HappyNurse2005

HappyNurse2005 RN

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All Content by HappyNurse2005

  1. LPNs in OB - do they have them where you work?

    magnet status does not automatically equal more BSNs. WE are magnet and have a mix of both ADNs and
  2. LPNs in OB - do they have them where you work?

    we have one, who has been there for a very long time. she mostly works in teh OB OR (we do our own c/sections), but takes some fresh postpartum patients, or labor patients, with a RN as her buddy to...
  3. Paraplegic and delivery

    Yes, we had a paraplegic deliver lady partslly. g3p2, both lady partsl She actually delivered in the bed without the doctor, kinda unexpected. the worst part, i think, was that she had very, very,...
  4. Need Your help... Vaginal Delivery Management & "NOT pushing"

    Had a patient once who had to have a passive second stage because of a history of detached retinas. She had an epidural, and was not to push. She labored down, put her legs in stirrups, and the large...
  5. Vag exams with sterile gloves or regular gloves?

    sterile for ruptured patients, or r/o rupture. definitely not ruptured? then non-sterile. they use non-sterile in OB office for checks. or, in emergency, non sterile b/c its quicker. the lady parts...
  6. Pushing Instructions

    oh yeah, i tell them to tuck their chin down "curl up on that baby like a tube of toothpaste" then they tend to laugh. so i say, hey, when you curl up the end of hte toothpaste, the toothpaste does...
  7. Pushing Instructions

    If they DO NOT have an epidural, i say "do what your body tells you to do. bear down when you need to" and they do what is needed. This is why no epidurals are wonderful!! occasionally, they are...
  8. DVT protocols

    we use foot pumps as opposed to the knee high or thigh high scd's on the post c/s patients, starting right after c/s. for our antepartum pt's on bedrest, they also get foot pumps. some of the...
  9. locked unit problems

    we had a unlocked labor unit, now we moved hospitals and its locked. previously, before our unit moved, the public elevator came up to the labor floor at the end of labor hall, and not in view of the...
  10. "pit to distress"

    we've heard people say "pit it out or pit it back" (as in out lady partslly or to the OR). not too often though. most doctors dont order pit 6 by 6. 1.5 years ago some of the residents did it that...
  11. post partum care before L and D?

    NO!!!!!! well, i worked cardiac for 1.25 years before labor and delivery. i dont wish i worked on PP first. PP isn't my cup of tea, adn i've managed and still manage just fine without having worked...
  12. Survey about Cytotec

    how many births do you do per year or per month? around 300 per month, sometimes more how many ob/gyns do you have on staff? we have an ob/gyn residency program, which has 2 or 3 residents plus...
  13. RNC help please

    I'm currenly studying using the book in the 2nd post-manual of obsterics, the outline from the NCC website and a boatload of 4x6 index cards. im on card 115 and not even 25% of the way done. i'm...
  14. Mandatory prenatal HIV testing

    No, its not mandatory here. Sure, most women get it. Some don't. It's recommended, but, correct me if i'm wrong, but don't they have to sign a specific consent for a HIV test? so you can't just test...
  15. Spanish speaking patients in labor

    I live in a state on the east coast and we have many Spanish speakers in our area. Mainly from Mexico and Honduras, with the occasional one from El Salvador or Cuba. We have a few nurses who speak...
  16. Medical termination of pregnancy.

    I know that planned parenthood does abortions, as does some other non ob-gyn office. I have never had one or wanted one so I dont know if the private ob-gyns do them. my l&d unit does...
  17. Fetal Demise less than 20 weeks

    we do have inductions for IUFD, in the second trimester. Also terminations in 2nd trimester for incompatible with life defects (anencephaly, recently). They are labored/delivered on our labor unit...
  18. ob patients being evaluated in er

    We see patients over 20 weeks, though sometimes less if she is going to deliver. yes, we see non-OB complaints in OB triage, without ever being seen in the ED. A patient comes into ER registration,...
  19. Transferring ob patients

    We are a receiving facility and many, many patients come without a RN. Some do, many don't. They come on mag, too. Most come by ambulance, some from close by (20 mins across town) some from more than...
  20. Women who don't know they're pregnant

    I have NEVER had this happen to me. LOL, I can't imagine. Usually b/c I want a baby so bad I know my periods. Though, we've seen a few patients like that at work. One who was nursing her 12month old,...
  21. who catches your babies?

    LOL, ya'll mean something different when you say "catch". when you said "who catches the baby" I was going to say the doctor catches the baby! Now that I know what you mean.... we have a m/b unit that...
  22. The nurse-call button...

    I'd much rather them use the button than send a family member out to the desk. WHy? I dont know. Just
  23. Student Nurse with a Question about Antepartum....

    Depends on how "high risk" your antepartum unit is (and your corresponding NICU). higher level nicu tends to have higher risk antepartum patients. We have anything from preterm labor, PIH, PPROM,...
  24. Did your preferences that you mentioned here work out the way you wanted them to? HOpe all was well!
  25. Fetal Monitoring Software

    Wanna hear something funny? I saw a reply above that sounded a lot like how it is done at our hospital. So i was going to quote it and reply that I thought the same thing..... Yeah, i was going to...