OB4ME

OB4ME

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All Content by OB4ME

  1. Having always had a passion for both medicine and law...I am giving serious thought about becoming a certified legal nurse consultant in independent practice. I've done alot of research online, but would love some input from people who have no financ...
  2. tracking pt acuity

    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 fall precautions or on certain drugs requiring in...
  3. tracking pt acuity

    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 patients. She claims that these are excellent guidel...
  4. 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 which facilities to look into. However, especially ...
  5. Nurse Entrepreneurs

    Over the years, I have met many nurses with entrepreneurial spirits. They usually fall into one of 2 categories...Either, they want to continue working at least p/t as a nurse, but pursue other ventures..or, they wish to leave nursing altogether. In...
  6. Breaking into Legal Nurse Consulting

    I too am just getting started in this field, for the same reasons you are. :-) Personally, I chose to go with Vickie Milazzo to learn basics about the field. I'm going to start her home study soon, and will be attending her seminar in August. I'v...
  7. Girl gives birth in chatroom,talking to me!

    LOL! Teamwork...that's a great story! I bet all the extra oxygen you all got from breathing right along with her also helped you all on your tests...LOL!
  8. new idea...maybe for some

    I also prefer using the ice diapers... A recent funny about ice packs...Our hospital recently contracted with the local air force base to provide L&D care for military families. So, we are starting to take care of lots of them, and they bring wi...
  9. The Circumcision Discussion

    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 newborn circumcisions. Many of our local insurance comp...
  10. GBS treatment??

    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 Ampicillin. Are most of you still using Amp? We also s...
  11. GBS treatment??

    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 Ampicillin. Are most of you still using Amp? We also s...
  12. velamentous insertion ??

    Well, I would imagine that one would feel pulsing of blood vessels in velamentous insertion...but I certainly wouldn't want to go there because of the risk. Velamentous insertion that crosses the cervical os is actually called vasa previa. I've al...
  13. velamentous insertion ??

    Well, I would imagine that one would feel pulsing of blood vessels in velamentous insertion...but I certainly wouldn't want to go there because of the risk. Velamentous insertion that crosses the cervical os is actually called vasa previa. I've al...
  14. Birth Ball question?

    Hmmm...We were just talking about this at work the other night! :-) We use birthing balls on our unit. The only problem is that ours are all really big (the 3ft ones). We get quite a few tiny moms, from areas like Guatamala, who are well under 5ft...
  15. Birth Ball question?

    Hmmm...We were just talking about this at work the other night! :-) We use birthing balls on our unit. The only problem is that ours are all really big (the 3ft ones). We get quite a few tiny moms, from areas like Guatamala, who are well under 5ft...
  16. Thinking about Becoming a Legal Nurse Consultant

    Having always had a passion for both medicine and law...I am giving serious thought about becoming a certified legal nurse consultant in independent practice. I've done alot of research online, but would love some input from people who have no financ...
  17. Version Protocols

    I'm interested in learning about the protocols and policies in place at various facilities re: versions. Anyone care to share info? We are a pretty new facility, and really have a pretty lax policy re: versions. Most of the nurses go above our poli...
  18. Version Protocols

    That's definitely an interesting point. Although...Each of the patients with abruptions that I have seen had pretty severe pain despite epidurals.
  19. too many interventions in L&D

    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 their aching pregnant body...
  20. too many interventions in L&D

    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 her...instead of dragging her out of the tub like we...
  21. Is this standard practice?

    I agree! It is very common practice, and quite necessary for them to preserve their own sanity, health, and family relationships. Most of our docs will deliver their own inductions around here. However, if he brought you in at 10pm, he was probab...
  22. How funny...We just had the formula guys talking to us this week (free pens and all). Both reps did say that Enfamil Lipil has more DHA than Similac...The Enf guy said that Similac Advance has less than that recommended by whatever organization. The...
  23. is labor and delivery and OB really a specialty?

    I think that it depends where you work. Yes, I agree that critical thinking skills are most definitely a major necessity in an L&D nurse. But as far as being considered a "critical care" area...At most of the hospitals I've worked at, we send o...
  24. too many interventions in L&D

    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 one!
  25. is labor and delivery and OB really a specialty?

    Yes...I've seen MANY ICU and ER nurses who come to L&D for various reasons. I've yet to see one stay! They all have said that it was too stressful!