PattonD's topic in Ob/Gyn

  25. Group B strep & pit concentration

    LizzyL&DRN replied to PattonD's topic in Ob/Gyn

    In my hospital in this situation, Pitocin would have been started at 2 mu and titrated to facilitate active labor. The baby however would have been treated with our "GBS protocol." This is due to...