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This happened to a nurse I used to work with. Working in L&D in the cold north. She would wear a turtle neck under her scrubs. If she had to scrub a c-section she would go into the med room and change out of the turtlenck. She did this numerous times.....until she found out there was a hidden security camera in there!!!

We use "Cool Peri-Pad" they are made by Centurion. On the package is the address 301 Catrell Dr., Howell, MI 48843. 1-800-248-4058

Sort of OT but who else hates the term "elderly primip"? Beth

I went to 12 hour nights so I could see my 9yo son more. When I worked days I left the house before he had to get up for school. Got home around 8pm just in time to say "go to bed" Now, I can get home in time to bring him to school (his school starts at 9am), sleep while he's at school. I set my alarm for 4:30 so I can see him and have family dinner before leaving at 6:30. Beth

One thing I would like to add: When the doc is getting the baby out, they have to apply pressure to the fundus. This can be rather scary feeling if you aren't aware of it. It feels like an elephant is sitting on your chest and it is hard to breathe. This is only momentary and is very normal. Good luck!

seeing a dad cry after the birth of his child

seeing a dad cry after the birth of his child

I got curious the other day so I drew up some phenergan and tested it using some of our nitrazine paper. The ph according to that was 5.0 personally I dilute with 9cc of saline when I am pushing it and I know it still burns.

I just recently dealt with this. It does depend on the staff, how many are in for a c/section. Normally here it is one, but in this case, they allowed both adoptive parents in the OR. The amount of contact you have with the baby is basically up to birthmom. I do have one piece of advice. If the birthmom is giving you unrestricted access to the baby, allow her to have some alone time with the babe. This situation I dealt with, the adoptive parents were always here, they stayed overnight in the room. I know that the birthmom said it was ok, but, not sure if she *really* wanted them there the whole entire time. Birthmom does need some space, time to say goodbye and have a few memories to hold onto. I know it will be nerve wracking because you don't want her to change her mind. The one I dealt with never had a chance to breathe without one of the adoptive parents right there. Yes, she probably could have said she needed space but I don't think she was very assertive. Also birthmom may be going through a grief process also, so you have to take that into consideration. I don't know if this is making any sense or am I just rambling?? Anyway, Congratulations and enjoy that new baby!

No supplements here except by mom's request or dr's order. This is very rare though. If babe isn't nursing well, mom pumps and give that to babe. We cupfeed. If babe is jaundiced, under lights, usually pc per md order

I hate to write or rewrite policies! I hate it when we are slow and my nurse manager asks "Can you write a policy for ______?" She knows that I would rather pull my eyelashes out one by one than wwrite a policy!:rotfl:

I think he meant that the patients deserve preofessional, skilled care while the nurses strike. Not that they didn't receive it before the strike.

I love it when the patient is intubated but can still talk!:rotfl: Now that takes talent!

We usually start Pitocin an hour after Cervidil is out. Never run Pit and have Cervidil in together! Cervidil is in for 12 hours and we can repeat if necessary. I prefer this if there isn't much cervical change instead of starting Pit. I have used Cervidil with ROM at a few facilities.

Oh I HATE it when this happens! :angryfire It seems like my department gets the majority of these type of calls! Then you have to play detective. "This is a hospital, the call could have come from anywhere in the hospital. Do you know someone who works here? Or a patient? Are you having a procedure done?" When I see a number on my caller ID, that I don't recognize and that didn't leave a message I don't call it back. If it was important, they would have left a message. You can't call a wrong number innocently anymore without someone calling back and saying "your number was on my caller ID" This is especially annoying since my department doesn't have a ward secretary.

That is a whole other issue there! So many dads get mad that the baby's bracelets say the mothers name. Even when you explain about mom & babe matching for security & safety reasons, some of them still are upset. Especially if mom's name is her ex-husband's or current husband We can't have a whole bunch fo babies running around in the nursery with names that don't match any mom's. How confusing would that be?

Every once in a while you get a visitor that makes you want to scream an bang your head on the wall. I work in a very small LDRP unit, where we know all our patients rather well. Anyway, a couple showed up to see our only mom and asked to see John & Jane Doe. The problem is John & Jane are not married and Doe is not her last name. They were told, we don't have anyone by that name are you sure of the name. They got huffy and had to think for a minute of Jane's real last name. After they were able to recall the name the women rolled her eyes and said "What do you want our fingerprints too?!" :angryfire This kind of thing drives me crazy! Why the attitude? Along the same line, it also drive me bonkers when someone calls to the nurse's desk asking for the S.O. by first name only and then gets huffy when we aren't sure who he belongs to! We are supposed to know every boyfriend, bestfriend, and monkey's uncle's names so we can just direct the call without an inquisition! Ok...end of rant. Thanks for letting me vent! :chuckle

I need more help! I saved avatar to my computer in my documents. It saved in bitmap format but I can't use that here. Needs gif or something else, can't remember. How do I get it in the proper format???

You said that baby is active, which is great. Make sure you keep track of movements. You should be doing fetal movement counts twice daily. Good luck!

We only started testing all babes recently. The AAP came out with new recommendations about preventing hyperbilirubinemia and this is one of the recommendations. We do it with the NB screen to save an extra heelstick. I think it is overkill also but that's what our docs wanted. Our practices pretty much coincide with what the AAP says.

New York tests for 12 different things, PKU is the original test. In addition they also test for HIV cystic fibrosis congenital adrenal hyperplasia medium chain acyl-CoA dehydrogenase deficiency Biotinidase deficiency Sickle Cell Trait Sickle Cell Disease Hypothyroidism Homocystinuria Galactosemia branched-chain ketonuria aka Maple Syrup urine disease It depends on what state the baby is born in. Here is a link you can check state by state. http://www.aboutnewbornscreening.com/stats.htm

Hi there! We are a level I nursery so we have healthy full term babes. We do all our bili testing with heelsticks. All of our babes get a discharge bili level done as a baseline. We treat based on their age. 24-48 hours bili >15 48-72 hours bili >18 >72 hours bili >20 If they have an elevated bili we also do type & coombs, cbc, and urine for reducing substances (glucose).

Phenylketonuria (FEN-nil-KEE-tone-u-ree-ah) - also called PKU. A component of food protein (phenylalanine) cannot be broken down by the body due to lack of an enzyme. Brain damage, which would normally result, can be prevented by a special diet low in phenylalanine. Occurs in about 1 of every 19,000 newborns.I have seen very bad brain damage in a child that PKU wasn't caught early enough. As long as they follow the diet, everything should be fine. eta: this definition came from www.wadsworth.org

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 personally am a VBAC proponent. I don't believe the risks have increased with VBACs but that providers were very complacent. They treated VBACs the same as any other labor. Using pitocin and prostaglandins at will.

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 wouldn't let her. She didn't deliver at my facility. I was whispering in her ear to go ahead and bear down but she didn't because they told her that she would tear her cervix and she was scared. If there is no urge to push though I would never allow that!