babyktchr BSN, RN

Nurse Manager, Labor and Delivery

Member

  • Content

    850

  • Visitors

    10,348

  • Followers

    0

  • Likes

    7

All Content by babyktchr

  1. babyktchr

    OBIX labor charting anyone?

    babyktchr replied to L&D2FNP's topic in Ob/Gyn

    if you go to the "flowsheet" tab at the top and then scroll down to "review", you can view and print a report sheet from triage, admission, delivery and for newborns. The delivery report gives a...
  2. babyktchr

    OBIX labor charting anyone?

    babyktchr replied to L&D2FNP's topic in Ob/Gyn

    What did you use before you went to electronic medical record? You could surely still use the same tool, extracting information from the EMR to give report. The information is still there, it is...
  3. babyktchr

    help me figure out what went wrong with this pt's labor!

    babyktchr replied to adpiRN's topic in Ob/Gyn

    I would like to know what the variability was in the strip much more than the late decel. With her pressures being increased, the drop probably did cause issues with the perfusion of the placenta. A...
  4. babyktchr

    Co-bedding twins - telling the difference!!

    babyktchr replied to LuvofNursing's topic in Ob/Gyn

    Could you site the AAP recommendation? NANN states that there is insuffient evidence to discontinue because of the lack of studies done in the home, and did not locate information on AAP that...
  5. babyktchr

    Co-bedding twins - telling the difference!!

    babyktchr replied to LuvofNursing's topic in Ob/Gyn

    we write A and B on the their
  6. babyktchr

    constipation and contractions

    babyktchr replied to theamberdawns's topic in Ob/Gyn

    constipation can cause a lot of issues, mostly being uncomfortable and the thought that you are having contractions. Has a patient once who was EXTREMEMLY constipated and she swore she was in labor....
  7. babyktchr

    new terminology for fetal monitoring

    babyktchr replied to TC06's topic in Ob/Gyn

    You can certainly document both minimal and moderate variability but the predominate variability is probably the best to chart. As for minimal variability putting you into a category II....you would...
  8. babyktchr

    What would you have done in my situatio

    babyktchr replied to ldcmw1's topic in Ob/Gyn

    ??????
  9. babyktchr

    What would you have done in my situatio

    babyktchr replied to ldcmw1's topic in Ob/Gyn

    as a nurse manager, I would have a safety tracking tool or incident report done so it could be forwarded to a peer review. This most definitely needs to be talked about. The patient was NOT in labor...
  10. babyktchr

    Cervidil

    babyktchr replied to jules55's topic in Ob/Gyn

    Be very careful with intermittent monitoring with cerividil. Continuous monitoring SHOULD be used because of the time release effect of the drug. Many many references are out there regarding...
  11. babyktchr

    Cervidil

    babyktchr replied to jules55's topic in Ob/Gyn

    They should be treated like any other
  12. babyktchr

    obnoxious OB

    babyktchr replied to adpiRN's topic in Ob/Gyn

    I encourage my staff to write that stuff up and it gets sent to peer review. The worst thing to hear is "he always does that". That doesn't make it right. I know it is difficult to stand up to the...
  13. babyktchr

    Cytotec Policy

    babyktchr replied to rickdon19's topic in Ob/Gyn

    and if anyone out there uses cytotec PO for LIVE birth, I would love to chat with you about your policy. ACOG and AWHONN do not support PO use, but I know it is
  14. babyktchr

    Cord blood banking

    babyktchr replied to NeoRNtobe's topic in Ob/Gyn

    Have not heard anything ever about discounts.
  15. babyktchr

    OB for NICU Nurses :)

    babyktchr replied to littleneoRN's topic in Ob/Gyn

    Very well done. I will only add that decels are symptoms of what is going on.....ie. head compression, cord compression, utero-placental insufficiency. Your variability is really what you want to...
  16. babyktchr

    newborn bathing

    babyktchr replied to RLynn39's topic in Ob/Gyn

    AWHONN has a whole position on newborn skin care. You can buy it from their
  17. babyktchr

    AWHONN Fetal Monitoring Courses

    babyktchr replied to redheadnurseforlife's topic in Ob/Gyn

    Why does it have to be AWHONN approved? I had a manager that was stuck on that for competency validation and if you read the brochures for either presenter, you will find that their course will...
  18. babyktchr

    Dilation Issues Pts w/ Prior Cryo

    babyktchr replied to honeymist's topic in Ob/Gyn

    These poor patients can have the most miserable prodromal labor because of the scar tissue that has built up around the cervix. They contract and contract and never seem to dilate. Once the scar...
  19. babyktchr

    Need Help with these OB Questions Please

    babyktchr replied to 2CatLover's topic in Ob/Gyn

    number 2 is all of the
  20. babyktchr

    Are "Baby Friendly" hospitals dishonoring cultural diversity

    babyktchr replied to HeartsOpenWide's topic in Ob/Gyn

    AMEN
  21. babyktchr

    Are "Baby Friendly" hospitals dishonoring cultural diversity

    babyktchr replied to HeartsOpenWide's topic in Ob/Gyn

    That would be a very interesting question to pose to the baby friendly creators. Their rules are very strict and formula is ONLY to be used for medicinal purposes with documentation to prove it. We...
  22. babyktchr

    PCA in OB/GYN

    babyktchr replied to ksow's topic in Ob/Gyn

    OMG how funny is
  23. babyktchr

    PCA in OB/GYN

    babyktchr replied to ksow's topic in Ob/Gyn

    Post partum c/s get the PCA but we are trying to change that. They don't get great pain control and there is a high incidence of nausea/vomiting. IV Toradol and Percocet is what we find works best...
  24. babyktchr

    Case Presentation Help

    babyktchr replied to CollaborateRN's topic in Ob/Gyn

    I am thinking the AM/PM schedule for breastfeeding refers to moms who will breastfeed in the morning before work, supplement with formula or pumped breast milk during the day and then will breastfeed...
  25. babyktchr

    "discovered" an IUFD the other day :(

    babyktchr replied to HappyNurse2005's topic in Ob/Gyn

    You are absolutely right. It does suck...in a big way. I don't think that it ever gets any better. It is one of those things that is just going to be a shock to all that in involved. Feel it in...