Fyreflie

Fyreflie

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All Content by Fyreflie

  1. Best/Worst List of L&D nursing

    Best: being labour support through a difficult labour and seeing the looks on the parents' faces when they realize it was all worth it. Worst: still births and situations in which the patient or...
  2. L&D is my passion

    That's why I love my
  3. If you are an advocate for natural birth/homebirth with CNM

    I've seen tons of side lying deliveries--I think it just depends on where you are. And I didn't see the OP as wanting to influence someone's choices, but rather as being worried that because she...
  4. If you are an advocate for natural birth/homebirth with CNM

    I am passionate about low intervention birth and have used to passion to help the women I care for--by doing as much education as I can in each labour room, providing them with information and tools...
  5. Gas & Air For L&D/Home Births

    Entonox now has special filters and can be controlled by the mother--but I think Entonox way back when may have leaked quite heavily into the surroundings and perhaps been inhaled a bit much by the...
  6. Post op recovery of regional C-section

    We recover our own sections in a PARR room on the unit. We use a normal BP/SPO2 machine that can hook up to leads if necessary (3 lead only), if there are any concerns in the OR they go to the main...
  7. What do you chart when you have a normal vaginal delivery?

    I still, after 5 years, pay a lot of attention to delivery notes! Something like this: 1526: vacuum applied after bladder emptied by Dr. X. 1529: head delivered and vacuum removed. 1530: delivery...
  8. Nurses Managing Epidural Pumps?

    Up here in Canada I've worked in three facilities with completely different rules. In the first, we had a medical directive not only to manipulate the rate within a set range, but also to give top ups...
  9. Pain Relief in Your Facility

    First hospital I worked at: 90% epi, 10% nothing (we didn't offer IV narcotics or entonox). 4000 deliveries/year. Second hospital: 60% epi for primes, 40% for multips, the rest IV fentanyl and/or gas,...
  10. Heroin withdrawal

    Morphine for babies is the standard at every place I've worked at, I've never had to deal with a withdrawing Mom. What a tough situation
  11. Foley placement BEFORE anesthesia??

  12. "true knot"

    Seen lots! My sister was a double nuchal cord with a true knot. The most memorable one for me was a booked section--there was a true knot but it was a figure 8 knot!! We took pictures. It was bizarre...
  13. Foley placement BEFORE anesthesia??

    We have 3 RNs for every CS--scrub, circulate and patient care (assists anesthetist and recovers patient). It's
  14. Mat/child right after graduation?

    I started in Toronto as a new grad and got a 4 minty perinatal program! It can be
  15. Foley placement BEFORE anesthesia??

    Even in the small hospital I worked in (separate OR staff) it was done post spinal. Why put someone through the discomfort and
  16. Bedside handoff report on mother/baby unit

  17. DS vs NS (this is a vent)

    Honestly it sounds like you have had terrible luck with staff and nursing culture. I've worked LD at three different hospitals now and had the exact opposite. We're all required to rotate days/nights...
  18. preterm- breathing on own at 18-19w

    We do it. Not the most ideal but you can't leave a dead body in a clean utility and the baby has to be close for mom and dad to have access if they want baby brought back into the room. Then we shroud...
  19. Shoulder Dystocia

    Because the body is so low in the pelvis when the head is delivered, the cord is compressed or nearly completely compressed from that point forward and there is extra pressure around the neck and...
  20. Dont know if I love or hate my job

    Everyone feels that way at the beginning. I still have days where I hear about a bad case and think "oh I'm so glad I wasn't here!" And the only crazy emergency I've been directly involved in was a...
  21. Dont know if I love or hate my job

    Stick it out!! It took me at least a year to stop calling the unit after most shifts having forgotten something "crucial" in report/omg did I put the pit mu in ml, what did I miss? I had nightmares...
  22. What is a NST?

    I had heard that this still happened in the US--yikes!! We only use Cytotec to induce losses here in Canada. I've also only seen an oxytocin challenge (stress) test once. We should do them more often...
  23. L&D Interview Questions/Scenarios

    At all three of my interviews I have been asked to describe situations in which I handled conflict well, and to talk about my strengths and weaknesses. Also at all three jobs I interviewed for I was...
  24. NRP online examination

    It is my understanding that there are few places where RNs are trained to intubate. That being said, all RNs need to understand the correct technique to be able to assist the intubator. I have done...
  25. The most ridiculous birth plans you've had the pleasure of reading

    We delay cord clamping at my hospital in normal deliveries! I love it and it gives me an opportunity to send the resusc team packing :) keeps my babies skin to skin! Most of the family docs do it and...