babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Contraction Stress Test?

    babyktchr replied to babynurse357's topic in Ob/Gyn

    You have probably done a CST without even really knowing it. You can essentially do one if the patient is already contracting....if there are no decels with existing contractions, so be it. In this...
  2. babyktchr

    Interview Attire? Suit or no Suit...that is the question...

    babyktchr replied to RiverRunner's topic in Ob/Gyn

    In the interviews I have conducted over the past few weeks, I have seen a rare suit. Black pants and a blouse have been the uniform of
  3. babyktchr

    Best EFM book?

    babyktchr replied to Conejita's topic in Ob/Gyn

    Though I do love Michelle's book, she has not updated to include NICHD nomenclature. Her books tend to be a bit more intense, where the AWHONN book is written for easily
  4. babyktchr

    Best EFM book?

    babyktchr replied to Conejita's topic in Ob/Gyn

    I do like the AWHONN Principles and Practives text. I think it is the most up to date, and its format is user friendly. You can buy it at the
  5. babyktchr

    cytotec question

    babyktchr replied to garfieldrn's topic in Ob/Gyn

    You mention the frequency of the contractions, but don't mention the duration or strength. Sometimes those high frequency/low amplitude contractions can be knocked out with IV fluids. Many patients...
  6. babyktchr

    Situation at work...

    babyktchr replied to L&DRN2008's topic in Ob/Gyn

    Gosh, where to start. The shaking can sometimes be from the cytotec. I have come across that when we use it for demises. As far as the cervix, I am wondering if it was posterior and you felt a lady...
  7. babyktchr

    Has anyone recently taken the NCC Inpt OB Certification Exam?

    babyktchr replied to LaborLovinRN's topic in Ob/Gyn

    I think there may be an actual HOUR requirement for certification...but I am not sure. You may want to check. The EFM exam is thru NCC also. It is a certificate of added
  8. babyktchr

    LPN or RN?

    babyktchr replied to new_mom2005's topic in Ob/Gyn

    LPN's in my state cannot give IVP drugs, so we don't hire them typically in
  9. babyktchr

    Has anyone recently taken the NCC Inpt OB Certification Exam?

    babyktchr replied to LaborLovinRN's topic in Ob/Gyn

    It has been almost 10 yrs since I took the exam, but I am sure that it still kicks butt. I took a review course, and had both books you mentioned. It is a comprehensive test and I would really...
  10. babyktchr

    Nenate Ambu Bag

    babyktchr replied to Yayamaya's topic in Ob/Gyn

    If you are bagging a baby for a long period of time, you should be keeping an eye on the pressure via manometer...and document it. Most neonatal bags have pop-off valves so you can't go above 30,...
  11. babyktchr

    RNC - the whats and hows?

    babyktchr replied to cherokeesummer's topic in Ob/Gyn

    How nice that your facility recognizes your certification. Mine does not. Do they pay you for multiple certifications, I wonder??? How fabulous would that
  12. babyktchr

    RNC - the whats and hows?

    babyktchr replied to cherokeesummer's topic in Ob/Gyn

    NCC is where you get your certification. They have a handful of different specialties you can certifiy in....inpatient OB, nursery, NICU, etc. If you go to nccnet.org, it will give you all of the...
  13. babyktchr

    documentation

    babyktchr replied to LittleLisaLawrence's topic in Ob/Gyn

    I was thinking that same exact thing. When I am orienting new folks, those things are addressed and you aren't out of orientation until they are satisfactory. I think you should be bringing this up...
  14. babyktchr

    Improper intubation

    babyktchr replied to lmc512's topic in Ob/Gyn

    Yes, an osmotic would help. but I haven't seen mannitol used in that manner. As I said, many moons ago we used to use albumin for severe third spacing, but this was in very sick surgical patients. I...
  15. babyktchr

    Improper intubation

    babyktchr replied to lmc512's topic in Ob/Gyn

    Yeesh. Sounds to me like she is third spacing a bunch of fluid, which could possibly make her intravascularly dry, but interstitially overloaded. Lasix is a good drug is there is a problem with...
  16. babyktchr

    ICU to L&D? Any advice or personal experiences?

    babyktchr replied to mommy2BCD's topic in Ob/Gyn

    I am a former ICU nurse and I have loved the transition. I loved ICU, but after I had my baby, labor and delivery is what I wanted to do. It is where I belong. If you are feeling in your gut that...
  17. babyktchr

    Unsafe Practices: What to do?

    babyktchr replied to NurseAimee's topic in Ob/Gyn

    I agree with the above. Everytime you are out of standard (couplets over 4) you should be writing some sort of safety tracking tool or whatever your institution calls it and forwarding that to risk...
  18. babyktchr

    Twins...Gest. age and induction/c-section

    babyktchr replied to shortstuff31117's topic in Ob/Gyn

    We have had a barrage of twins lately also. Our local perinatalogists are saying that letting twins go as long as they can is the way to go. We have had more and more 38 weeks twins (much to momma's...
  19. babyktchr

    efm during an epidural placement ?

    babyktchr replied to maxienurse's topic in Ob/Gyn

    As above poster stated, you should be charting what is going on at the time. You should be documenting your fetal status pre and post epidural and if you cannot maintain continuous monitoring during...
  20. babyktchr

    Postponing inductions/sections when really busy?

    babyktchr replied to Montessori Mommy's topic in Ob/Gyn

    We postpone inductions when we are full, try to bring them in the next day. We start with the more elective kind and them move our way down. We NEVER cancel scheduled c/s. NEVER. I dont' know why....
  21. babyktchr

    I do not think I can make it in L&D... devastated

    babyktchr replied to RNKatrinaK's topic in Ob/Gyn

    First of all, welcome to OB. It is the most fabulous specialty, isn't it? If you are working where I think you are, I can only imagine the pandemonium that is there. I can't imagine they would let...
  22. babyktchr

    Feel really stupid for asking this regarding dilation...

    babyktchr replied to jenrninmi's topic in Ob/Gyn

    Those pesky posterior cervix's. Sheesh. Always make a habit of going back there with your exams, even if you think you have already felt the cervix. Sometimes those lady partsl folds can feel so...
  23. babyktchr

    Are my fingers failing me????

    babyktchr replied to crysobrn's topic in Ob/Gyn

    lady partsl exams are so subjective. Depending on finger size and your degree (MD vs RN). One man's 2cms is anothers 4, yada yada yada. Be confident in your exams and when there is a discrepancy,...
  24. babyktchr

    Are my fingers failing me????

    babyktchr replied to crysobrn's topic in Ob/Gyn

    Oh my gosh...it happens to everyone. If you do have a bulging bag, sometimes it stretches the cervix and when it breaks (or is broken) the cervix will go backwards because of the stretching. The...
  25. babyktchr

    I need all the L&D nurses out there!

    babyktchr replied to JentheRN2007's topic in Ob/Gyn

    I was one of those nurses who specialized right after graduation. I was an ICU tech for a few years while in nursing school, and so it only made sense that I went right into ICU after school. It was...