rndani

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, labor proceeded just fine got epidural at 6cm , push...

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 vaginally (unassisted). You will have a great birth experience! Positive thinking brings positive results. Wome...

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 LDRP rooms and average 380-400 babies a month. In May...

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 back on your "regular" shift you had firsat choice ...

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. Brought in per patient request. Fhr supposedly in the ...

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 great--a little weak, but doing great. Baby is doin...

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 yours--your daughter who is back in that room with Dad. T...

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. Our facility initiates at 1.5. Her FDP was >40...

Ohmigod! And I thought our ER was the only one--ours will either bring them over without even looking at them or keep them there without ever telling us. Example--35wkr with a broken leg brought directly to L&D. Ortho doesn't even know how to get...

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 again!:chuckle

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 @ 0700. Exclusion criteria includes a parity >5...

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 away. I refuse to do it because it hurts my soul to ...

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 SVE Q1hr regardless of ROM. Not surprisingly, many g...

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 but only at their clinic (costs less than the hospit...

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 care before 20 weeks, etc). I have yet to see a baby ...

Most unusual name I've ever heard at work--Abcdee (pronounced AB C Dee--like rhapsody). It was a name the mother came up with when she was 12. All the names (hers and her sisters) ended in double ee and she wanted to keep the tradition alive. Also, a...

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 LDRP rooms. We do about 400+ births/month. We have 42...

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 has a post partum nurse and CNA. The labor nurse ...

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 nurse? Do you have a written policy on IUPC placement? ...

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 dystocia. I also chart to "see provider note". The pro...

At my hospital new grads (most of which have associates degrees) start around $19-21/hr. Eve shift diff is $2 and nocs is $4.50.

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 baby die. That was one of the most difficult days e...

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 very eyes. Her husband had no idea what was going o...