bbnurse

bbnurse

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All Content by bbnurse

  1. Meditech & OB TraceVue Interface

    bbnurse replied to kjsbox's topic in Nursing Informatics

    We have both meditech and OBTV. HP has a cable developed for Columbia/HCA but it is not available for other places...THIS is info' from the IS person where I work. It is a LTP? I believe. It was...

  2. Who mixes pitocin and mag?

    bbnurse posted a topic in Ob/Gyn

    We just started using Pyxis and a recent survey we were told that nurses in LD should not be mixing pitocin, nor mag. We should use standard premixed bags of these meds. What mixture of pitocin do...

  3. Who mixes pitocin and mag?

    bbnurse replied to bbnurse's topic in Ob/Gyn

    Hey everyone!! Thanks for the insight and the answers. I wasn't sure how other places did their meds. I don't like other people mixing my meds either so I know it's the control thing. I understand...

  4. How many went from new grad to L&D?

    bbnurse replied to Foxfour's topic in Ob/Gyn

    I went directly into Maternal Child many years ago and have NEVER regretted it at all. I firmly believe that most OB nurses are "born"...that we know from the first that we love it and will always...

  5. Routine newborn blood glucose testing?

    bbnurse posted a topic in Ob/Gyn

    Our nursery has been routinely performing a blood glucose test upon admission and in 2 hours. The majority of peds and GPs agree that this will diagnose and prompt intervention for the asymptomatic...

  6. What type of pain med in labor used?

    bbnurse replied to Daynamyte's topic in Ob/Gyn

    So WHAT did the Pain seminar suggest as the best analgesia meds for active labors??? We use Stadol and Phenergan combo and epidurals or intrathecals with fentanyl. Did you answer this thought or did I...

  7. acog/aap staffing guidelines

    bbnurse replied to madrcs's topic in Ob/Gyn

    Stable, to us, means not in active labor, in crisis for whatever the admission dx was or near term. May include controlled gestational diabetic, arrested preterm labor, pregnant with a medical or...

  8. Staffing and acuity

    bbnurse replied to BBnurse34's topic in NICU, Neonatal

    use your AWHONN Guidelines for staffing to support the correct staffing ratio for acuity. Even if the state requires less, the national standard is what the lawyers will use. good

  9. cytotec, do you plaor do the docs do it?

    bbnurse replied to mark_LD_RN's topic in Ob/Gyn

    We had a policy in which physicians were to place it BUT we many times did it. Then, the committee decided, with legal counsel that the hospital should not have a policy for cytotec and took it away....

  10. Sick call policy

    bbnurse replied to goldgram's topic in Nurse Management

    For my observations, you may be missing a few points about the topic here. Let's suppose all the good, positive suggestions are in place. 1. pool is utilized, have "prn" staff too 2. good weekend diff...

  11. OB TraceVue

    bbnurse replied to Caseyrnbsn's topic in Ob/Gyn

    We have OB TraceVU where I work. There are many good things about the system and the cons are mostly listed above. There are also several versions of this system. The first version had lots of...

  12. Floating nurses

    bbnurse replied to babsRN's topic in Nurse Management

    I recently had staffing issues about floating, use of the team leaders as staff and complaints about "fairness". I asked for 6 volunteers who were the most vocal about the issues to be part of the...

  13. Nurses week Cheap gifts from admin.

    bbnurse replied to nilepoc's topic in General Nursing

    Well, I feel lucky after reading all these posts. Maybe it is just our nursing divisions' own actions, but we celebrate Nurses' Day separate from Hospital Week. HR has tried to combine the...

  14. Latex sensitivity? or allergy?

    bbnurse replied to Charisse's topic in Ob/Gyn

    Lots of hospitals are going to all non-latex gloves, especially in the nonclinical areas like the food handlers and housekeeping. Our nursing dept is going latex free sterile and nonsterile gloves...

  15. Indications for albuterol tx.

    bbnurse replied to juliekrn's topic in Pediatric

    We don't have guidelines nor criteria for albuterol tx. except for the nurse's own assessment of the child. If there are OTHER symptoms of respiratory distress then the child should have the...

  16. Forced to float?

    bbnurse replied to rn500's topic in Ob/Gyn

    SusyK-- Your story about the ER and the pt. who was 40% effaced got me laughing all over again about a patient we had recently. ER called to say EMS was bringing a "drop In"patient (without any...

  17. Meditech NUR module and OBVU

    bbnurse posted a topic in Nursing Informatics

    First let me say, I am NOT an information specialist...only a nurse. Our hospital has been developing the Nursing module of Meditech. My unit was the pilot unit for the VS and I&O. We love it. We...

  18. I can't keep staff. Why do I try?

    bbnurse replied to ClariceS's topic in Nurse Management

    As a manager, I feel the same panic and dispair when nurses talk of the sign on bonuses or the new gizmo another place has or when they resign. One thing which helps to get past the fear that we...

  19. L&D pain scale

    bbnurse replied to gravida's topic in Ob/Gyn

    Yeah, it is a JCAHO requirement. Yeah, we use the pain faces scale and record pain by the numbers on the graphic. We have education sheets and we have a plan of care for pain control goals that we...

  20. brachial plexus injuries?

    bbnurse replied to jub's topic in Ob/Gyn

    OK. I apologize that you thought I meant it is the mothers' fault. I am in the midst of a suit where the "damage" was compounded by her lack of action. And in some cases, it is the response to the...

  21. When to push with epidural?

    bbnurse replied to MQ Edna's topic in Ob/Gyn

    We call laboring down--when you just allow the position and the contractions to move the infant down in the pelvis. Letting nature take its' course and letting force of gravity work, so to speak. Is...

  22. brachial plexus injuries?

    bbnurse replied to jub's topic in Ob/Gyn

    Well, things are clear now why the question. I agree that poor practice of medicine has to be addressed when we know it is occuring. I find it awful that "these things just happen", too. But the...

  23. Help, what is lowest Hematocrit for post C-section

    bbnurse replied to tangrene's topic in General Nursing

    OBs are bound by some ACOG standards and the Bloodbank criteria to transfuse at 7 IF symptomatic. If not dizzy or hypotensive, Fe is prescribed. Theory is that most pregnant people are young,...

  24. Fetal Scalp Electrodes Policy

    bbnurse replied to nantotten's topic in Ob/Gyn

    We instituted a policy a few years ago and the instances in which we may apply SE are Membranes ruptured Non-reassuring FHT pattern Absence of Previa (Ultrasound) Physician preference for notification...

  25. maternal child yay!!

    bbnurse replied to earthangel30's topic in Ob/Gyn

    Timonrn, You might want to get copies of the guidelines for staffing from AWHONN which were developed by the AAP and ACOG for the actual increased acuity and increasingly "sue happy" clientele of the...