JenTheRN

JenTheRN

PERI OPERATIVE

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All Content by JenTheRN

  1. Vag Exams & Dilation

    The cervix can sometimes be uneven on the sides. The sides of the head that it. I always explain it like a turtleneck coming over your head. If you pull harder on one side then there will still be...
  2. Breastfeeding and painkillers "will it hurt my baby?"

    http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT I love this site for finding out if a drug is safe during
  3. Clothing issues/malfunctions.

    When I was (very) pregnant with my last one I was bending down to pick up a garbage bag and I gave the patient's visitor a "show" he wasn't expecting. Darn scrub tops aren't made for big bellies!...
  4. fundal checks

    Ok, so what is the rational behind NOT checking the fundus? I check with vital signs whether they be post-op or routine post
  5. breast milk

    People will also produce milk if they have a certain disease process or hormonal
  6. breast milk

    This is how it works: Once you start producing milk, you will continue to produce it as long as the need is there. Wet nurses were able to nurse babies because they kept nursing (their own or...
  7. Have you ever...

    Gotta love those epidurals where laboring moms will fart and not realize it was
  8. Mother/Baby units, how do they flow?

    We have LDRP rooms and we all do mother-baby. It's the only way I've worked and I love it. Mom's labor and deliver and then housekeeping comes to do the "in-between clean" once they get up. We do...
  9. Funny OB things people say

    I was doing pericare for a fresh c-section the other day and she turns to me and asked if her "toot" was clean.
  10. OB T-shirt

    You know you're an OB nurse when you can tell the exact measurement of anything...up to 10cm that is. (and you can tell this with just two
  11. Mag Sulfate Antepartum

    We have this patient that is receiving Mag for PIH. She is 36 weeks, not in labor and PIH is improving. The doc has decided to take her off the mag. (After 24 hours) My question is: now what? I...
  12. Pitocin as a secondary on a pump?

    Triple pumps?! I didn't know they made such an animal! But I still say that you need to have your pit on the port closest to the vein. Tell your boss to check out the ACOG and AWHONN standards. (PS-...
  13. Pitocin as a secondary on a pump?

    Do you have double
  14. Pitocin as a secondary on a pump?

    Just curious: if you have your pit piggybacked on the pump with your main IV, and your main IV is at 125ml per hour, how do you control the pit? Oh and TKO = To Keep
  15. Pitocin as a secondary on a pump?

    Our policy is to ALWAYS piggyback the pit to the closest port to the vein. Otherwise, the doses cannot be calculated properly (due to such minute dosing at first) and if the need comes to shut off...
  16. Pitocin as a secondary on a pump?

    I want to add: We do our bolusing with the tko fluid (Which is usually LR or D5LR). It seems really confusing to have three lines all connected to one IV. Sounds like an accident waiting to
  17. Pitocin as a secondary on a pump?

    Here's what we do: We start the IV with whatever fluid is ordered with a primary line. When the pitocin is needed, it is also on a main line and piggy-backed to the closest port to the vein. The...
  18. TOO soon to be Stressed in Postpartum

    Ok, please help me understand this. Do you guys do total care? Like doing couplet care means you do everything for the couplet? I work on a very small unit, and could not imagine taking more than...
  19. Sterile table set up

    I am (trying) to write a policy for our sterile delivery table set up. Right now, all of our nurses wear different PPE to set up: some wear just a mask, some hat and mask, some sterile gown but no...
  20. Where does your hospital complete the first bath

    I work in a small OB unit with LDRP and NY. I try to do the first bath in the room with parents watching/participating if possible. Baths are done when infant vital signs, resps, and temp are...
  21. What did you learn at work today?

    Don't put hydrocortisone creme in the microwave. It will blow up. Our pharmacist came over to heat up some cortisone creme to mix with something. And it blew up. All over the
  22. Collecting fFN without speculum?

    I hate to be a pot-stirrer, but the Fullterm policy states that a sterile speculum must be used. Until they change their written policy, a speculum should be used. Otherwise, the results may be...
  23. Opinions re: epidural vital signs

    Ok, I know there are lots of threads out there about vitals signs and epidurals. I'm asking what you guys think about this: Our head anesthesiologist is writing up 'new' epidural orders. He is known...
  24. Complicated Staffing Question

    Ok, I know there are a lot of threads out there regarding staffing. I've looked at a lot of them and still cannot find an answer. Here's the problem. We are a very small unit: 3 labor rooms, 4...
  25. Funny OB things people say

    LOL! Oh lord, I needed that laugh this morning!!!! Epidoodle...I might have to steal that