babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    closed unit

    babyktchr posted a topic in Ob/Gyn

    We finally got the ok to trial a closed unit, basically meaning we will staff ourselves and not be pulled to other units in the hospital. Being a specialty unit, we are essentially looking not to be...
  2. babyktchr

    LOW patient satisfaction scores...

    babyktchr replied to MalgaBSN's topic in Ob/Gyn

    Ah, Mr. Press and Mr. Ganey. To meet them in a dark alley...just once. These surveys are given way too much weight in my opinion when it comes to the reality of care. Patients are filling these...
  3. babyktchr

    Did anyone read the People story about Christina Aguilera?

    babyktchr replied to rph3664's topic in Ob/Gyn

    Just admitted a girl for elective c/s and she said she didn't want her "stuff" stretched out. She said..if you can't guarantee that I won't rip, I will try it. I also don't want PAIN. I said to...
  4. babyktchr

    Patient phone call - advising them

    babyktchr replied to shortstuff31117's topic in Ob/Gyn

    OMG...we went round and round with a practice who puts on their answering machine...CALL L&D at the hospital if you have any questions if you are pregnant. We fought and researched and came up...
  5. babyktchr

    NICHD nomenclature

    babyktchr replied to LittleLisaLawrence's topic in Ob/Gyn

    How about that. I love the Murray book, and I just received the newest addition and she did not addend it with the NICHD nomenclature. Michelle is not a proponent of the NICHD language, so I imagine...
  6. babyktchr

    Anyone know anything about something called PTP?

    babyktchr replied to MICKEYnHANNAHsMOM's topic in Ob/Gyn

    I wonder if what is really meant here is ITP..which is idiopathic thrombocytopenia purpura....low platelets with no known
  7. babyktchr

    epidurals

    babyktchr posted a topic in Ob/Gyn

    Are you required to keep a patient in bed for a specific amount of time after delivery when a patient has an epidural? We have a new anesthesiologist who wants us to keep our patients in bed for 3...
  8. babyktchr

    IV in Emergency?

    babyktchr replied to CEG's topic in Ob/Gyn

    Precip delivery, no IV access...mom bleeds out, clamped down and couldn't get access. Central line to femoral by vascular surgeon who just happened to be seeing another patient on the floor. Mom...
  9. babyktchr

    L&D nurses that think its just a job....

    babyktchr replied to MalgaBSN's topic in Ob/Gyn

    Perhaps I misread your statement as you said. The Simpson reference is absolutely correct. It is amazing that physicians are not held to the same education standards as nurses. Ask a doc where you...
  10. babyktchr

    VRE, etc on the floor?

    babyktchr replied to RNBelle's topic in Ob/Gyn

    OMG....what an issue. We have a closed unit (locked doors, you have to have a pass key to get in) and we have the same rule. If a non OB or GYN patient is "dumped" on our unit, they cannot have...
  11. babyktchr

    L&D nurses that think its just a job....

    babyktchr replied to MalgaBSN's topic in Ob/Gyn

    I have many thoughts on this post, but will limit it to agreeing totally with the above poster. I know I was a bit flustered with your "BSN from a very good school" statement, I can only imagine what...
  12. babyktchr

    Nubain administration during labor

    babyktchr replied to Amanda2526's topic in Ob/Gyn

    The reference I cannot find, but I actually heard it for the first time at a Michelle Murray conference. I have looked in the books I could find from the conferences I have gone to and can't find...
  13. babyktchr

    Deliveries <20 weeks...Need opinions please!

    babyktchr replied to dansmom6's topic in Ob/Gyn

    We have our memory boxes donated by a local art league. They hand paint all different sized hat boxes very tastefully and place a note inside each one telling where it came from. We used to use the...
  14. babyktchr

    Deliveries <20 weeks...Need opinions please!

    babyktchr replied to dansmom6's topic in Ob/Gyn

    I too do bereavement and we recently added an ED nurse to our group who deals specifically with the early losses. A few months ago we did an all day sensitivity training day for the ED...
  15. babyktchr

    ??? about PP Hemorrhage

    babyktchr replied to shortstuff31117's topic in Ob/Gyn

    Even if the fundus is firm, the lower segment may not be, and that is where you get your clots. You really have to mash hard, and sometimes go up in the lady parts because they are stuck in the...
  16. babyktchr

    Central Fetal Monitoring

    babyktchr replied to rnWinn's topic in Ob/Gyn

    I work in a small community hospital, about 1000 deliveries a year, and on days it is slow, there may be a 1:1, otherwise, it is routine for me to take care of 2 inductions on any given day, or 2...
  17. babyktchr

    Central Fetal Monitoring

    babyktchr replied to rnWinn's topic in Ob/Gyn

    WOW...where do you all work that you can have 1:1 labor patients. We have 1:2 unless they are
  18. babyktchr

    ED sending patients to L&D

    babyktchr replied to PattonD's topic in Ob/Gyn

    Oh, the age old thorn between the ED and L&D. We have a policy for >20 weeks BUT it can be overridden by the ED doc is he feels her fundal height is higher (uh huh). There is always something...
  19. babyktchr

    NICHD and AWHONN fetal monitoring guidelines

    babyktchr replied to waterfall99's topic in Ob/Gyn

    NICHD is not something that just cropped up. ACOG and AWHONN both adopted the new nomenclature in 2005, with technical bulletins being published in both of their journals. The nomenclature itself...
  20. babyktchr

    Funny OB things people say

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

    Pt. calling to confirm there is a bed.... "Hi, I was just wondering if there was a bed available for my
  21. babyktchr

    IUPC and Fetal Spiral Electrode Placement

    babyktchr replied to nurse79's topic in Ob/Gyn

    Although I teach both placements in the AWHOHNN intermediate course, our scope of practice in my state does not allow us to do it. Only docs and midwives. Turn the scalp clip counterclockwise to get...
  22. babyktchr

    New at this

    babyktchr replied to Shelia L. Hicks's topic in Ob/Gyn

    I guess it would kind of depend on what is going on in the unit at the time. Certainly with the assignment you described...I would NEVER have asked you (as a charge nurse) to admit an induction. If...
  23. babyktchr

    Shoulder dystocia!!

    babyktchr replied to PegRNBSN's topic in Ob/Gyn

    The whole key is staying calm....good for the physicians who kept their heads. It is a scary scary thing when that happens. It is also nice to have that feedback afterwards, especially for the newer...
  24. babyktchr

    anyone use prepidil?????

    babyktchr posted a topic in Ob/Gyn

    I work with a practice that uses prepidil a lot for ripening and induction ( I know, I know) Our current policy states, based on drug manufacturers information, that pitocin cannot be started for...
  25. babyktchr

    LDRP Policy Manuals

    babyktchr replied to Monida's topic in Ob/Gyn

    AWHONN has a nice little policy template you can order from them. I don't know if you have to pay for it or not..mine was handed to me by my director to "HELP ME" with policy revisions. They are a...