LizzyL&DRN

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 instructor.

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 draining. We could not figure out why, it was in the righ...

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 questions I can answer for you.

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 nurses do you have on staff for L&D for each sh...

GOOD FOR YOU!!!:yeah: :icon_hug:

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 yourself up? Do you have a union? If so I would go to...

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 last thing you can worry about is what is mom's bl...

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: Vitamin K, Narcan(if mom got narcs), and Hep B vacc...

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 bring their infants to school with them and prepares ...

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, so I don't know.... maybe not. Other's thoughts o...

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 of stress already. If I were you I would come to ...

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 in our triage department. It takes a special LVN...

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" decided to stop at our facility to make sure the baby...

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 assessment. All this is being done while surgery ...

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 induction if everything is going well, unless she become...

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

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. That wasn't fair of that nurse to tell you that ...

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 baby to live and that is all. I have not even seen...

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 radio next to the bed that we turn on. We are staff...

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 will be charting in the patient's medical record ...

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 felt on the anterior portion and cannot be felt on ...

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 night, the flight crew was saying they wished some of ...

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 nursing director and chief OB doc put a stop to it ra...

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 the other day, G3P2 came in complete and +2, intact...

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 are somehow related. We had a pt admitted recently...