babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Vitamin K administration legal/ethical nightmare!

    babyktchr replied to IndigoCarmine's topic in Ob/Gyn

    Oh, I do agree with you. I am truly fascinated that people take the time and research stuff. However, I am interested in HOW they came to their decisions. Because Oprah said so isn't a real answer...
  2. babyktchr

    Help with my clinical scenario

    babyktchr replied to cubeo's topic in Ob/Gyn

    This scenario gives me the heeebies ......YIKES....I would NOT discharge this baby with bili of 12 at 24 hours. That is in the mod-high( I am going by memory here) range and this baby should...
  3. babyktchr

    Vitamin K administration legal/ethical nightmare!

    babyktchr replied to IndigoCarmine's topic in Ob/Gyn

    I am always fascinated by patients who come armed with legal documents and birth plans and heavily researched this and that. I always ask why they have chosen their path, what their research has...
  4. babyktchr

    What do you think? CPD?

    babyktchr replied to paintedbison's topic in Ob/Gyn

    The magic number of 10. Seems it is forgotten that where the baby's head is relation to that 10 cm cervix also comes into play. If she had a good epidural, allowing her to labor down for a few...
  5. babyktchr

    L&D Staffing Ratios

    babyktchr replied to SewHeather's topic in Ob/Gyn

    Second stage becomes a 1:1. Laboring patients 2:1. Why have central monitoring if you don't have it in each room? ( just found that odd) Interesting how this question keeps coming up. If you go to...
  6. babyktchr

    pt. suspected drug user

    babyktchr replied to mslema's topic in Ob/Gyn

    :yeahthat: You know, when I first read this thread..I thought the same exact thing. Is an elevated HR the only reason to suspect drugs in this case? Certainly there are many explanations for an...
  7. babyktchr

    LDRP opinions or advice?

    babyktchr replied to BlueRaiderBSN's topic in Ob/Gyn

    I work in an LDRP and it kinda depends on the number of deliveries you have to determine if it is right for you. We find , for the most part, that it works...though we have been so busy lately that...
  8. babyktchr

    Ever have a day like this???

    babyktchr replied to at your cervix's topic in Ob/Gyn

    I agree with what you are saying, but our rooms just don't accomodate the circus that people have with them. I don't really want the added drama of attending to the patient AND their gazillion family...
  9. babyktchr

    Labor pt. to nurse ration

    babyktchr replied to IndyGypsyNurse's topic in Ob/Gyn

    If you are lucky and have staffing for a one to one ratio for laboring patients...HOOORAY for you. AWHONN standards, however, dictate that labor ratio is 2:1. Second stage is
  10. babyktchr

    Ever have a day like this???

    babyktchr replied to at your cervix's topic in Ob/Gyn

    OMG...how much is this my life????? I am constantly in this situation and just wander around most days LOOKING for someone to beat. We have a strict 3 support person rule for L&D and a ONE...
  11. babyktchr

    inductions

    babyktchr replied to ladytraviler's topic in Ob/Gyn

    :bowingpur
  12. babyktchr

    mag sulfate

    babyktchr replied to obnursessco's topic in Ob/Gyn

    I always remember if they occur naturally in the body, then they have to have the ablilty to live together in tubing. Never run Magnesium with CALCIUM (seen it happnen in an ICU on a post partum...
  13. babyktchr

    EFM Certification by NCC Exam?

    babyktchr replied to mombabyrn's topic in Ob/Gyn

    Lisa is MUCH different than Michelle Murray. I do like Lisa a lot, and her lawyer side is a plus in my book. My complaint is that she doesn't change her repetoire up, so many of her conferences are...
  14. babyktchr

    Periodic and episodic changes in FHT tracing

    babyktchr replied to wensshad's topic in Ob/Gyn

    As an AWHONN instructor, I do teach periodic and episodic changes, but in context of a systematic approach to evaluating a strip. What is the baseline, what is the variability, are there any periodic...
  15. babyktchr

    inductions

    babyktchr replied to ladytraviler's topic in Ob/Gyn

    The AWHONN website has standards of care for any nurse/patient ratio...and I believe they are listed in the "sticky's" above the threads here. Pitocin induction is 2:1 ratio, until second stage. I...
  16. babyktchr

    EFM Certification by NCC Exam?

    babyktchr replied to mombabyrn's topic in Ob/Gyn

    I took ( and passed) the inpatient OB certification exam in 1999 and I thought that I was taking my boards all over again. Lisa Miller, who does EFM courses thru Professional Education Center said...
  17. babyktchr

    Well baby nursery at night

    babyktchr replied to akacyndi's topic in Ob/Gyn

    we do not have a nursery for any kind of nightime care for newborns. we are strictly rooming in. we had resistance at first, but now it is just second nature. we really do encourage a "support...
  18. babyktchr

    Increase in Hep B refusal?

    babyktchr replied to chaitea7's topic in Ob/Gyn

    We have seen an increase ever since Oprah had her show on about vaccines. The power of the O rises
  19. babyktchr

    EFM Certification by NCC Exam?

    babyktchr replied to mombabyrn's topic in Ob/Gyn

    I am taking that course in sept....as a pre-empt to taking the exam. I hear the exam is difficult, so ANY review would be
  20. babyktchr

    Wanted- tips on bathing stillborns, etc....

    babyktchr replied to LDRN697's topic in Ob/Gyn

    I use a gel compound for a cast for the babies foot, and then use a standard quick drying plaster after. You get a great 3D effect if you use some sort of mold. I use a heart shaped mold and when...
  21. babyktchr

    What would you do in this situation?

    babyktchr replied to camay1221_RN's topic in Ob/Gyn

    Yeah
  22. babyktchr

    What would you do in this situation?

    babyktchr replied to camay1221_RN's topic in Ob/Gyn

    Bereavementservices.org is the place to go if you are interested in taking a RTS training course. They have a sundry of different kinds of courses, one being a two-day training course that teaches...
  23. babyktchr

    What would you do in this situation?

    babyktchr replied to camay1221_RN's topic in Ob/Gyn

    Being a bereavement facilitator at my facility, I have to say that anytime there is a loss, it is hard for everyone involved. Though there are many sides of this situation, and many positions can be...
  24. babyktchr

    Online Fetal Monitoring Certification

    babyktchr replied to Pinkdelight08's topic in Ob/Gyn

    AWHONN has a beginner fetal monitor course online, but nothing beyond that. There used to be an online basic and advanced online course a few years back, but it seems that it has gone away. I really...
  25. babyktchr

    Pretend you are my Preceptor in L&D

    babyktchr replied to neeniebean's topic in Ob/Gyn

    I wouldn't expect you to be anything but willing to learn. I precept a lot of newbies, and I just really like them to ask questions and be a sponge. It is going to take a while for you to really get...