babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Additional education to get the job?????

    babyktchr replied to javawren_23's topic in Ob/Gyn

    Depending on the class, I would imagine that most would be over your head because you are not clinical yet. Just don't know if it would make sense to you at this point. Remember, it isn't just about...
  2. babyktchr

    Vit. K, Vag Hand, and Late components....please explain

    babyktchr replied to RNTX2002's topic in Ob/Gyn

    Early with late component. Wow. No such thing. Early is early, late is late. NICHD definitions make this all pretty clear. Even variable with late component has been eliminated. As somenone else...
  3. babyktchr

    NRP Course in Vancouver, BC, or online?

    babyktchr replied to michi_ca's topic in Ob/Gyn

    Your facility does not offer NRP? I am also wondering what pre-req's are required before an NRP class? Seems kind of odd. I know at my facility, we have collaborative agreement with area hospitals...
  4. babyktchr

    DON out to "Get Me"

    babyktchr replied to Noor545's topic in Ob/Gyn

    Oh my word, where do I start. So many issues here....why are you by yourself while you are in orientation? Who is responsible for patient care since your status is orientee?? If they are paying the...
  5. babyktchr

    Where Do People Dream This Stuff Up?

    babyktchr replied to BabyRN2Be's topic in Ob/Gyn

    It's all just madness...isn't
  6. babyktchr

    Where Do People Dream This Stuff Up?

    babyktchr replied to BabyRN2Be's topic in Ob/Gyn

    I was in a room where people were doing cocaine, or smoking weed...that is why my drug screen is
  7. babyktchr

    Pitocin d/c?

    babyktchr replied to romantic's topic in Ob/Gyn

    Are you talking about discontinuing pit after delivery or during labor? Two different
  8. babyktchr

    Fetal monitoring during epidural placment

    babyktchr replied to LM813's topic in Ob/Gyn

    If you cannot monitor the baby with the fetal monitor because of positioning, you should get a doppler and assume the ausculation of FHT parameter set forth by AWHONN. Since epidural placement only...
  9. babyktchr

    Something fun: What would you REALLY like to say to new PARENTS?

    babyktchr replied to BabyLady's topic in Ob/Gyn

    Help me!!!!!!! Somebody, please help
  10. babyktchr

    Do you have restricted visiting hours in labor and delivery?

    babyktchr posted a topic in Ob/Gyn

    We restrict our visitors in L&D to 3 "support" people while in labor. We have a difficult time with visitors despite the fact that mom SIGNS a paper stating her 3 chosen folk. I was wondering...
  11. babyktchr

    Do you have restricted visiting hours in labor and delivery?

    babyktchr replied to babyktchr's topic in Ob/Gyn

    OH MY
  12. babyktchr

    Something fun: What would you REALLY like to say to new PARENTS?

    babyktchr replied to BabyLady's topic in Ob/Gyn

    Sometimes the little voice in my head just wants to scream "you peed on yourself, you peed on yourself...neener neener neener". Ahhh. This is a cathartic
  13. babyktchr

    Something fun: What would you REALLY like to say to new PARENTS?

    babyktchr replied to BabyLady's topic in Ob/Gyn

    How fun is this?!?!?! In response to the "I think I lost my mucus plug" question...I would love to respond "where did you leave it
  14. babyktchr

    Acuity Based Staffing Tool in Mother/Baby?

    babyktchr replied to FemmeRN's topic in Ob/Gyn

    AWHONN states 1-10 for well
  15. babyktchr

    Acuity Based Staffing Tool in Mother/Baby?

    babyktchr replied to FemmeRN's topic in Ob/Gyn

    Wow, I am surprised at the 1:5 ratios going on out there. AWHONN guidelines suggest 1:3-4 couplets. Does anyone staff based on acuity anymore? Seems like a blast from the
  16. babyktchr

    TC bili meters

    babyktchr replied to lmc512's topic in Ob/Gyn

    These fabulously expensive machines are supposed to have an accuracy rate of +/- 1.5. We find that they are in that range most of the time, BUT if you aren't checking them routinely by serum, how do...
  17. babyktchr

    TC bili meters

    babyktchr replied to lmc512's topic in Ob/Gyn

    If youi read the manufacturers book ( I had to do it) it recommends that you lift it off after each check. I am having a heck of a time with my bilicheck machine, having to send it back for repair...
  18. babyktchr

    Fetal Monitoring Software

    babyktchr replied to Goldenearring1's topic in Ob/Gyn

    We just got OBIX and I love the company and its product. I am working like mad to buy the rest of the package. Right now we have surveillance and strip annotation. You can get better customer...
  19. babyktchr

    sick call

    babyktchr replied to ikimiwi's topic in Ob/Gyn

    It is a tough situation, but if you are sick, you are sick. Stay home. Most facilities have policies on calling out while in orientation. I look at the big picture. Life happens to all of us. If...
  20. babyktchr

    How to get my dream job?

    babyktchr replied to nursecher's topic in Ob/Gyn

    If OB is what you want to do, then make yourself marketable. Though you don't have direct experience, take a fetal monitoring course, take NRP. Show that you are really determined. As a manager, I...
  21. babyktchr

    closed unit

    babyktchr posted a topic in Ob/Gyn

    I am looking for guidelines that are being used for a closed OB unit. Our unit has been closed (and successfully) for a few months, but really only have a skeleton base for guidelines. Anyone have a...
  22. babyktchr

    Lab Results: WOW

    babyktchr replied to JenTheRN's topic in Ob/Gyn

    The funny thing about HELLP is that either they have horrifying labs and they don't appear sick, or their labs aren't horrifying and they are sick. I had a girl years ago that had both. She ended up...
  23. babyktchr

    Lab Results: WOW

    babyktchr replied to JenTheRN's topic in Ob/Gyn

    This is HELLP syndrome and although expected, they are critical labs. I hope the OB continues to draw labs regularly to monitor the
  24. babyktchr

    closed unit

    babyktchr replied to babyktchr's topic in Ob/Gyn

    No one goes out, no one come to help...at least that is how it is at my institution. It is a nice seller to new folks. It has worked nicely for us, even without mandatory call. My new director...
  25. babyktchr

    OBRNC should I get AdVan Elec.Moni.Cerf

    babyktchr replied to Pelham's topic in Ob/Gyn

    I just took the exam in Sept and took Lisa Miller's review course. The test is challenging and I passed. I think the review is excellent, even if you aren't taking the exam. I just got a flyer from...