Fyreflie

Fyreflie

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All Content by Fyreflie

  1. Epidurals and caths

    Fyreflie replied to 84RN's topic in Ob/Gyn

    Our policy is apparently based on research showing that indwelling caths carry a higher risk of infection than straight caths--but I don't really believe that applies to LD, where even our Foleys...

  2. Orientation

    Fyreflie replied to dramaprincess531's topic in Ob/Gyn

    THIS. Dangerous. Say no in writing, document your concerns and keep in hard copy any answers you get even if you have to take notes on verbal conversations. Cover

  3. Epidurals and caths

    Fyreflie replied to 84RN's topic in Ob/Gyn

    Both of my last jobs we automatically did Foleys with most of our epis--exceptions were short labors/fast progressing multips and if they declined. My current job does in and outs the majority of the...

  4. Bedside report

    Fyreflie replied to babyktchr's topic in Ob/Gyn

    I've done it in all of my jobs so far--sometimes I've given report outside the room for social issues etc but everything else at the bedside. For postpartum we didn't though--first because of the...

  5. ER to L&D!?!?

    Fyreflie replied to KimICURN's topic in Ob/Gyn

    I like that it changes all the time (I get bored easily, so pushing a med cart is not for me) and that I get to meet a great variety of people. I find the bonding challenging and rewarding and the...

  6. What specific nursing skills do you use frequently?

    Fyreflie replied to Workitout's topic in Ob/Gyn

    I'm an RN in LD and skills I use most frequently (in no particular order!): IV starts and blood draws, histories and developing rapport with a woman quickly, critical thinking--big one!!!!!!--lady...

  7. Thoughts on orientation length

    Fyreflie replied to Guest321574's topic in Ob/Gyn

    I think I posted on your other thread, but I can't say enough how much you will benefit from as long an orientation as possible--if you're getting paid to learn, why not take

  8. No vaginal exams??

    Fyreflie replied to jodyangel's topic in Ob/Gyn

    We do 7000 a year and we check our own pts all the time. The residents do like to get the practice but usually once they're admitted with epidurals. If they do early exams in triage they're usually...

  9. magnesium sulfate infusion

    Fyreflie replied to rhellner57's topic in Ob/Gyn

    Just my 0.02 but if I have a patient sick enough to be on Mag I like a 2nd IV. If you're running several things simultaneously it's easier to run two pumps--or two double pumps!-and keep track of your...

  10. NRP Question

    Fyreflie replied to Twinmom06's topic in Ob/Gyn

    I think it would be good learning, and definitely an asset! You're going to have to keep renewing it anyway so you might as well get into it now if you know you want OB

  11. OB "Goodie" Bags for Moms

    Fyreflie replied to mommy2boysaz's topic in Ob/Gyn

    That's really unfortunate all I gotta say is yay for my socialist healthcare system! I don't think I'll ever wrap my head around the idea of treating a hospital like a

  12. High risk pregnancy unit

    Fyreflie replied to DebCRNBSN's topic in Ob/Gyn

    We do about 7000 a year as well--at least that's what they're projecting this next year! We send all of our super high risk patients to the level 3 hospital (under 32 weeks when possible, as we're a...

  13. OB "Goodie" Bags for Moms

    Fyreflie replied to mommy2boysaz's topic in Ob/Gyn

    I know,

  14. AWHONN recommendations

    Fyreflie replied to MKS8806's topic in Ob/Gyn

    Up here our guideline is to document q 5 min in the second stage makes for a ton of charting when you run into 2 hours of

  15. becoming a baby friendly hospital

    Fyreflie replied to kms6417's topic in Ob/Gyn

    Our baby friendly hospital had an NICU and the biggest thing was getting peds on board. Once that happened they rewrote the policies to encourage BM first, then supplementation as indicated by the...

  16. Perform Leopold's Maneuvers

    Fyreflie replied to winter_green's topic in Ob/Gyn

    We're expected to do and document them at each Triage visit and encouraged to do them in labour when appropriate to help determine positioning. Helps to know where your anterior shoulder is in case of...

  17. How often do you document fht's?

    Fyreflie replied to at your cervix's topic in Ob/Gyn

    My first two jobs we didn't have portable telemetry monitoring so if the woman needed to be continuously monitored we were limited to using the bed for positioning or the birthing ball/standing next...

  18. AWHONN recommendations

    Fyreflie replied to MKS8806's topic in Ob/Gyn

    http://www.awhonn.org/awhonn/binary.content.do?name=Resources/Documents/pdf/5_FHM.pdf This was what came up when u googled awhonn fetal monitoring guidelines as the first result :) its on page 3 I...

  19. How often do you document fht's?

    Fyreflie replied to at your cervix's topic in Ob/Gyn

    We do q 30 in early labour, q15 in active and q5 in second stage. Q15 if there is an epidural or oxytocin. The facility in at now doesn't favor IA but my last hospital had the same guidelines for...

  20. Which do you see as a better entry to maternal/child nursing?

    Fyreflie replied to Guest321574's topic in Ob/Gyn

    My L&D course the hospital ran when I was hired was 16 weeks including post partum and OR. I was a new grad and I felt fairly good by the end of

  21. Externship in L&D

    Fyreflie replied to sharpest's topic in Ob/Gyn

    It takes time to learn LD skills-I would try and make sure you're familiar with well mom and baby, and the most common complications in labour and the first two hours after birth. The rest is hands on...

  22. Which do you see as a better entry to maternal/child nursing?

    Fyreflie replied to Guest321574's topic in Ob/Gyn

    I would go for the full 12 weeks. It makes you an attractive candidate to be cross trained and almost all LD jobs I've seen posted through travel recruiters in the US have OR skills needed. I think...

  23. Questions from a new grad Re: moving to another province

    Fyreflie replied to studentchar's topic in Canada

    I had mine covered to NS and the only reason I didn't get the same here is because my manager didn't put it in the letter--she said otherwise I could have put in for it she said

  24. OB nursing

    Fyreflie replied to lspeigel422's topic in Ob/Gyn

    We had LPNs as support nurses in the rural hospital I last worked at and in one of the rural hospitals I do travel assignments to! A smaller hospital might be your best bet as they tend to be lower...

  25. Questions from a new grad Re: moving to another province

    Fyreflie replied to studentchar's topic in Canada

    PS they relicense here in October so if there's any way you can wait to transfer over your license until then I suggest doing it--otherwise you'll pay the prorated fee in NS (they relicense in...