Fyreflie

Fyreflie

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All Content by Fyreflie

  1. becoming rusty with vaginal exams

    Fyreflie replied to cebuana_nurse's topic in Ob/Gyn

    We had a "vag in a box" when I was training in OB :) I know you can get them

  2. Workflow of Labor & Delivery Nursing

    Fyreflie replied to Cottontop365's topic in Ob/Gyn

    Aww thanks guys!! I really love my job :) it's an amazing mix of skills and

  3. The most ridiculous birth plans you've had the pleasure of reading

    Fyreflie replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Haha laminated? Rotfl! When people ask me "how long" I now say "ask your baby"--I get 10-20 seconds of completely vacant and then they usually start to laugh like I've made a joke

  4. "Not allowed" to perform vaginal exams

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

    Is it a policy or just a culture? I have to say, I can't imagine being competent in L&D and never doing an exam!! We do a great deal of teaching but it's the residents who check along with US and...

  5. The most ridiculous birth plans you've had the pleasure of reading

    Fyreflie replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Yeah the language can be funky-I try to defuse it a bit by just addressing it directly. I haven't run I to the "I'll sue" mentality up here which I'm glad for--but I find that nurses get defensive...

  6. how do you push with your patients?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    I rarely count unless the pt seems to do better that way. If they're too frozen to push or change positions I wait and if they have urge we do three pushes or four of 8-12 seconds...

  7. The most ridiculous birth plans you've had the pleasure of reading

    Fyreflie replied to PeepnBiscuitsRN's topic in Ob/Gyn

    I don't mind birth plans at all--if you take away the ridiculous language some of them are couched in, the expectation is that you will be using evidence based practice (low intervention, good...

  8. more meconium???

    Fyreflie replied to babyktchr's topic in Ob/Gyn

    When we moved to 41+3 for induction as per SOGC guidelines in Canada we saw waaaaay less inductions, more spontaneous and successful labours, a small increase in mec maybe but definitely no more...

  9. Trick and tips

    Fyreflie replied to lovemyjoblandd's topic in Ob/Gyn

    Monkeybug I love labouring down!! My last two jobs we always did--at this job everyone seems to think that if you sit a pt up with an epidural it will suddenly drop to no block :/ OP--I like the...

  10. Trick and tips

    Fyreflie replied to lovemyjoblandd's topic in Ob/Gyn

    Coupling and tripling contractions can be a sign of an OP baby (due to uneven pressure on the cervix from a funnily applied head maybe?) but I find Leopolds and assessment of pain (back labour being a...

  11. Hand-off report from Antepartum Triage to L&D

    Fyreflie replied to Mermaidblues's topic in Ob/Gyn

    Ahh--that's tough--we had a charge nurse at both of my bigger facilities and she kept a rolling list going. Sometimes that meant that if you were the only person without a patient, you got what came...

  12. Evidence based practice for newborn care

    Fyreflie replied to babynurse428's topic in Ob/Gyn

    Oh and we never put anything on our cords at any of the facilities we worked at

  13. Evidence based practice for newborn care

    Fyreflie replied to babynurse428's topic in Ob/Gyn

    When I worked post partum we did our first bath at 8 hours after stable temperatures were documented. First feeds were at breast or bottle and we often asked formula feeding moms if they would...

  14. Hand-off report from Antepartum Triage to L&D

    Fyreflie replied to Mermaidblues's topic in Ob/Gyn

    Umm--what are your barriers or issues with this process right now? Every unit I've ever worked on, an incoming patient is assigned to an RN and that RN is responsible to go to AP or Triage, receive a...

  15. I need advice on job offer

    Fyreflie replied to taz5's topic in Ob/Gyn

    I've done nothing else but L&D for almost 5 years and I love it!! There are so many women's health areas you can learn more about and do many options for movement. This fall I'm helping to teach...

  16. Workflow of Labor & Delivery Nursing

    Fyreflie replied to Cottontop365's topic in Ob/Gyn

    Sometimes it's slow--until it's not!! I work on a unit that averages 15-25 deliveries in 24 hours. I have worked shifts where 13 of us have sat on our duffs all night and had 1 delivery. I've worked...

  17. Assess fetus or mother first?

    Fyreflie replied to WantAccel.BSN's topic in Ob/Gyn

    If I was unable to plop the monitor on while taking her history (that would be my first choice) I would auscultate at the first possible opportunity. It really also depends on the gestation. Under...

  18. FHT question, where is the variable on this strip?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    I quite honestly don't think it even matters--there is nothing repetitive or ominous and it's barely

  19. labor and delivery nurse-patient ratio

    Fyreflie replied to magz53's topic in Ob/Gyn

    First thing I would advise--inform your manager in writing of your concerns every time you have an unsafe situation. This covers your butt if something does go wrong--you can point to your paper trail...

  20. How much experience before travelling?

    Fyreflie replied to 88nurse2010's topic in Ob/Gyn

    I started travel nursing after 3.5 years--2 in a busier center with lots of deliveries and then 1.5 in a small, low-risk center that required me to be much more independent and sure of my assessments....

  21. Training OB nurses for natural birth support

    Fyreflie replied to mommy2boysaz's topic in Ob/Gyn

    We had midwives come in and do a one day training on labour support during my perinatal training--other than that, just practice!! It might be beneficial to have someone experienced in labour support...

  22. What would you do?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    My thoughts exactly. The baseline alone with that lack of variability would have had us in the OR or pulling at like minute

  23. What would you do?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    Haha me too, the first

  24. The youngest new mother's you've seen

    Fyreflie replied to PeepnBiscuitsRN's topic in Ob/Gyn

    Haha I would really tickle your spidey senses then--I'm 32 and still watch cartoons!! But my husband draws comic books for a living so we're going to be children forever

  25. How do you monitor for cervical ripening?

    Fyreflie replied to snwflknurse's topic in Ob/Gyn

    I wish I could help but we only use cytotec to induce losses in Canada--never for induction of labor. For Cervidil induction we have to have a normal NST prior to placement and then monitor 1hour...