epiphany

epiphany

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All Content by epiphany

  1. Assisting in abortions

    epiphany replied to bethin's topic in General Nursing

    Having said that, what you have to do, and what you are capable of doing, might be different. I had a close encounter with a situation like that personally. It was an ICU pt, all tubed up and...

  2. Assisting in abortions

    epiphany replied to bethin's topic in General Nursing

    I doubt there such a thing as moral objection in law, which allows a nurse to abandon a

  3. Assisting in abortions

    epiphany replied to bethin's topic in General Nursing

    What a loaded question you have asked. It's hard not to put a personal view into addressing your question, but I'm going to take up your challenge and just speak in terms of what I think about...

  4. Help I dont know how to do this

    epiphany replied to mismissy69's topic in General Nursing

    One of my coworkers told me she was arrested for smoking pot when she was younger. She checked YES, and brought a personal letter to accompany her application. Good

  5. lithotomy...seriously?

    epiphany replied to elizabells's topic in Ob/Gyn

    I play an active part in monitoring the amount of epidural given. If mom feels numbness/leg weakness or inability to bend knees, it's protocol to check for overdose, so I bring that to the attention...

  6. lithotomy...seriously?

    epiphany replied to elizabells's topic in Ob/Gyn

    We chart hourly up to 4 cm, and half an hourly after that. Then we chart the FHR q 5 mins when mom starts pushing. Chart Chart Chart. Feels like we chart when the mom farts(toilet humor). Charting...

  7. lithotomy...seriously?

    epiphany replied to elizabells's topic in Ob/Gyn

    Hospital policy. Most of us know it was first invented to to remove bladder stones, and is now it's just convenient for the OB. We all are part of propagating harmful practices, and we try not to...

  8. My First Birth as a CNM: FINALLY!

    epiphany replied to midwife2b's topic in Certified Nurse-Midwives, CNM

    Congratulations! I hope to be in your shoes one

  9. random Ob-Gyn Questions

    epiphany replied to Still Riding's topic in Ob/Gyn

    The premise of that rationale is based on a lactating mother's reaction to her baby crying. When I was nursing even the thought of my baby would start a letdown reflex. I don't know if someone would...

  10. Help me manage 2nd stage, please. New Gr

    epiphany replied to SpudID's topic in Ob/Gyn

    You can't be

  11. Help me manage 2nd stage, please. New Gr

    epiphany replied to SpudID's topic in Ob/Gyn

    I am in my 5th mth of preceptorship in L&D. My first preceptor did not work out at all, after giving a lot of thought to what I wanted to say, I approached my NM and firmly told her I needed a...

  12. Gave my first heparin shot wrong, had a horrible clinicle day!!

    epiphany replied to CrystalClear75's topic in General Students

    You've been given great advice from asoldierswife05. A checklist in your pocket would help keep you from falling apart. I used to practice my sc's on myself or a friend with the smallest needle...

  13. I Wish I'd Said That!

    epiphany replied to Meerkat's topic in General Nursing

    This is works well, although not a witty comeback. Look the person in the eye and say: "that's not true." and/or "you have no right to say that about me" They are simple things to say, but you'd be...

  14. I have a severe migraine. Ideas, please?

    epiphany replied to Hellllllo Nurse's topic in General Nursing

    The diet watch works well for me, too. I can't eat any processed starch, sugar, or white rice during the onslaught of my migraine. I also make ginger tea by boiling slices of fresh ginger for the...

  15. News of Mother's Death Left on Answering Machine

    epiphany replied to Jo Dirt's topic in General Nursing

    It must have been awful for the family. I would probably take him aside to figure out what the hell he was thinking when he did that, and does he not understand how it would affect the family? As for...

  16. Help me handle Pitocin.

    epiphany posted a topic in Ob/Gyn

    I am always on tenter hooks when pit is being used. I expect bad things to happen, and bad things often do. The residences come in and turn it up even when we are not in the room. They do it even...

  17. Help me handle Pitocin.

    epiphany replied to epiphany's topic in Ob/Gyn

    Do I really work is the only place that allows the residents to have so much freedom with pit, I wonder? When I tried to advocate for a pt and her husband to hold off the pit, the resident threatened...

  18. Help me handle Pitocin.

    epiphany replied to epiphany's topic in Ob/Gyn

    I may be bias because I hate this drug, but this the pattern I've observed: 1. They push for getting epidurals with pts with pit - that way they get no feedback or resistance from the mothers. They...

  19. Help me handle Pitocin.

    epiphany replied to epiphany's topic in Ob/Gyn

    Yep, you heard me right. They come in, up it in increments of 2 millunits/min regardless or whether or not we are there. We are given orders to titrate, but they pretty much ignore us. They do...

  20. Where can i get info (online) about Meds given during L/D???

    epiphany replied to SerenityR.N.'s topic in Ob/Gyn

    Here's some more I can think of: Some tocolytics: -terbutaline for hyperstimulation, especially with pit. -magnesium sulfate, mostly for PIH, -Calcium gluconate for mag toxicity -nifedipine, unlabeled...

  21. Help me handle Pitocin.

    epiphany replied to epiphany's topic in Ob/Gyn

    Additionally, it seems the only fate for the mother if the baby doesn't like the pit, is c/s. Most of that end up as emergency c/s. If the baby reacts really rapidly, and there's no way to even try,...

  22. Scared to be on my own!

    epiphany replied to BeginnerRN's topic in Ob/Gyn

    You have my sympathy. I am lucky to have a 6 month orientation, or longer if I needed. We also have high risks, we scrub as well as circulate, and have a birth center. But that's the longest...

  23. CNM as RN

    epiphany replied to CEG's topic in Ob/Gyn

    We have a birth center in my hospital, the midwives do PNC care for these low risk pts, as well as end up delivering them depending on whether they are on

  24. new grad starting in critical care

    epiphany replied to watsondr's topic in General Nursing

    Tranferring from m/s to ICU in less than year is not going to be easy. You have go job hunting again, and you have a hx of not staying too long in your previous

  25. Does My Forehead Say "I AM A Door Mat--Walk All Over ME!"?

    epiphany replied to Meerkat's topic in General Nursing

    I think that should be a required course in nursing