babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    3 Cheers for night shift nurses

    babyktchr replied to HeartsOpenWide's topic in Ob/Gyn

    :thankya:
  2. babyktchr

    Transcutaneous Bilirubins

    babyktchr replied to niccilam's topic in Ob/Gyn

    We have used it for quite some time, it seems. We have a graph on every baby chart. The are done routinely at 24 hours, unless otherwise specified by MD. We log the result on a chart and if it is...
  3. babyktchr

    What are the Nurse Interns on your unit allowed to do?

    babyktchr replied to countdown2RN's topic in Ob/Gyn

    To be honest, I allow externs to do a LOT more than what is allowed. I am supervising anything I do with them, and it isn't anything that would cause harm to the patient. When I was in nursing...
  4. babyktchr

    anyone seeing this maneuver?

    babyktchr replied to ragingmomster's topic in Ob/Gyn

    We have a doc who started doing this THING when he got to us after his residency. He used it on any presentation. Not only would he put his gloved fingers in there, he would wrap them in one of...
  5. babyktchr

    Question about pumping at work.

    babyktchr replied to momma/babyrn's topic in Ob/Gyn

    We have a room in our newborn treatment room that is used for a "pumping station". Employees come armed with pump kits from all over to hook up and pump. Seems to be a non-issue. Just have to let...
  6. babyktchr

    Integrative Medicine/CAM and OB

    babyktchr replied to zahryia's topic in Ob/Gyn

    We have an integrated health department in our facility, and the coordinator does come and do lectures and inservices on aromatherapy and other relaxation techniques. One of our physicians uses...
  7. babyktchr

    Tell me what you think....

    babyktchr replied to OBbethie's topic in Ob/Gyn

    We have a portable US machine that lives in a drawer, so it is quite easy for anyone to scan anything. There is no paper trail, or tracking on it to see if it has been
  8. babyktchr

    Tell me what you think....

    babyktchr replied to OBbethie's topic in Ob/Gyn

    I don't know about the legalities (although being fired seems to be a bit over the top), but I do know that I absolutely REFUSE to check anything when asked by a coworker or friend. No doppler, no...
  9. babyktchr

    Shoulder Dystocia Drills

    babyktchr replied to rickdon19's topic in Ob/Gyn

    We are just starting this process also. We are leaning toward making this much like calling a code. When this "code" is called, EVERYONE needs to respond. The vital part of this team is the...
  10. babyktchr

    Core staffing for L&D

    babyktchr replied to babynurse357's topic in Ob/Gyn

    :yeahthat:
  11. babyktchr

    floating to other departments

    babyktchr replied to smbmlt's topic in Ob/Gyn

    I cannot believe a hospital would float an L&D nurse to ICU????? Do ICU nurses float to L&D??? ICU requires specific skills and not just anyone can work there....just as not just anyone can...
  12. babyktchr

    Core staffing for L&D

    babyktchr replied to babynurse357's topic in Ob/Gyn

    OH MY WORD!!! What IF a patient presents with abruption? What IF a patient presents crowning? The WHAT ifs are endless. The "we can't staff for what ifs" thing has to stop. What will the DON...
  13. babyktchr

    What are your thoughts about using miso

    babyktchr replied to mugwump's topic in Ob/Gyn

    Ug....the ultimate question. With the new ACOG standards on VBAC's, the question of what to do with the IUFD at any gestation is still unanswered. I haven't come across any literature addressing...
  14. babyktchr

    career transition questions

    babyktchr replied to bebeleche's topic in Ob/Gyn

    I agree. I think it will only benefit you in the long run to have labor experience if your aspriations are to continue on to the CNM path. Besides, you may get into L&D and find you don't like...
  15. babyktchr

    C-Sections on the rise.

    babyktchr replied to Halinja's topic in Ob/Gyn

    Financially pre-approved for labor. WOW. I know I will open a new can of worms here, but perhaps the world-wide publishing of celebrity SCHEDULED c/s (for control issues) has also fueled a bit of a...
  16. babyktchr

    C-Sections on the rise.

    babyktchr replied to Halinja's topic in Ob/Gyn

    Interesting that it was brought up about paying for elective c/s. I really never thought about the fact that cosmetic surgery for the most part is and out of pocket expense, and if momma wants to...
  17. babyktchr

    C-Sections on the rise.

    babyktchr replied to Halinja's topic in Ob/Gyn

    I do not find it hard to believe at all that the reasons were not there, or obsure. I mean, lets face it...how do you write in a chart "C/S because MD had dinner plans."...
  18. babyktchr

    MD's and Pitocin

    babyktchr replied to moosemadness's topic in Ob/Gyn

    :yeahthat:
  19. babyktchr

    MD's and Pitocin

    babyktchr replied to moosemadness's topic in Ob/Gyn

    Gosh. I guess I always ASSUMED that a provider would examine a patient prior to pitocin use, just in case something has changed (presenting part not in pelvis, or not a HEAD). Our inductions are...
  20. babyktchr

    Charting Accelerations

    babyktchr replied to nurse79's topic in Ob/Gyn

    IUGR babies generally have decreased placental perfusion(sometimes up to 50%) and from the get go have decreased oxygen reserves. Any stressor to this baby will deplete what there is rather rapidly....
  21. babyktchr

    Charting Accelerations

    babyktchr replied to nurse79's topic in Ob/Gyn

    Moderate variability without accels....baby is still not acidemic and has reserves left, but in the cascade, you lose your baby movements, then your accels, then your variability. Ask your patient...
  22. babyktchr

    Charting Accelerations

    babyktchr replied to nurse79's topic in Ob/Gyn

    Although accels do represent fetal well being, be careful when your accels coincide with your contractions. (recurrently). This could be a sign of umbilical vein compression which in turn stimulates...
  23. babyktchr

    nurse midwife--how?

    babyktchr replied to premedturnednursing's topic in Ob/Gyn

    For all of you Frontier women.....I am in process of applying to that program. Any input?? Do you like it? Is it do- able with work?? I am excited to start the program (hopefully in the fall). I...
  24. babyktchr

    Curious about PP Methergine use

    babyktchr replied to JaneyW's topic in Ob/Gyn

    We have used methergine PO, but not for quite some time. If there was a PP bleed, the IM version would be given first, with a 2 or 3 dose followup, depending on the bleed, most times it was for those...
  25. babyktchr

    Vitamin K administration legal/ethical nightmare!

    babyktchr replied to IndigoCarmine's topic in Ob/Gyn

    I wanted to add this..but I got cut off and couldn't go back...ack!!! I am all for supporting a parent and their wishes. I don't give any medication without consent ( vit k, hep b, and erythromycin...