LizzyL&DRN

LizzyL&DRN

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All Content by LizzyL&DRN

  1. Delivery meds

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

    Why is this doc over medicating his patients to prove a point?!?!?! We too have a pyxis, but we don't pull Hemabate or Methergine unless they are needed. Yes, that does mean we have run to the med...

  2. IUPC and Fetal Spiral Electrode Placement

    LizzyL&DRN replied to nurse79's topic in Ob/Gyn

    We place both FSEs and IUPCs where I work. For the FSE, #1 Always make sure you are not placing the FSE on a suture line or fontanel. #2 Make sure you are placing it on a Head! Although i have...

  3. What to do with Non compliant Diabetics???

    LizzyL&DRN posted a topic in Ob/Gyn

    I had a patient recently G4 P2, 18 yo, 2 prev C/S. Diagnosed just before 1st pregnancy with Type 1 Diabetes. Currently blood sugars in 300++, on insulin drip to get them under control and 25...

  4. What to do with Non compliant Diabetics???

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

    I can sympathize with you completely. I remember in nursing school thinking that Diabetes seemed like one of the most difficult diseases to manage, esp IDDM. But this pt of mine wasn't even...

  5. IUD Pregnancies

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

  6. Will I HAVE TO particpate in abortions if I become a L&D nurse????

    LizzyL&DRN replied to chnc1024's topic in Ob/Gyn

    Where I work the only elective "abortions" are those that are terminating a pregnancy due to fetal birth defects that are not compatible with life. If there is no way the baby will live if carried to...

  7. IUD Pregnancies

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

    I too have the Mirena. Mirena works by using hormones to "atrophy" the lining of the uterus, therefore stopping your periods. And it thickens cervical mucus to prevent sperm from even entering the...

  8. What to do with this kind of patient?

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

    I too have seen patients of all age groups present like this young girl. The best thing you can do for her is medicate her for the pain, try to walk her to stimulate her labor and get some cervical...

  9. How much fluid bolus before epidural on your unit?

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

    We aim for 500mls. 2-3 liters seems really excessive. I don't even start my bolus until I know anesthesia is on the way then continue to bolus throughout procedure and about 10 minutes following....

  10. Creative Pushing Positions

    LizzyL&DRN posted a topic in Ob/Gyn

    Here's the scenario: Term pregnancy, no complications, primip, completely dilated, +2-3 station, mom has an epidural but cannot feel the urge to push but can lift her legs, she does however push very...

  11. venting: fetal demise

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

    I'm sorry RedHead you had to deal with this. Unfortunately it's part of this field, and when our field is sad, it is sooooo sad. I too just had my first full term fetal demise a couple weeks ago....

  12. yet another intervetion for birth.....

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

    I think the risks to preterm labor patients would far outweigh the benefits. I can think of numerous risks including infection, Premature artificial rupture of membranes, and as just previously...

  13. Refusing "Hospital Protocal"

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

    I agree, I don't know any nurses that would force a patient to have anything done to them they didn't want done. All hospitals have protocols but it's my understanding the doctor can change the...

  14. yet another intervetion for birth.....

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

    Doubtful the hospitals will spend the money for this new system. It sounds awful! I don't think experienced nurses are really that far off when checking cervical dilation and station. The only...

  15. Refusing "Hospital Protocal"

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

    Then maybe she should go home and have her baby or a birth center. In our facility we would vigourously explain the importance of our protocols and that we only want whats best for the patient and...

  16. Bad day yesterday

    LizzyL&DRN replied to obtech2nurse's topic in Ob/Gyn

    I'm sorry for your bad day. And i'm sorry for that awful comment made by the charge nurse. I probably would have said something right then. Charting is absolutely not your number one priority. Of...

  17. doctor won't approve my birth plan...

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

    Does the hospital offer wireless fetal monitoring? Our hospital just got this system and i'm soooo happy about it. If mom wants to move around we do ask that she have a saline lock, but we can...

  18. loss of confidence

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

    Okay, i'm very embarrased to admit this but here is my stupid mistake. I was also VERY new off orientation, like 3 weeks off. Anyway I had a multip come in ruptured, contracting. I check her and I...

  19. What do you say when pts ask your opinion of docs??

    LizzyL&DRN posted a topic in Ob/Gyn

    So we all work with doctors that i'm sure we have questioned their judgement from time to time. And we all probably work with that doctor that we would never have as a doctor for ourselves. So what...

  20. Have you seen late pregnancy turn women into monsters?

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

    HECK YEAH!!! That was me!!! I couldn't explain it, but especially with family I was such a B@#*%H! I had been telling my mother in law the whole pregnancy that she could be in the delivery room...

  21. Question about Harlequin ichthyosis

    LizzyL&DRN replied to student456's topic in Ob/Gyn

    Is this condition something that can be diagnosed early in-utero? I have never seen a case nor heard of one at our facility. What a shock if you had no idea and delivered a baby that had

  22. Peripartum Cardiomyopathy...does your unit regularly assess for this *and*

    LizzyL&DRN replied to carachel2's topic in Ob/Gyn

    We had a mom that had a pre-exisisting cardiac problem prior to her pregnancy that she knew about(can't remember the exact dx). The doctors apparently told her she shouldn't have anymore children due...

  23. Somedays I just wish EFM would go away....

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

    In reference to the issue of transferring patients from triage to room: It is my opinion that all patients need to be seen in triage first. How many patients do you see that think they are in PTL...

  24. GYN patients

    LizzyL&DRN posted a topic in Ob/Gyn

    We occasionally get gyn patients up on our OB floor (hysterectomies, anterior and posterior repairs, etc). I've never actually cared for one, but lately we've seen an increase in how many we get. I...

  25. Ephedrine

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

    Our hospital allows us staff nurses to give it IM ONLY. The anesthesiologist has to be the one to give it IVP. The anesthesiologists would love it if the hospital would change the policy, they are...