JenTheRN

JenTheRN

PERI OPERATIVE

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All Content by JenTheRN

  1. Questions for L&D Nurses.

    First of all, I am so sorry for your loss. Second, I can't believe that this nurse was so blatenly negligent. She ignored your symptoms on what should have been sending up big red flags. Please...
  2. How many deliveries do you have per month?

    Wow...our deliveries look really puny compared to the rest of you guys. I say we average in the 20's per month. This year has been really slow tho. We have 3 LDRP's, one triage room, and 4...
  3. The most embarrasing thing you've done at work!

    This happened just a few weeks ago: Was cleaning up after a delivery. OK, back up. I'm preggo, and the bigger scrub shirts fit better...on the bottom anyway... So, I'm cleaning up and trying to get...
  4. Blood patch paperwork

    Hey guys. I have a form question again. We do blood patches so rarely that we don't really have a protocol/policy for this, or any flow sheet. Do you guys use a pre-printed flow sheet for blood...
  5. L&D acuity

    Here's what I found in my handy-dandy AWHONN policy manual: Intrapartum: 1:2 labor patients 1:1 pts in 2nd stage of labor 1: 1-2 pts with complications 1:2 Oxytocin induction/stimulation of labor...
  6. Accuracy of Ultrasound ???

    From what I understand from our OB docs, the earlier a U/S is done, the more accurate the results
  7. Questions about breastfed baby

    Glad that everything worked out for you! If we have probs with babes taking bottles, we usually have success with the Haberman bottle by Medela. Here's a link.
  8. Question for those who use Bilichek Meter?

    We dim the lights. We are new to Bilichek, and we all watched the video that came with it...video said it works better with dimmed lights. I loooove the Bilichek! It saves the poke of a healstick...
  9. We do a sterile nitrazine test...if positive, we call her ruptured. (Providing she has the symptoms of SROM, of course) If neg, the doc will come in and do a sterile spec exam and ferning test if...
  10. What different areas are there in ob/gyn nursing??

    I work in a small hospital in the OB dept. We take L&D, PP, newborn care (sick babes go to a NICU in a different hospital), GYN post-ops. We also do monitoring of pre-term labor and other...
  11. "don't get stuck in women's health"

    I love working in women's health. Women make up 50% of the population...women will ALWAYS be having babies. If women's health is what you want to go into, go for it! I know that working in L&D...
  12. Cytotec po or vaginally

    Interesting...you would think that the lady partsl/cervical cytotec would be more effective as it is acting locally on the cervix. Something to think
  13. Cytotec po or vaginally

    Personally, I have never heard of giving cytotec po for induction/cervical ripening. How effective is it? We have one doc who uses it lady partslly, and we usually get good
  14. Staffing Issues

    Hi all. I work in a small critcal access hospital, in OB/GYN department. We normally have two RN's on a shift (two RN"s scheduled). The problem is we have been slow lately, and sometimes have no...
  15. holding a baby in after being fully dilated??

    I would think that there would always be someone available to deliver a baby if the OB is not immediately available. At our hospital, the ER docs come in if our OBs are in an emergency. And I...
  16. Stuck at 9cm

    Hey there. I was just wondering if there is anything that can be done about a cervix that won't dialate past 9cm. We had this happen the other day, and the woman ended up having a C/S. Is there...
  17. Stuck at 9cm

    And thanks for the replies guys. We have a small hospital and only about 20-30 deliveries a month. Don't see this very
  18. Stuck at 9cm

    She was at 9 for about 4 or 5 hours before they decided to go
  19. Snow emergency excuse?

    I live in the Upper Peninsula of Michigan where we get A LOT of snow. People who live here know that we get a lot of snow, or at least they should. I can understand people not wanting to come in for...
  20. Stuck at 9cm

    Thanks for the reply. We tried hydrotherapy, and our doc tried pit...to no avail, just made her already bad contractions worse. Have your ever heard of trying to push past 9? Our pts tend to stay...
  21. Record for most babies

    One of our nurses is g12 p11! She just had her last babe a few months ago. She is a WONDERFUL woman and nurse. I honestly don't know how she does it. PS-All by the same man (hubby) and oldest is...
  22. Duramorph/astromorph for C/S

    Is this being given IV or in the
  23. Pushing before complete

    Wow...now that is stretching it (no pun intended). Our docs almost always wait until the mom has the urge to
  24. What is Harlequin's Sign?

    Poor
  25. timing of newborn bath

    Ok, I decided to revive this old thread upon reading it. We have all LRDP nurses who do everything (mom, baby, couplets). We usually do the bath when we are doing the assessment, at least an hour...