rndani

rndani

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All Content by rndani

  1. Amniotic Fluid Embolism Scare...

    rndani posted a topic in Ob/Gyn

    I am relatively new to this board but have loved all the interesting input from everyone. I could really use some input now... Brief history: 19yo G1P0, term, no polyhydramnios, srom'd clear fluid,...

  2. Amniotic Fluid Embolism Scare...

    rndani replied to rndani's topic in Ob/Gyn

    the rate of occurrence for amniotic fluid embolism is 1 in 80,000. The odds are SO in your favor. Last year we delivered 76% of our babies lady partslly (unassisted). You will have a great birth...

  3. Record number of deliveries?

    rndani posted a topic in Ob/Gyn

    I'm from the Portland,OR area and all of the hospitals here are posting record numbers. I was wondering is this a trend everywhere or is it some freak baby boom for us? We are a Level IIa, have 42...

  4. Questions about L&D orientation...

    rndani replied to RNRose's topic in Ob/Gyn

    When I orientated to L&D (6 yrs ago) you got 21 shifts worth. There was a book/manual you were to study on your own. It was only on days and you were assigned 2-3 preceptors. For the first month...

  5. Home birth vs. hospital

    rndani replied to rnmi2004's topic in Ob/Gyn

    Since this was your original post, I'd like to share with you two stories about home births that resulted in transport to the hospital. First--20yo G1P0, pushing at home for 4 hours with midwife....

  6. Amniotic Fluid Embolism Scare...

    rndani replied to rndani's topic in Ob/Gyn

    Having lunch with my friend who happened to be the other nurse in the OR with me that day and we ran into a family member of the patient I told you all about...they told us that the patient is doing...

  7. Amniotic Fluid Embolism Scare...

    rndani replied to rndani's topic in Ob/Gyn

    When she looked at me and said "I don't want to die, please don't let me die" I said "I don't want you to die either. We are all going to do everything we can to make sure you see that baby of...

  8. Amniotic Fluid Embolism Scare...

    rndani replied to rndani's topic in Ob/Gyn

    Questiosn are good.Massive Transfusion Protocol. It's what is initiated by blood bank when a patient meets specifc criteria for a massive transfusion of blood and products. This pt had an INR of 2.03....

  9. Frequency of vaginal exams during labor

    rndani replied to BETSRN's topic in Ob/Gyn

    I know! If I had a dollar for every time I had a primip tell me she was going to poop--I'd never have to work

  10. What do you think about the use of Cytotec?

    rndani replied to CardioTrans's topic in Ob/Gyn

    We use Cytotec for induction and have very strict guidelines for it's use. The patients are brought in at 2345 and typically receive two 25mcg doses (placed 3 hours apart) and then are started on pit...

  11. Do your OBs do circs everyday?

    rndani replied to dawngloves's topic in Ob/Gyn

    I do not like assissting with circs because I don't like to see babies strapped down to a board and had what is cosmetic surgery performed on them. Emla cream is great but doesn't take all the pain...

  12. Frequency of vaginal exams during labor

    rndani replied to BETSRN's topic in Ob/Gyn

    As usual, Deb wrote the perfect answer. Our facility is the same--the less checks the better. However--we had this one MD (she only does GYN now--thank God!) who would write an order for us to do a...

  13. Do your OBs do circs everyday?

    rndani replied to dawngloves's topic in Ob/Gyn

    Our Ob's do circs typically in the am or on their lunch break. Some of the in-house docs will do them in the middle of the night if they're up. There are a few midwives in the community who do them...

  14. Postive UDS's What is your facilities policy?

    rndani replied to cabbage patch rn's topic in Ob/Gyn

    At our facility, if there is a history of drug use in the mother in the past 2 years, we ask for a UDS on mom. As for a UDS on baby--it is mandatory! We have very specific guidelines (no pre natal...

  15. LDRP ~ outgoing or continuing trend?

    rndani replied to dwetherelt's topic in Ob/Gyn

    As a place to check statistics--check with JCHACO. They might be a good starting place or can maybe point you in the right direction. Our "new" birth center opened 6 years ago and providers wanted...

  16. stupid questions on L&D nurses' function

    rndani replied to epiphany's topic in Ob/Gyn

    That sounds really great. We call ourselves a LDRP. The patient/family stay in the same room for the entire stay, but once they're "recovered" they are put in a post partum group of 4-6 couplets which...

  17. stupid questions on L&D nurses' function

    rndani replied to epiphany's topic in Ob/Gyn

    Wow! I couldn't have written a better reply! Just a quick question for you Deb--how long are you alloted for recoveries at your facility before turning the patient and baby over to a post partum...

  18. Shoulder dystocia charting

    rndani replied to Baby Catcher's topic in Ob/Gyn

    As a nurse, I chart exactly what I did (lowered head of bed, applied suprapubic pressure, etc.) I also chart time of code light pulled, who responded, who did what and of course length of time of...

  19. Pay Scale

    rndani replied to NICU RN wannaB's topic in Ob/Gyn

    At my hospital new grads (most of which have associates degrees) start around $19-21/hr. Eve shift diff is $2 and nocs is

  20. Can you believe this? 13yo and mom both pregnant

    rndani replied to seanymph's topic in Ob/Gyn

    This isn't really common where I work. However, I did take care of a pg 13yo and then again when she came back @14.5 w/her second. I also took care of a 13yo who delivered at home @29wks and let the...

  21. conscious sedation for childbirth?

    rndani replied to Betty_SPN_KS's topic in Ob/Gyn

    I've been an L&D nurse for 6 years and have seen conscious sedation during labor done once. It was a nullip who had a significant history of child abuse and regressed back to it in front of our...