LizzyL&DRN

LizzyL&DRN

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All Content by LizzyL&DRN

  1. ACLS CERTIFICATION in OB

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

    We are required to take the new OB ACLS course that was developed by the Univerisity of Idaho in Boise. It's a great course. Our clinical educator went to Boise to get trained on becoming an...

  2. forgetting to insert a foley

    LizzyL&DRN replied to tbell2's topic in Ob/Gyn

    With a full bladder during a c/s there is much greater risk of cutting into the bladder while cutting through the layers to expose the uterus. I was recently in a c/s where the foley was not...

  3. Alternatives to hysterectomy for cystocele and rectocele

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

    I had rectocele repair 2 years ago without a hysterectomy. I am very pleased with the results. I'm hardly long term only being 2 years out, but i'm still happy at this point. Not sure what other...

  4. Survey about Cytotec

    LizzyL&DRN replied to nurse_maya28's topic in Ob/Gyn

    How many births do you do per year or per month? 250-300 per MONTH How many OB/gyns do you have on staff? 10 OBs and 1 Perinatologist How many family practice doctors delivery babies? 0 How many...

  5. DON out to "Get Me"

    LizzyL&DRN replied to Noor545's topic in Ob/Gyn

    GOOD FOR YOU!!!:yeah:

  6. DON out to "Get Me"

    LizzyL&DRN replied to Noor545's topic in Ob/Gyn

    Can you print the email that stated you were not to place anyone under 24 weeks on the monitor? Can you also print out the ACOG standards of care in this situation to use as evidence in backing...

  7. Being eaten alive!

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

    I think you need to learn to speak up for yourself and defend yourself. The situations that you described are quite common happenings on an L&D floor. Sometimes things are moving so quickly the...

  8. Common drugs in delivery room

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

    Pitocin, Lactated Ringers or Normal saline, Lidocaine, Methergine, (not necessarily in room, but know where it is for PPH) Hemabate, (same as above) Cytotec(misoprostil)-same as above two Baby Meds:...

  9. Need Ideas for teen teaching project

    LizzyL&DRN posted a topic in Ob/Gyn

    I need some help from some creative people out there. I am doing an education class for teens at a local school for pregnant/delivered teen girls. This school offers the girls the opportunity to...

  10. Unfair treatment by co-workers/boss

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

    Can it not also be a HIPPA violation? She had no business going in your room, she had no medical reason to go in there right? She wasn't involved in your care. But she was the manager of the unit,...

  11. Unfair treatment by co-workers/boss

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

    Think of it this way. Learning Labor and delivery was one of the most stressful things I've ever done. Not sure how others feel about that. But from my perspective you are undergoing a huge amount...

  12. Can you work in L&D as an LPN?

    LizzyL&DRN replied to ksauce20's topic in Ob/Gyn

    We have LVNs that work in Postpartum. We do however have one that has her NRP cert so we use her to "catch" babies sometimes in labor and delivery. We have also used our LVNs to work alongside an RN...

  13. Flight nursing with OB specialty

    LizzyL&DRN posted a topic in Flight, Surface Transport

    We recently had a case where a pregnant woman was being transferred to another facility when she started to seize during the flight. The flight crew which according to them "had no OB experience"...

  14. Recovering newborn in OB PACU???

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

    In our unit, NICU staff attends the c section. After they confirm the baby is ok, a "baby Nurse" comes and takes the baby to the nursery to weigh, check temp and give eyes and thighs and the newborn...

  15. Vistaril in labor induction

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

    At my facility, they don't order Vistaril, they order Ambien for the same reasons. I think it's more for patient comfort. There isn't a whole lot of reasons to wake the provider for a cytotec...

  16. Help with a Brain Teaser

    LizzyL&DRN replied to Dani8962's topic in Ob/Gyn

    Could it be a molar pregnancy? That's a great brain teaser...Make sure you post the answer once you find out for sure.

  17. lost all self-esteem

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

    I had a VERY experienced nurse RUSH a patient back from triage stating she was Complete. When I checked her, she was actually 1 CM! She was just completely effaced and it was very difficult to feel....

  18. Struggling with elective terminations of pregnancy

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

    Do ELECTIVE terminations really occur in the hospital setting in the absence of defects that are not compatible with life??? We do not do these. We terminate due to defects that would not allow the...

  19. staffing in ob triage

    LizzyL&DRN replied to emmborn2trek's topic in Ob/Gyn

    We have a 5 bed triage unit, each bed enclosed by curtain only. We keep fetal monitors next to the bed sound turned up to protect patient confidentiality. If no FM is being used there is a little...

  20. Can OB's override hospital protocols?

    LizzyL&DRN replied to JentheRN2007's topic in Ob/Gyn

    I would explain my rationale for putting O2 on the patient, and hold the strip in front of MDs face and force him to acknowledge the late decels. If he still wanted me to remove the O2 I would say "I...

  21. Anterior lips and future deliveries

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

    Based on your description the indication for the c section was probably failure to progress and/or cephalopelvic disproportion. What it means when they say "anterior lip" is that cervix can only be...

  22. Flight nursing with OB specialty

    LizzyL&DRN replied to LizzyL&DRN's topic in Flight, Surface Transport

    Rio, I wasn't actually there that night but according to the nurses that were working the flight crew did say "we don't have OB experience" . Also according to the nurses that were working that...

  23. Dealing with nasty OB

    LizzyL&DRN replied to JentheRN2007's topic in Ob/Gyn

    Many hospitals have an "abusive physician policy." Check if your's does and if this falls into the category. I know mine does and we had a new doc trying to see how far he could push things. Our...

  24. Hold that Push!

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

    So do all the other interventions and if baby heart rate doesn't come up....Tell her to PUSH!!! The most important thing is a healthy baby and mom, and you got that so good job! This happened to me...

  25. shortened cervix and length of stay

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

    I have seen this many times as an admitting diagnosis. Its the new way the docs are assessing the risk of preterm delivery and preterm labor. I think there is thinking that PTL and incompetent cervix...