LizzyL&DRN

LizzyL&DRN

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All Content by LizzyL&DRN

  1. How much pitocin SQ to give after placenta delivery?

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

    We had one Doc that liked 10units of Pitocin IVP with delivery of anterior shoulder. There are some studies that suggest a decrease in risk of postpartum hemorrhage with this type of administration....

  2. ON-Call policy

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

    I just started at a small rural hospital that sounds very similar to your unit. We do 10-15 deliveries per month. Our nurses are also only ON CALL. We actually have about 7 nurses that work on our...

  3. Cerclage at 19wks

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

    We routinely placed cerclages in pts with hx of incompetent cervix as early as 15 weeks. We also had the rule of 20 weeks or less not on our floor. But there are plenty of exceptions and this is...

  4. Sterile Speculum exams for ?ROM

    LizzyL&DRN posted a topic in Ob/Gyn

    This might be a silly question but anyway..... When you do a sterile speculum exam to determine if a pt has pooling of fluid in the lady parts, and to obtain a sample for ferning do you use KY gel? I...

  5. Sterile Speculum exams for ?ROM

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

    Littlewonder- Do you use the same technique for PPROM? We employ a "hands out" policy if they are preterm unless of course they are

  6. Cytotec and pitocin for iufd??

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

    I totally agree with you ?burntout about memory items for parents when they experience a loss of a baby. There is nothing more painful! But unless the parents are told what to expect and are...

  7. Cytotec and pitocin for iufd??

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

    I don't understand this type of "induction" at 13 weeks. Why don't they just do a D & C and get it over with? We've had a few of these on our unit. I think they are really hard on the patient....

  8. C-section Personnel

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

    We recently made a change to our personnel in attendance for c-sections. It used to be one NICU RN, one NICU RT and the neonatologist from NICU. The change now states that at scheduled c-sections...

  9. Sterile Speculum exams for ?ROM

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

    Interesting idea! I'm not sure about that one, I don't see why not. Water doesn't cause ferning on a slide and it would be a good way to warm the spec up. Maybe even sterile saline??? Other...

  10. Fundal Pressure - OB doc is doing it!

    LizzyL&DRN replied to StatRNNJ97's topic in Ob/Gyn

    I'm shocked that your hospital is aware and not doing anything about it! Don't they understand, when this doc shears off a placenta and/or has a bad outcome from a shoulder dystocia(among other...

  11. Teeny Tiny L&D Units

    LizzyL&DRN posted a topic in Ob/Gyn

    Just wondering if anyone can share some experiences with small Labor units. We are moving to a small mountain town and the hospital that i'll be working at does around 10 deliveries a month. I'm...

  12. Night Shift Survival

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

    I was in your exact shoes not too long ago. I tried various things(medications, dark windows, etc) to help me sleep during the day. I work part time now and work my two in a row. I usually only get...

  13. Teeny Tiny L&D Units

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

    I'm pretty sure Loma Linda does echmo, and they also do high level neuro care that we don't do at my current

  14. Teeny Tiny L&D Units

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

    The nearest high level (level 4) is only a 30-40 minute drive down the mountain at Loma Linda University hospital and a much quicker flight if avail. I plan on discussing all my concerns with the...

  15. We lost a mom to HELLP!!!

    LizzyL&DRN posted a topic in Ob/Gyn

    To sum it up, at the start of our 1900 shift we have a mom who had seized following lady partsl delivery in the midday. When our shift started mom was breastfeeding her baby, on Mag Sulfate and...

  16. Questions for L&D Nurses.

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

    First I want to say how sorry I am that you had to go through this. As a triage nurse I can tell you what I would have done. First consulted your prenatals to see if you have any history of placenta...

  17. Test for ROM

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

    How do you amnioinfuse someone if they aren't ruptured? Did they inject the dye via amniocentesis? Where I work we amnioinfuse through the IUPC catheter which you do not insert unless you are sure...

  18. Do your Dr.s come for FD delivery?

    LizzyL&DRN posted a topic in Ob/Gyn

    I was just wondering what other doctors do for fetal demise? We had a 16 week demise last week. When the mom began to deliver we called the doctor to come. I wasn't the nurse taking care of the pt but...

  19. Do your Dr.s come for FD delivery?

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

    One of the worst parts about this situation with this doctor was the nurse told me when he came in to check on the pt after she delivered he yelled at the nurse asking her why she didn't call him...

  20. External Version??

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

    I have a 6 month old baby girl. She turned breech at 38 weeks and I had a version done. It was so unbelievably easy. I think the doctor had his hands on my tummy for less that 90 sec. It wasn't...

  21. treatment for morning sickness

    LizzyL&DRN replied to LPN@05's topic in Ob/Gyn

    I had terrible hyperemesis with my last pregnancy. There are prenatal vitamins called Premesis that I was put on until the hyperemesis stopped. They contain the appropiate amount of folic acid that...

  22. Tom Cruise on Postpartum depression

    LizzyL&DRN posted a topic in Ob/Gyn

    Can you believe the comments Tom Cruise made on the Today show about Brooke Sheilds and her PPD, and her use of medication to treat it?!:angryfire What the heck does he know about it? I say if a...

  23. IUD's pro's & Con's

    LizzyL&DRN replied to pazza66's topic in Ob/Gyn

    I just got the Mirena put in about 4 weeks ago. I was 10 weeks postpartum when it was put in. My OB used some lidocaine spray and gel to numb my cervix and it was not at all painful. One word of...

  24. Nurse perform amniotomies

    LizzyL&DRN posted a topic in Ob/Gyn

    How many of your hospitals have a policy allowing nurses to perform amniotomies. Our hospital is going to be instituting one soon. I haven't seen it yet, but I believe the criteria for breaking the...

  25. Mock Drills

    LizzyL&DRN replied to kmrmom42's topic in Ob/Gyn

    We have an excellent clinical educator at our hospital. For drills of this nature she will first inform the staff ahead of time that she will be having a drill of some kind and maybe give us an idea...