jrring1019

jrring1019

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All Content by jrring1019

  1. single umbilical artery

    I have seen several in practice and I really cannot remember any with problems. My nephew had this as well as a velementous insertion with his 2 vessels traveling from the placenta and across the...
  2. Ever caught a visitor playing with an IV pump??

    On a similar note, I had a doula who also claimed to be a L&D nurse at a different hospital shut off my warmer, o2 and suction for a delivery. According to her the pt wanted a natural delivery and...
  3. TAB's?

    At the hospitals you work for, are you allowed to refuse to take care of pts who are having TAB's? During an interview I was told that nurses cannot refuse to care for these pts. The hospital I am at...
  4. What stethoscope for L&D???

    Where I work now every newborn gets their own stethoscope which hangs on the crib for assessments. This is for infection control. Some are peds, most are adult size. If I don't have my own,I will use...
  5. What is that smell?

    I also notice that little boys have a special smell...not yet offensive but truely different from girls. I notice it at the top of my sons head in his hair. He is only
  6. Don't Rough My Newborn Up!!!!!!!

    I made my own sisters nervous when I had my babies and I would pick them up casually or dress/change them. And I could also tolerate a little fussy crying from my babies(you learn that after spending...
  7. "cracked cord"???

    I have never heard of this, but if this happens I would imagine it would be an emergency situation. It seems that the baby would bleed out quickly in utero, but maybe I am not understanding what a...
  8. phone protocols

    Always just refer them to their doctor/CNM. I always say you need to contact your doctor, even when a patient is pushing me for advise. Legally you have no other choice. YOU know the answers and know...
  9. early decels during latent phase-advice needed

    Are you sure they were early?? If they were, then it was probably CPD and you can't change that. How was LTV,
  10. Help me manage 2nd stage, please. New Gr

    Was your preceptor in the room when the pt delivered w/o the doc present??? THAT is her fault. She should of stepped in to page or suggest that you do it. Was she trying to teach you a lesson? I don't...
  11. How do you cope with child abuse?

    One of the things that stick with me is the "silent cry". The child was just old enough to walk, yet when crying would make no sound, just tears. I'll never forget having to put an IV in, and like...
  12. RN mama schedules

    Weekends!! I have 3 children ages 7,6 and 4. I had them very close together and I became a weekender when #2 was born. The hospital where I was at had a good weekend program and I eventually made as...
  13. OB census... is everyone slow right now?

    In my area all of the local hospitals are SLOW. I have been cancelled several times recently. I have been an OB nurse for 8+ years and it always seems to be slow late winter and early spring. We had a...
  14. Newborn PKU: Heelstick vs Venipuncture?

    I have always done heelstick. Someone told me once that the plastic in the syringe can affect the test...anyone ever hear of this? I also would cause more trauma to a baby fishing for a vein. I have...
  15. fundal pressure

    I have also been taught that fundal pressure is contraindicated and I have only been asked to apply pressure during AROM and during a twin delivery to keep B from flipping. I believe there is a...
  16. Any pointers regarding heal pokes?

    I learned this from an experienced nurse and then found the same info in an article which had the details of why it works. After warming the heel you want to use, remove the warmer and place it on the...
  17. Dangerous lessons learned in your first year of nursing

    We have this doc that is very aggressive with his labor pts. He will use high dose pit and if he thinks you are not going up fast enough he will increase it himself when you are out of the room. Well,...
  18. Daughter told to do her own cultures...

    My question is why?? I know it is a simple swab, but why have the woman do it if she is coming in for her visit anyway? I just don't get why the provider would have the pt do that herself. All you...
  19. standards of care

    I have been looking for a reference for standards of care/ evidence based practices for OB pts. Is there one clear cut place to find them? After starting 2 new OB jobs at the same time, I really...
  20. Great Delivery / Bad Delivery

    The only way to learn is through experience. And I bet you will always check with the docs about GBS/tx from now on. Also it has been my experience that the NICU blames the L/D nurse for everything,...
  21. OB Emergencies

    I am an OB nurse who BRIEFLY workd ED and went back to OB. I am impressed that you got the pt out the door in 13 minutes!! You did awesome!! Even if she came directly to the floor it would not have...
  22. "Maternity Care Cost Saving Ideas" Please Share

    At the hospital I used to work at we used an omnicell which means EVERYTHING you take out for the pt is charged to the pts account. So if the pt needs more of anything (soap, panties, pads, etc...)...
  23. Anyone hate the ER at first?

    I went to the er after 10 yrs nsg experience (2 tele and 8 OB). I hated it a on my first day and decided to transfer out on my 89th day..I was almost stuck, because you have to stay 1 year if you don'...
  24. It's a Hospital, Not a Hotel (Gripe)

    Perfect example of what happens when the monkeys are allowed to run the circus. :chuckle :chuckle :chuckle :rotfl: :rotfl: :chuckle :chuckle I have to remember that
  25. OOHHHH The Arrogance of Some Doctors!!!

    Not only rude, but gross! He is gloved, doing an exam, answers the DIRTY phone and contines on with the exam....yuck. We have a doc that put is ice cream pop down on the edge of a delivery table to...