woopcrane

I dropped out of college (biology). Drove a school bus for a couple of years, a truck, worked as a gofer in an office, short order cook, Sold shoes. I went back to school and became an OB nurse, then CNM. I delivered a lot of babies - whic...

Wow. I've read this string several times. I still can't believe some of your comments - as has been said - come back after you have learned a lot more about pathology, psysiology, medicine, pharmacology. I want to read that paper too. WITH cita...

9 years later and how things have changed!!!! HPV vaccinations, Paps every 2-3 years, No Colpo for LGIL or ASCUS under 20, So we now are working on a mechanism to be able to refill BC for more than 1 year...

What sort of supervisory position are you in? Document her disrespectiful behavior and take her aside. Let her know her behavior is disrespectful and you expect no further discussion about you to other staff or statements of hatred to other staff m...

Care Giver Fatigue. New verbage for a sort of burn out... It's not that you don't care, it's just that no matter what you do, or how well you do it, you can't do it as well as you WANT because you STILL dont have the time - equipment - staff , o...

Myths and reality about breast feeding - How to get a kid to latch and the proper latch is always good. Obstretical emergencies - RN immediate actions and response for pp hemorrage (we had RNs who waited for the provider to get to the unit before do...

Hey, it's the hospital rules - and frankly, they do not want a possible vector working for them. They have the right to dictate under what conditions you are allowed to work in their facility. Look what happened last spring and summer with the flu a...

We will occationally give mama a break, but not usually - we expect mom and family members to get to know the baby, get the Breast feeding down. We rarey have a new mom with out other family members. We do not staff a NSY. If we have to care for ...

As the ave age of nurses is now late 40's we welcolme new young blood!!! Even when I was going through my bsn program,(80'S)the ave student age was late 20's which means, even then, nursing was not just for the very young. Good luck on your studies....

Vagina. She didnt realize what it ment...

I Start with the non-medicstions: - ICE packs, Peribottle baths and sitz baths, Closely followed by witchhazel, proctofom, followed by Motrin for the uterine cramping, Tylenolfor inflamation, and getting OUT OF BED!! For 3rd - 4th degree lac I may p...

I helped a hospital change to couplet care -= Any sort of change, as you know will cause resistance/depression/etc studies show that for the first 6 months, your staff will not be happy campers as the bugs get worked out and the change is asimula...

q 15 min vitals is a hold over when the pt was upped every 15 min. Today the recmendations are every time you up the pit, you do PRBp - Pitocin can cause pulmonary edema. if the pit is at a steady rate q1 hour

I'm sorry - the physician cannot prevent a patient from having whomever she wants to attend the delivery, with in the hospital visitation rules. She needs to quietly and calmly inform the physician that the doula will be there for labor support. ...

A nya ha sayo Chong, Hee-Jung Nursing in America is very different than nursing in Korea. We use much less traditional methods, and many nurses practice independently of physicians. We usually specialize into different areas: Pediatrics Maternal-c...

Believe it or not, there are several good government websites on breastfeeding, also check out Leleche league, AAP.com AWHONN Get in touch with the lactation consultants in your area Call other hospitals and get a copy of their policies. Get the ch...

Unfortunately the COBRA law simply states if the women is having contractions.... It does not define active labor vs. latent labor vs. braxton hicks contractions. It simply states contractions as the defining condition. Hospitals interpret this in va...

Congratulations on your patient advocacy! I doubt you'll have problems with the physician, he was probably frustrated about other things, but have a copy of the act mentioned above if the subject comes up again. Your next step is to ensure y...

I am going to ask you a few questions. 1) Are these elective or theraputic abortions? 2) Are you questioning the location in regards to the emotional distress of the person, having come to the hard decision of having the abortion, being placed on...

WOW - just read this thread - brings up a lot of issues doesn't it? So here is my 2 cents As we are learning more about the second stage of labor, we have discovered that often there is a latent phase, usually soon after 10 cm when the body slows con...

As a Nurse Midwife, who catches lots of babies, I too, am pro-choice. My duty to a client is to support the choice she makes, and ensure she has and understands all information she needs to make an informed choice, including possible emotional conseq...

Even depo users have a yearly exam usually As for the younger women who do not want a pap - unfortunetly, if they are sexually active, the chances are they have already picked up the HPV virus, some 5 strains of which have been proven to cause cervic...

OK - for a good answer look at web sites - acnm.org, and mana.org and at Root's "Midwifery in America"

Another resource is Varney's Midwifery - it may target your answer a bit better.

OK everyone, my two cents in this old debate. One of the major reasons to require an annual exam for the Rx of OPCs is that, for many women, this is the ONLY well women care they receive. The exam consists of more than just a pap smear, it includ...