At my institution we don't encourage or discourage. Our patients are presented with the risks/benefits and make there own decision. They have to sign a VBAC consent form to attempt a VBAC. I...
Do you check for clonus when doing a preeclamptic assessment? Where I first started L&D, it wasn't done and I had no idea what it was. When I was a traveler I had to ask someone about it because...
Primips no way! Multips, if they have the urge to push we let them gently bear down with contractions. When my sister was having her 5th baby and was 8cm she had a very strong urge to push but they...
epidural/spinal in my opinion is the only way to go. Like she said above meds can be given to increase b/p. Also usually patients are given a iv fluid bolus prior to epidural to prevent a...
Bringing up this thread to see if anyone has new information on this topic. We still use alcohol TID on our cords. I would love to have some concrete info against alcohol to show our docs since I...
We had this discussion at work the other day. One of the points against it was that lawyers will go for the person(s) with the most malpractice insurance. Also I know, I've been told that the...
Back in the 70's my cousin died at age 18 from an MI, his father died at age 38. I have a huge family history of CVD. 5 of 7 of my mom's brothers all wtih cardiac, 2 of the died in theair late 30's...
I remember as a CNA in LTC a way long time ago, using Barbasol, as our skin care protocol. From what I hear, skin care protocols have come a looonnnnggg way! I work L&D now so I have no clue...
Flat in relation to the monitor strip means a decrease in variability and no accelerations in the heart rate. Normal variability is 5 to 25 bpm variation from the baseline. Constant abdominal pain...
I don't think we are jumping to conclusions. She already said in the OP that the neighbor said that it was a nurse who asked about her. Not the wife of a
I would probably report it. Myself, if I have a patient who is a mutual friend or acquantence, like your scenario, I would ask them if it were ok to ask the mutual acquantence about
We use Sweet-ease brand sucrose. It is a 24% Sucrose solution. it comes in little coffe creamer-like containers. You dip the pacifier or a gloved finger in it and let babe suck for a few minutes...
small community hospital here also. Babes stay with moms for the majority of the time but hearing screens and PKU's are done in the nursery unless mom requests otherwise. Do you use sucrose prior to...
There are two different blood tests, HepBsAG (Antigen) and HepBsAB (antibody). Antigen tells you if you have hepB and antibody tells you if you have antibodies from a
I don't know who the names refer to but the placentas sides are refered to as "Dirty Duncan" and "Shiny Schultz". Dirty is the side attached to the uterus, because it is very rough looking. And the...
What is up with that? I have heard briefly a few times lately, about 20 hour shifts. Isn't that illegal? What is a schedule like when you work a 20 hour