babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    OBRNC should I get AdVan Elec.Moni.Cerf

    NCC has the certificate of added qualification EFM. It is comprehensive and really delves into physiology (which I love). Why
  2. babyktchr

    i WANT TO BE A LABOR & DELIVERY NURSE

    OB is a hard place to get into. Keep trying and maybe you can get your foot in the door. I was an ICU nurse and I just kept trying and someone took a chance on me. OB is a different animal, a...
  3. babyktchr

    Tips for getting past the Recruiter?

    Being a nurse manager, I have had more "on the fly" interviews than anything...people that just show up in the recruiters office. I don't know if that is the answer, but I interviewed 2 people that...
  4. babyktchr

    The silence of fetal demise

    I was drawn to your title, and I thank you so much for your post. This is the part of OB that isn't what everyone talks about. Please know that I am relaying an internet hug to you right now. This...
  5. babyktchr

    help with fetal monitoring

    The accel has to PEAK at 15 secs above the baseline, it does not have to stay up there for 15 secs. It would resemble a triangle if you can picture it in your mind. Granted there are some accels...
  6. babyktchr

    newborn staying with readmitted mom

    We just had this happen and it was a mess. The baby can stay, but an responsible party MUST stay also. There is the rub. Most want to just drop the baby off and leave, despite mom just having major...
  7. babyktchr

    Christmas Party Ideas

    We have every holiday party at someone's house. It is more intimate and warm. We bring TONS of food (obscene amounts actually) and we end up just wandering around and chatting, laughing and eating....
  8. babyktchr

    ??? Trial of contractions

    Are you kidding
  9. babyktchr

    Ibuprofen & Percocet together?

    Ibuprofen is fabulous. I like it round the clock and percocet added in when needed. I think the patients do a lot better on that combo than using PCA anything. Anyone have luck with Vicoprofen??...
  10. babyktchr

    IV iron protocol??

    In all my years, have never given
  11. babyktchr

    staffing in ob triage

    Wow. First, I am impressed that an 8 bed triage is needed for your unit. That is amazing. You have the extra added luxury (or not) of seeing anything and everything in an OB patient. I do NOT...
  12. babyktchr

    time frame ob back up

    Yikes. 2 nurses at the barest minimum is prudent here. Being more than 30 mins out is also not a good thing. I wonder what you risk management department has to say about this practice. One thing...
  13. babyktchr

    Unbelievable

    If you listen to Lisa Miller speak, the guidelines say that you have to ASSESS FHR etc. q 30 mins for low risk and q15 mins for high. It says nothing about documentation. Where I get fuzzy in that...
  14. babyktchr

    true or false?

    Small hospital here, always seems to be on code max. I have to justify OT on a daily basis, make sure staffing matches census..blah blah blah blah blah. No change in exec. management, added MORE...
  15. babyktchr

    HIPAA violation?

    Excellent info.
  16. babyktchr

    HIPAA violation?

    We have had the same thing and I really don't know if it is a HIPAA violation or not, but we get mug shots if they have a record, phone calls from security in other facilities with names and...
  17. babyktchr

    Couplet Care Nursing

    We do mom/baby care and have a nurse who strictly does circs in the morning for the mom/baby nurse. They are expected, however, to take care of the babies post circ, as well as other duties of the...
  18. babyktchr

    RNC-OB exam today!

    WOOOHOOO to everyone that passed. I took it moons ago when it was paper and pencil and it took 6 weeks to get results. Nice to get instant
  19. babyktchr

    Why (I'm told) I can't get job in OB

    Are you applying for these positions that you say are open?? Are they giving you an interview at all? Do they only interview experienced OB nurses? Sometimes it is difficult to break into OB...
  20. babyktchr

    "Caught" my first baby!!

    WoooHoooo for YOU!!!!!!!!
  21. babyktchr

    rotating postpartum, nursery, and l&d

    We do it all, and I think it is great. Sometimes its nice to have a choice of what to do in a shift. I have been interviewing this week and most only have done L&D only, so their orientation...
  22. babyktchr

    post partum readmits

    We don't always get our post partum patients back on our floor. It depends on what their ailment is, and if we have room. They have to have someone with them to care for the baby at all times. If...
  23. babyktchr

    Mthfr

    umm...i did too?
  24. babyktchr

    Texas law concerning staffing in newborn nursery

    If you look at the AWHONN guidelines for staffing (which is posted on the front page of the OB section of these posts) you will see that the they say 6-8 babies receiving well newborn care. This is...
  25. babyktchr

    Good evidence based practice websites

    We used to do the glucose water for the first feeding, but stopped some time ago. The rationale was to check patentcy of the esphogus, that if the baby aspirated it would be a clear liquid and not...