OB4ME

Latest Activity

1. tracking pt acuity

   OB4ME replied to OB4ME's topic in Nurse Management

   Our director staffs our couplet care/ante/gyn unit based solely on unit census. We can, per the guidelines, take 5 gyns, or 4 couplets, 6-8 individual moms or individual babies, or 4-6 antepartum...

2. Need help: OB/GYN nursing in California

   OB4ME posted a topic in Ob/Gyn

   My husband and I are planning to move to CA, probably the San Diego area, possibly LA area (nicer areas, though). I've been looking into hospital job opportunities in CA, and can get some ideas of...

3. tracking pt acuity

   OB4ME posted a topic in Nurse Management

   I'm looking to create a form for tracking pt acuity, in order to determine appropriate staffing. I've heard that some units have a form with something like a point system, where, for example, a pt on...

4. The Circumcision Discussion

   OB4ME replied to jmspeach's topic in Ob/Gyn

   Interesting thread here... Not wanting to repeat many of the comments that have been said repeatedly here, I do have something to add... In our area, welfare/medicaid is now refusing to pay for...

5. GBS treatment??

   OB4ME replied to Chttynurs's topic in Ob/Gyn

   One dose of ampicillin as adequate tx for +GBS? That doesn't sound right. Our unit is switching to PCN q4hrs as routine tx (Clinda for PCN allergic pts), as most GBS is supposedly resistant to...

6. GBS treatment??

   OB4ME replied to Chttynurs's topic in Ob/Gyn

   One dose of ampicillin as adequate tx for +GBS? That doesn't sound right. Our unit is switching to PCN q4hrs as routine tx (Clinda for PCN allergic pts), as most GBS is supposedly resistant to...

7. too many interventions in L&D

   OB4ME replied to mark_LD_RN's topic in Ob/Gyn

   Yeah, that amazes me to see docs scheduling inductions for "maternal discomfort" as the diagnosis! And, these patients seem to have no clue about the risks involved...they just want a quick fix to...

8. too many interventions in L&D

   OB4ME replied to mark_LD_RN's topic in Ob/Gyn

   OMG! I think I saw that one too! The one where the midwife is checking her in the tub, and "thinks" the cord might be prolapsed, and tells the pt that she needs to get out so that she can recheck...

9. too many interventions in L&D

   OB4ME replied to mark_LD_RN's topic in Ob/Gyn

   Our unit bought a tele unit, so our moms can ambulate and even soak in the jacuzzi with continuous EFM...even if ruptured or on Pit! I love it! Am now trying to get them to order more than

10. "Inappropriate" assignment

    OB4ME replied to GailWHNP's topic in Ob/Gyn

    I know that most OB RNs (including myself) have NO interest in working med-surg, but med-surg skills do come in handy when you have anyone with health issues come in for OB care. If taking care of...

11. OB TraceVue

    OB4ME replied to Caseyrnbsn's topic in Ob/Gyn

    Hi Karen, Please check out the post that I posted today (8/8) called "Computer Charting"...We've had some major glitches that you should look at. I'm also looking for some input on this system......

12. How do all of you document when running an amnioinfusion?

    OB4ME replied to mother/babyRN's topic in Ob/Gyn

    Some of our doctors order a bolus first...some order it to be stopped after that, some order a continuous rate. So, of course you'd have to document when rate changes occur. I like to use a pump for...

13. Spanish speaking patients in labor

    OB4ME replied to gravida's topic in Ob/Gyn

    Living in the southwest, we have a huge number of spanish speaking patients. Learning the basics has been quite helpful for me, too. I can now get through most of the important things on an admission...

14. brachial plexus injuries?

    OB4ME replied to jub's topic in Ob/Gyn

    Proper prenatal care should've included the now routine glucose screen (at around 26 weeks, I believe?). Your doc never did the 1 hour glucola? I'm curious to find out what the actual time period was...

15. males in the delivery room

    OB4ME replied to dcuson's topic in Ob/Gyn

    Hello, dcuson! I think that's wonderful that you are entertaining the idea of going into L&D!!! We need more nurses that truly love this specialty! I worked with one of the best male nurses...