MKS8806

I am in search of any resources out there for nurses to help with the expenses of continuing education opportunities, such as conference expenses. I have already reached out to the conference sponsors and my employer and have not had much luck. I d...

Hi Everyone! I have recently taken over the education role for unit (L&D) and our sister units (mother baby and women's surgical). I work for a hospital that is owned by a corporation and we have mandatory education and drills that we are suppo...

Typically, when you are starting Mag for seizure prophylaxis, you need to be delivered. At our facility, we control BPs, with PO antihypertensive meds and IVP meds as needed. Once the pressure can no longer be controlled with that or their labs sho...

I work at a facility where we rotate through Labor, Triage, and Antepartum. We are a high risk Antepartum unit that gets transfers from all over the area. A typical day on that unit would consist of 3-5 patients, some continuous fetal monitoring, o...

Hey everyone, I was wondering if someone could help me get my hands on a copy of awhonn's recommendations for documenting FHTs during the different stages of labor. I thought I had a copy of it somewhere, but can't seem to locate it, and I'm having...

Does anyone have a link to AWHONN's recommendations?? I've been googling, but can't find what I'm looking for....

I worked at a facility similar to this for about 2 years. We didn't have doctors, anesthesia, or a surgery crew in house at night. Yes, it was scary at times, and there were outcomes that, unfortunately, may or may not have been different, had we h...

I had a patient recently that spiked a temperature during pushing and the baby was delivered in....not so good shape. The delivering doctor marked on her paperwork that the patient had developed chorio during labor, and I, honestly, didn't see it co...

Yes! When I saw the WBC count, my initial reaction was that women in labor generally do have slightly elevated WBC counts. But later (after delivery), I wondered if that should've been a flag. Mom did receive an epidural and her vitals were WNL o...

We have very nice cushiony arm boards as well. I have put some netting over the site before if I have a grabby baby and I'm worried their going to pull on the IV tubing or if they're out with mom and I'm wanting to keep the site from being pulled or...

We attach 2 bracelets to our babies - one on the ankle and the other on the opposite wrist. Our bracelets have the sleeve like NicuGals. We have a printer that prints a sticker that is the right size to slip in there that has a barcode, the baby's n...

Thank you all for your responses. They did send the placenta and cultured it as well. We also sent the deleed secretions to the lab for culture - the Ped told me that, if that was infected, that could've caused the pneumo as well. Thanks again for ...

We bolus the 30ml in 500cc.

I work on an OB unit. We recently had a patient come in for observation following a domestic violence dispute. I found that our unit does not have a specific policy related to this with instructions on who we are to notify and/or file reports with....

Level 2 nursery: We allow parents and grandparents and siblings of any age (as long as they are healthy and not sick). All visitors must be present with a parent. We are a little more lenient when it is just one baby in our SCN, but if we have more...

READ THE BOOK!! To know how to react is to understand the algorithm and be able to react based on what's going on. It really isn't too bad. But you do need to study.

I would shoot for OB if that's where your heart is. I disagree that you have to have med surge before a specialty experience. I do agree, that med surge gives you repitition in the basic skills; but, in my experience, on a specialty unit, they know...

Sounds to me like that wasn't really an "extra" shift for the part-timer. She got called off earlier in the week, so she isn't on overtime. We don't differentiate the full time and aprt time staff. But if you sign up extra during the week and are c...

Hey everyone! I'm needing some help finding some resources and articles that describing a timeframe when nurses go from new to a specialty, to experienced in this specialty. I'm needing some hard evidence to present to my manager. Thanks!

ADPIE2008, I've heard this happening other places, but unfortunately for the patients, we don't do that. To all: Thank you all for the responses and opinions. I think we have a solution in the works! We are just now starting to recover our own c-...

So, we're having an influx of new employees on our unit. We currently have 5 new employees on nights, 2 of which are new grads, 2 that have other medical background, but no OB experience, and 1 with 5 or so years OB managerial experience. 1 with ot...

Like Good Morning, Gil said, always ask if you don't know! I would rather ask and be thought of as the nurse that wanted to know, than the nurse that was disrespectful.

Well in that case - we don't check for cervidils or foley bulbs. The doctor will check them when they place it. We would only check if there is SROM or the pt is really starting to get uncomfertable and they are contracting. Otherwise, we don't if...

Yeah, why do you check with earlies? Earlies are normal, its the deep variables and the lates that I would check for, if nothing else.

We had a 17 weeker on our floor the other day (OB floor) and we dopplered heart tones once a shift and prn per pt request - she was miscarrying. We usually don't see pt's on our floor unless they are 20 weeks or more, but this one was an exception. ...