lovemyjoblandd

lovemyjoblandd

L and D

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All Content by lovemyjoblandd

  1. How to properly care for Antepartum patients

    The majority (not saying all) are patients that have pylo or stones, preterm labor, or PIH. I'm sure I'm forgetting something common but others can fill in those blanks lol. Having said that each of...
  2. How do you know if you suck? ;-)

    I've been doing L&D for about 3 years now, but for the first 2 I was in a LDRP and did a lot of Mother/Baby and triage, but not a heaptons of labors. I was in the army and we didn't do very many...
  3. Post op recovery of regional C-section

    We recover our own C/S, rather general or regional. We have our own ORs and recover the patient in her L&D room. We are BCLS and NRP certified. ACLS is not required. We have our crash cart and in...
  4. DS vs NS (this is a vent)

    I am sooooo irritated right now, I just have to get this stuff off my chest. First of all I've worked on 3 different floors in 2 different hospitals and have had the same problem with this at all 3....
  5. DS vs NS (this is a vent)

    Dariah, its very frustrating. It makes me want to wait til the very last minute to walk in and clock in, but my military mind goes into panic mode if im not at least 15 minutes early lol. It really is...
  6. DS vs NS (this is a vent)

    Thank. You pediatricrntx. I honestly dont have anywhere else to let it out. I can talk to my husband but he has no idea what i am talkin about and just dont "get" it. I feel like im talkin to a brick...
  7. DS vs NS (this is a vent)

    My poor lil man has been battling sickness for 3 weeks. Started with pink eye, then an ear infection now ear infection in both ears. And he had a hives like rash. Back to the doc for the third time...
  8. DS vs NS (this is a vent)

    Well my coworkers on nights are awesome and we all work together. If u r in trouble someone will come running without even having to ask. The dayshift is a whole nother story. They r every man for...
  9. DS vs NS (this is a vent)

    Okay, this is a perfect example of why people shouldnt take ambien around a computer. Sorry guys.... I had a horrible night when i wrote this. I was slightly (very) irrate. At 645, with 2 nurses on...
  10. What did you do...

    Med-Surg for a year before transferring to a LDRP. Really helped with time management and basic nursing skills. Hated it but glad I got the
  11. highest lab values you have seen

    Renee, thanks for your story! Makes me feel a little better about my patient not being as sick as she
  12. highest lab values you have seen

    So last night I have a patient in full blown HELLP syndrome. Very scary. Her labs were shocking to me, so I am kind of wondering how they compare to other HELLP patients (or really any sick OB...
  13. The most ridiculous birth plans you've had the pleasure of reading

    I wonder if it's animal instinct to do this before the cord has stopped pulsating. It only takes a few minutes. Hmmmm... Food for thought. Looks like i know what ill be trying to research tonight...
  14. highest lab values you have seen

    While the platelets were scary low, and I was terrified of DIC, what really made me scratch my head was her liver enzymes. >2000! I'd never seen that. I guess that's why I named this "highest lab...
  15. The most ridiculous birth plans you've had the pleasure of reading

    I know we've gotten off topic with the Vit k, but I still wanted to throw my 2 cents in. I've been reading a lot about delayed cord clamping and cutting. Obviously once upon a time before medical...
  16. highest lab values you have seen

    I left out the fact that with her 1st pregnancy she was idiopathic thrombocytopenic and had to be under general for her p c/s, but had no other complications. This was her second, and she was also...
  17. highest lab values you have seen

    I left out a WHOLE lot of this story for privacy stuff. Really don't want to get too specific, but it's such a good learning case lol. To be noted, she went under general anes, had a demerol PCEA...
  18. Cervidil AND Pitocin

    Nope. Never seen that. Our orders state that Pitocin cannot be started until cervadil has been removed for an hour. "Cervidil may augment the activity of oxytocic agents and their concomitant use is...
  19. Trick and tips

    Hello! I've been doing LDRP for about 2 years and strictly L&D for 2 months now. Since I've started working I've noticed that many of the very experienced L&D nurses can look at a strip and...
  20. Trick and tips

    Monkeybug, what are you doing now if not bedside. You seem very knowledgable ( I lurk these threads and have read many of your posts). It would be a shame if a nasty nm ran you off for good :/ Thanks...
  21. Evidence based practice for newborn care

    I agree with the things posted here already but I think it is of note to say regardless of time elapsed babies temp needs to be AT LEAST 98.6 prior to first bath. Nothing makes me angrier than getting...
  22. Start preceptorship in L& D Tuesday- tips??

    While you are precepting and not running your delivery, step back and watch what each person does during the delivery. What is each nurse in the room responsible for? Not just the l and d nurse but...
  23. New Mother/Baby Nurse ... any advice?

    Take the WIC course on breastfeeding if it's available. Learn to trust your gut instincts. Learn what is normal so you can spot abnormal quickly. Realize that you most likely will miss something at...
  24. How do you feel about male nurses in OB/GYN/NICU?

    You totally have a right to your opinion; however, I happen to think it is wrong lol. I was in the army for 10 years, just got out in sept. my last 3 were spent as an RN in an LDRP. We had male...
  25. Prep for vaginal Delivery

    My old unit never prepped for vag deliveries so imagine my surprise when I'm on my first day of orientation at my new unit and my preceptor hands me some betadine and sterile water. I looked at her...