ischialspines

ischialspines

L&D

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All Content by ischialspines

  1. L&D Nurses: What's in your pockets?

    ischialspines posted a topic in Ob/Gyn

    Just curious... What do you put in you put in your pockets at the beginning of your shift, and what do you find when you empty them out at the end? What are the most useful

  2. Bad day. :(

    ischialspines replied to pitaya's topic in First Year After Licensure

    I had a horrible weak the other week and felt like a bumbling idiot. And then last night I successfully managed a critical pt with emergent needs and thought "wow, I feel like a real nurse". I go back...

  3. L&D Nurses: What's in your pockets?

    ischialspines replied to ischialspines's topic in Ob/Gyn

    well I use an iphone and have an OB Wheel, EFM reference, GBS reference & spanish phrases I use a lot on it, so it has come in quite handy on more than one

  4. L&D Nurses: What's in your pockets?

    ischialspines replied to ischialspines's topic in Ob/Gyn

    Alcohol prep pads, guaze pads, my stamper, chapstick, stethoscope (in a pocket. I can't stand it around my neck), pens, dry erase pen, Dr's numbers, PPH pocket sheet, work phone, my phone, hemostats...

  5. pushing c pts - tips and techniques

    ischialspines posted a topic in Ob/Gyn

    let's share things that work for second stage with our mamas! -LABOR DOWN if mama has an epidural, especially if she's a prime :) Make sure to get her in a good position (L Sims is my favorite most of...

  6. Good OB books to read.....

    ischialspines replied to FavoRED2's topic in Ob/Gyn

    all of the above, especially if you need to learn more about physiology. For practical day to day inormation, I love the labor progress handbook for positioning, etc. we keep a copy on the unit now...

  7. New nurse in Labor and Delivery

    ischialspines replied to KER5050's topic in Ob/Gyn

    I cried a few times. It was overwhelming becoming a new nurse and also all of the L&D charting... I wondered how I was ever going to have time to care for my pts. Ask questions. Be easy on...

  8. Delivery Pitocin

    ischialspines replied to rntmo95's topic in Ob/Gyn

    We use 30 units pit in 500 ml NS wide open at delivery of the placenta (pharmacy mixes, this is the same bag we use for labor, just pull the tubing out of the pump, if it has been running through...

  9. when to call for delivery, active management & patience

    ischialspines posted a topic in Ob/Gyn

    So this is really a bunch of random stuff related to policies and procedures and patients and adjusting to the 'hospital way' of L&D (physiological/expectant mgmt vs active mgmt). But I didn't...

  10. when to call for delivery, active management & patience

    ischialspines replied to ischialspines's topic in Ob/Gyn

    oh yes, and, related to #1 - I really wish docs had different days for seeing pts in clinic than being on call. That would make things

  11. Who does the cord blood gases

    ischialspines replied to HeartsOpenWide's topic in Ob/Gyn

    The ob techs at my hospital usually draw the cord blood / gases if indicated (only a couple of docs draw gases routinely). But if we don't have a tech the RN will. If baby needs resusc we have called...

  12. L&D - advocating for patients

    ischialspines replied to AJPV's topic in Ob/Gyn

    I don't like the idea of pitting an unripe cervix without an apparent medical reason (even though we now wait til 39 weeks), but by the time the pt has come to me, her decision has been made and she...

  13. FHR monitoring

    ischialspines replied to MandaRN94's topic in Ob/Gyn

    continuous EFM is all about lawsuits. In 18 years, they'll be a monitor strip to prove the nuances that you did/didn't see. Also, docs like being able to watch their pts from the office now --- a tad...

  14. Shoulder dystocia

    ischialspines replied to mormor's topic in Ob/Gyn

    We have shoulder dystocia drills at our facility. Everything mentioned above is in it. Also - using the CPR latch to quickly drop the HOB for McRoberts, and don't forget to call for extra

  15. Certain about midwifery, uncertain about nursing

    ischialspines replied to lilacs101's topic in Certified Nurse-Midwives, CNM

    just going to chime in here - I worked with homebirth midwives for years off and on as I was pursuing CPM licensure before going to nursing school (I was about complete with that route when family...

  16. Beta Strep

    ischialspines replied to TLSpaz's topic in Ob/Gyn

    If they are intact, not that important.

  17. baby friendly questions

    ischialspines replied to Rhee's topic in Ob/Gyn

    Yes, that is what I am saying. We certainly have not eliminated our nursery in the process and I don't think we are pressuring anyone into anything they don't want. We do gently give families the...

  18. baby friendly questions

    ischialspines replied to Rhee's topic in Ob/Gyn

    *NOT be in the bed with mamas when they are taking narcotics! should be amended to "not be in bed with SLEEPING mamas while they are taking

  19. baby friendly questions

    ischialspines replied to Rhee's topic in Ob/Gyn

    Our hospital is aiming for baby-friendly as well, and on the whole (on the L&D side), it seems to be having great benefits... especially with the immediate skin-to-skin. I'm seeing mothers that...

  20. Foley Induction?

    ischialspines replied to platinum_garb's topic in Ob/Gyn

    I was talking about it today with other nurses and the general response is that it can be pretty hurty (not to scare the OP!). Not sure the hurt factor vs. pitting to start labor. And I suppose it can...

  21. Foley Induction?

    ischialspines replied to platinum_garb's topic in Ob/Gyn

    I was just looking this up the other day! I haven't seen this used on my L&D unit and was wondering why not (plenty of pit inductions on unripe cervices, but at least they have to wait til 39 wks...

  22. first PP temp after epidural?

    ischialspines replied to ischialspines's topic in Ob/Gyn

    Yes, this is what I've always associated with epidurals as that's what the literature supports- which is why these low low PP temps are surprising to

  23. first PP temp after epidural?

    ischialspines posted a topic in Ob/Gyn

    What do you see as the usual 1st PP/recovery maternal temp for a newly delivered mama after a SVD with epidural? I am thinking that the maternal temps are lower than what I am used to (I am new to...

  24. first PP temp after epidural?

    ischialspines replied to ischialspines's topic in Ob/Gyn

    We don't use dynamaps (that's the whole machine with BP and everything, yes?), we have a digital therm in every room so this is the same therm I have used since admission and through laboring (with...

  25. first PP temp after epidural?

    ischialspines replied to ischialspines's topic in Ob/Gyn

    nope. although I've asked them each time out of shock, even though I've just been there and seen them push a baby out and know they've had nothing! I've re-checked ax and had it be about the same....