babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    C-section post abd surgery?

    babyktchr replied to 311ltc's topic in Ob/Gyn

    previous abdominal surgery should not be an indication for c/s. good grief, how many appy's do we see or gastric bypasses for that matter. no one would have lady partsl delivery then. sounds like...
  2. babyktchr

    Has anyone attended the 'high risk obstetrics' seminar?

    babyktchr replied to 1996RN's topic in Ob/Gyn

    The Vegas national conference is one to go to. I have enjoyed it in the past, and went last year actually. The one thing I don't like is that they don't change up the content, so going to a couple...
  3. babyktchr

    Has anyone attended the 'high risk obstetrics' seminar?

    babyktchr replied to 1996RN's topic in Ob/Gyn

    If it is from PESI, some of my staff attended and they enjoyed it. The price is very reasonable for an all day
  4. babyktchr

    Doulas & new insurance code, Oct. 1: your thoughts

    babyktchr replied to hallcrest's topic in Ob/Gyn

    I have had 8 come to my unit from time to time. To be honest, I probably haven't had the optimal chance to really see what doula's can do from these experiences. I read on this sight all of the time...
  5. babyktchr

    Doulas & new insurance code, Oct. 1: your thoughts

    babyktchr replied to hallcrest's topic in Ob/Gyn

    I find it hard to believe that an insurance company will pay for a doula when they routinely deny routine preventative screenings and necessary procedures without jumping thru bureaucratic hoops. I...
  6. babyktchr

    doppler at 16 weeks

    babyktchr replied to crissrn27's topic in Ob/Gyn

    Holy Cow!! I think by now I would be getting an ultrasound to make sure there is activity going on in there. Why torture a mom like
  7. babyktchr

    Help! ? about fetal monitoring

    babyktchr replied to Lovelee82's topic in Ob/Gyn

    ok, a 29 weeker that had a c/s. Need more information. Why c/s? Was the patient in labor? What was the indication for a c/s? A 29 weeker can be monitored, and be challenging. At that gestation...
  8. babyktchr

    Crash Review Course Needed ASAP

    babyktchr replied to Tucwebb's topic in Ob/Gyn

    Your job is to support your daughter while she is in labor. The worst thing you can do is try to interpret strips or anticipate problems when you really don't know if they are or not. Assist your...
  9. babyktchr

    Paraplegic and delivery

    babyktchr replied to theamberdawns's topic in Ob/Gyn

    Think about all of those women who deliver without pushing on a daily basis.......those great epidurals (just a hair from being a spinal) and the baby just kinda oozes out all by itself unbeknownst to...
  10. babyktchr

    Discouraged L&D RN

    babyktchr replied to obrn22's topic in Ob/Gyn

    Unfortunately, what you are experiencing is happening all over the place. Though not as extreme as you describe, my unit is the same way. We are victims of the physicians will and not what the...
  11. babyktchr

    Does it break your heart?

    babyktchr replied to IMABSNRN's topic in Ob/Gyn

    Its when you stop reacting that you should be concerned. We are
  12. babyktchr

    Hi, just a question on MESs of PIH patients

    babyktchr replied to whitebunny's topic in Ob/Gyn

    Many moons ago, we used to give Albumin for third spacing (anyone remember that). It isn't so much managing the protein, but keeping an eye on protein in the urine and such. You just have to keep...
  13. babyktchr

    Hi, just a question on MESs of PIH patients

    babyktchr replied to whitebunny's topic in Ob/Gyn

    Think about the swelling you are dealing with. It is interstitial swelling, commonly referred to as "third spacing". Fluid is trapped in the tissues(leaky capillaries), not in the intravascular...
  14. babyktchr

    OB in house

    babyktchr replied to eandgsma's topic in Ob/Gyn

    Seems to me a 45 minute response time is a tad bit unreasonable. Certainly a facility can require your OB physicians to have a shorter response time. We do not have OB in house but they are required...
  15. babyktchr

    Anyone going baby friendly?

    babyktchr posted a topic in Ob/Gyn

    We are in the beginning stages of initiation of the WHO baby friendly initiative. Just wondering if anyone else has received the accreditation or is in the process. I am having difficulty with it...
  16. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    THAT should be the shift they DO
  17. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    My sentiments exactly. Now...will you tell my lactation consultant
  18. babyktchr

    Fetal monitoring competencies

    babyktchr replied to MemphisOBRNC's topic in Ob/Gyn

    I require the intermediate course initially and then I had everyone do the AWHONN advanced course for 2 years straight (it is a tough course, lots of information). Starting this year I am having them...
  19. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    I would LOVE to hear more about this. I really think this BFI is much to restrictive and
  20. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    So, it seems that this has gone awry. Everyone is entitled to their opinion. Just agree to disagree. So......has anyone out there actually gone thru the Baby Friendly 10 steps and achieved Baby...
  21. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    I would like to have a piece of both worlds. I would like to retain the formula bags for the bottlefeeding moms and then develop a pro breast feeding bag for the moms. I just don't think we should...
  22. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    again, the initiative dictates you cannot have any formula advertising. so, you can't give bottle feeding moms the formula
  23. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    The bags that are being given are small totes with hair care items, tooth brushes, soaps and stuff and coupons. Funny, these bags are being provided for us at no charge by someone who gets paid from...
  24. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    The deal with the baby friendly initiative is that it is all or nothing. You cannot allow advertising of formula, thus the bags go away and the free formula goes away. This applies to everyone, not...
  25. babyktchr

    Anyone going baby friendly?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    we have to get rid of anything that has advertising from a formula company. we now have to pay for formula and had to stop using the formula bags for discharge. we have a new bag that is full of...