Fyreflie

Fyreflie

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All Content by Fyreflie

  1. VE prior to epidural

    Fyreflie replied to guamba's topic in Ob/Gyn

    I'm with you, I use my gut. I try to minimize exams with ruptured pts too and in general on pts who don't have an epidural but more than anything on my instincts and paying real attention to what my...

  2. VE prior to epidural

    Fyreflie replied to guamba's topic in Ob/Gyn

    If she can sit still...she can have one!! That's the policy everywhere I've worked. They don't always make it but we try :) I will usually only check right before if it's a primip who is still early...

  3. What would you do?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    Jesus. Run to the OR? That's disgusting. All jokes aside--reposition, bolus--check her temp, check for a cord, make sure my OR was available and have a doc in the room ASAP, as well as my NICU aware...

  4. Homebirth safer then hospital birth????

    Fyreflie replied to RNlovesherPharmD's topic in Ob/Gyn

    Probably the same way we handled it at my last job (rural OBs with no NICU, RT and peds on call only). We suctioned mouth and nose and then oxygenated as necessary. Vigorous babes with mec were...

  5. Homebirth safer then hospital birth????

    Fyreflie replied to RNlovesherPharmD's topic in Ob/Gyn

    Up here if there is mec it's an automatic hospital birth for midwifery

  6. Homebirth safer then hospital birth????

    Fyreflie replied to RNlovesherPharmD's topic in Ob/Gyn

    I'm a fan of home birth for low risk women. Yes, I have some bias--two of my sisters and one of my sister's babies were born at home, and I was present at all three births at different times in my...

  7. Early decel? or Variables?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    I would have called them variable too--too deep, too long, and though they mirror and recover that is not a strip I would be sitting on for long. Early decels to me are shallower by a LOT. I would...

  8. How do you document Pitocin on the I&O?

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

    I guess it depends on how you're mixing and running your oxytocin!! My first unit, we mixed 10 units in 1000 ml and started at 2.5 mu/min = 15 ml/hr and so by the time we made it to max pit (40...

  9. What..work with NO residents??

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    My last job was pretty much exactly that and after the first few months, when I was learning to do specs, honing my judgement skills and learning to Triage in a whole new way--I loved it!! I was...

  10. Do you check DTR when pt has epidural?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    Well yeah, of course :) but not because of the

  11. Do you check DTR when pt has epidural?

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    Nope, never in the three places I've worked. Dermatomes & bromage for epidurals. DTRs for mag sulph patients

  12. Recurrent variables...

    Fyreflie replied to violet_violet's topic in Ob/Gyn

    If she's a multip with just a lip and at 0 I would get her sitting up if baby tolerates (ie doesn't get any worse) and try my damnedest to get that lip gone so she can push and have a baby. Inform...

  13. argument after delivery

    Fyreflie replied to Lanesmama's topic in Ob/Gyn

    I heard an LD "legend" from one of our older nurses--years and years ago, she had a tiny little primip from overseas come in, in labour, with her husband accompanying. This little lady was coping...

  14. Postpartum pit

    Fyreflie replied to Elvish's topic in Ob/Gyn

    I'm assuming you mean as third stage management? Here in Canada the standard is 5 units IV push at the anterior shoulder prior to the placenta (10 units IM if Mom has no IV) and then the infusion...

  15. C section attire

    Fyreflie replied to jmdisque's topic in Ob/Gyn

    Yup pretty much. I bag them double straight from the dryer, take them to work and put them in my locker. Unfortunately they can't change the company they use (hospital wide) for linens so we just do...

  16. C section attire

    Fyreflie replied to jmdisque's topic in Ob/Gyn

    Up here in Canada we follow ORNAC standards which are hospital laundered OR scrubs. When I worked in a very small unit we wore our own scrubs but had OR scrubs available and tried to change unless it...

  17. Postpartum pit

    Fyreflie replied to Elvish's topic in Ob/Gyn

    We use 5 units IV push with the anterior shoulder (10 IM if Mom has no IV) and then rely on more hands-on methods (early and frequent feeding, fundal massage, teaching mom about the importance of an...

  18. Central monitoring policy

    Fyreflie replied to jmdisque's topic in Ob/Gyn

    When we had central monitoring in Toronto we didn't have a policy specifically regarding the CM--we were expected to chart every 15 minutes if they were on any kind of continuous monitoring and record...

  19. Really sad :(

    Fyreflie replied to NOLAmommy3's topic in Ob/Gyn

    Here's my take on the "dream job" scenario: there will be times in your life when you're not doing it, or something is vastly different work wise than you want even when you are, and more valuable...

  20. DEMEROL ... does Your unit use it?

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    When I first started working OBs almost 5 years ago we used to give it in early labour but most places in Canada seem to have moved to morphine &gravol now. I've never given it post op--we rarely...

  21. Anyone here start in OB as new grad?

    Fyreflie replied to brittykbritt's topic in Ob/Gyn

    I did and am coming up on my 5th year with no regrets whatsoever :) good luck in your new

  22. Do you like the visiting IBCLC? How about doulas?

    Fyreflie replied to dahlialover's topic in Ob/Gyn

    No I still couldn't find a registering agency that actually has a reporting system in Canada.

  23. Do you like the visiting IBCLC? How about doulas?

    Fyreflie replied to dahlialover's topic in Ob/Gyn

    Do those organizations cover Canada? Last time I checked we didn't have a reporting agency but it's been a while so maybe one has started.... I'm always in favor of good support :) thankfully we are...

  24. Do you like the visiting IBCLC? How about doulas?

    Fyreflie replied to dahlialover's topic in Ob/Gyn

    I love love love my IBCLC! I'm labour exclusively now so don't really see her but at my last 2 jobs (one baby friendly and one working on it) we had great relationships with them! Doulas....really...

  25. New job - Finding it so Weird!

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    We still mix pit at my 7000/year hospital! And use paper charting.... :) no chux hot pads--but my 1200/year hospital didn't even use those :) it's amazing how every place is so