Fyreflie

Fyreflie

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All Content by Fyreflie

  1. Cervidil AND Pitocin

    Fyreflie replied to rdnkmommy's topic in Ob/Gyn

    No way no

  2. Am I nuts? Travel OB?

    Fyreflie posted a topic in Ob/Gyn

    So I've been kicking around the idea of travel nursing for a while now, since way before this job. I have the chronically itchy feet of the Aquarius and it seemed like a good compromise--good money,...

  3. Am I nuts? Travel OB?

    Fyreflie replied to Fyreflie's topic in Ob/Gyn

    I'm leaving for a big northern job March 1st :) January and February I'll do some small jobs close to home and then the big job goes to August 5 with a three week break in May :) super

  4. Finally did my own delivery

    Fyreflie replied to itsnowornever's topic in Ob/Gyn

    I still remember that feeling! Way to

  5. What's the max dose Pitocin is allowed at your hospital?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    Alberta (my hospital at least!) 20 mu/min with occasional higher doses at the OBs

  6. Vag Exams on Preterm Patients??

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    I would go straight to your regulating body but if they don't have a problem with it, and you're rural and the hospital and MD want you doing it then it'd be a good idea to ask for guidance in...

  7. Vag Exams on Preterm Patients??

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    Yeah FFN after sex in the past 24 hours is pointless. As for scope you'd have to check with your regulating body, but as I understand it changes state by state for you guys? So it might be the...

  8. Vag Exams on Preterm Patients??

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    In my rural job we often checked preterm patients (as preterm as late 20s) after communicating with the physician, doing a sterile spec to rule out SRM and collecting a FFN. Our orders from the MD...

  9. Tell me about your baby friendly initiative...

    Fyreflie replied to RN*mommy's topic in Ob/Gyn

    It really has so much to do with our attitudes!! There are respectful ways to give information without being overbearing. I try to do my bf education with support people in the room because they...

  10. Tell me about your baby friendly initiative...

    Fyreflie replied to RN*mommy's topic in Ob/Gyn

    That sounds like culture more than accreditation to me. I've worked at a BFI certified hospital and one that was working on it and here is what we did: First hospital (the certified one) actually...

  11. IV fluids during labor

    Fyreflie replied to L&DMomof3's topic in Ob/Gyn

    I think it varies by hospital culture. I try to keep my fluid on the pump OR be very careful how fast I am running it by gravity. Sometimes if I have to open it up in a hurry one of our more senior...

  12. Fetal monitoring guidelines

    Fyreflie replied to ArgentumRN's topic in Ob/Gyn

    So I just googled exactly what you put in your message..... http://www.awhonn.org/awhonn/binary.content.do?name=Resources/Documents/pdf/5_FHM.pdf That was the very first hit. I'm all for helping but...

  13. how long did it take for you to get into L&D nursing?

    Fyreflie replied to NurseJessie2's topic in Ob/Gyn

    Me

  14. Bedside handoff report on mother/baby unit

    Fyreflie replied to OBnurseSandy's topic in Ob/Gyn

    Actually bedside report is the recommendation and I have a friend who just did a conference presentation on it--better patient satisfaction and involvement! We do it in my current labour

  15. New grad--should I specialize in ICU or L&D??

    Fyreflie replied to girliegirlieRN's topic in Ob/Gyn

    I don't find your comment offensive but I would cheerfully strangle the nurse who gave you that impression. On my floor our labour patients are 1:1 the majority of the time. Last night my VBAC got...

  16. PCA use for pain control after c-section

    Fyreflie replied to Kayla.J.RN's topic in Ob/Gyn

    What do your cs pts get in their spinal? On all three floors I've worked on our cs pts go to pp with orders for ibuprofen and Tylenol around the clock for 48 hours. Breakthrough is usually IV Toredol...

  17. Dilaudid dosing in L&D

    Fyreflie replied to Daddybyrd's topic in Ob/Gyn

    I wouldn't be any more comfortable with it than I am giving IV morphine in labour. I'm way more comfortable giving fentanyl just because of how fast it wears off. Ante partum I'm not sure

  18. Prep for vaginal Delivery

    Fyreflie replied to Goodlaura6's topic in Ob/Gyn

    What prep? For vag deliveries? None of my 3 jobs have used any kind of prep for vag deliveries! I didn't know anywhere did that :) I'm sure acog would have something.

  19. Checking your patient's dilation.

    Fyreflie replied to NOLAgirl2's topic in Ob/Gyn

    It took me at least a year to be comfortable with basic labour exams (4-10 cm). It took me another two years to start to feel confident with dilation under 4 cm, effacement, and consistency. I still...

  20. New Mother/Baby Nurse ... any advice?

    Fyreflie replied to jjaye's topic in Ob/Gyn

    Ask, ask, ask and ask some more. If you're not sure, ask. If you're curious, ask. If you see someone doing something you've never done before, ask if you can help/watch. The more you ask, the less...

  21. Start preceptorship in L& D Tuesday- tips??

    Fyreflie replied to pugmom79's topic in Ob/Gyn

    Just drink it all in!! And--watch the mothers instead of the monitors. Learn the tasky stuff, but learn to watch how moms are moving, their faces when they're transitioning and their reactions when...

  22. What's the craziest thing a patient or family member has said to you?

    Fyreflie replied to monkeybug's topic in Ob/Gyn

    You'd be surprised how common that question is--I have a friend who does GI and she said most people with new stomas

  23. What's the craziest thing a patient or family member has said to you?

    Fyreflie replied to monkeybug's topic in Ob/Gyn

    Ahahah! Recently one of my colleagues walked into a pts room to find dad doing perineal massage in labour (she was like an ant lip maybe)-- which is totally fine but he reached in too far, felt the...

  24. becoming rusty with vaginal exams

    Fyreflie replied to cebuana_nurse's topic in Ob/Gyn

    Yeah we had them as part of our education program and the hospital

  25. What's the craziest thing a patient or family member has said to you?

    Fyreflie replied to monkeybug's topic in Ob/Gyn

    Hahaha!! I had one recently--young girl, 18 maybe, dad not involved, grandma accompanying for support. She did really well, pushed like a champ, barely tore. Grandma kept on getting riiiight in there...