babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    New to L&D and I have completely forgotten how to be a nurse!

    babyktchr replied to Little_Babycatcher's topic in Ob/Gyn

    Oh honey. Breathe. Its normal. It happens. Even the most seasoned nurse will have a brain fart from time to time (don't ever let anyone tell you they haven't). I came to OB from ICU and had mad...
  2. babyktchr

    Oh my goodness....!

    babyktchr replied to RN520's topic in Ob/Gyn

    Be you. Let your enthusiasm shine. Don't be obnoxious. And have a good answer as to why you want to be an OB nurse, not that you love babies. Be a
  3. babyktchr

    Interesting night/patient

    babyktchr replied to lovemyjoblandd's topic in Ob/Gyn

    What concerns me more with this patient is why they took her back to the OR. You would expect a boggy uterus because of the long term mag, so what is it that was "repaired"? I assume you mean there...
  4. babyktchr

    Who out there is doing standardized pitocin orders?

    babyktchr replied to ragingmomster's topic in Ob/Gyn

    Wow, you have to document why you DIDN'T turn up pitocin? Does your protocol/order set include parameters as to when it should or shouldn't be increased and is evidence based? What a protocol...
  5. babyktchr

    Need advice from hiring managers

    babyktchr replied to 130tobe's topic in Ob/Gyn

    Its a shame that your manager reacted in that way. While the "nurses eat their young" addage is true, it is not the right thing to do. You leaving because it was not a bad fit is not a bad thing....
  6. babyktchr

    Need advice from hiring managers

    babyktchr replied to 130tobe's topic in Ob/Gyn

    Here is how I will look at this. Orientation gives both you and your employer the opportunity to "try each other on" and see if it fits. It doesn't always fit for one reason or another. You give...
  7. babyktchr

    Have you ever really heard a doctor say this?

    babyktchr replied to monkeybug's topic in Ob/Gyn

    AHHHH. There are so many days lately that I want to hear what I want to hear. You won a bazillion dollars!!! Here, have this all expense paid trip to Tahiti!! Oh, hey, let me clean your house for...
  8. babyktchr

    How do I stand out as a new grad applying for L&D?

    babyktchr replied to kballard09's topic in Ob/Gyn

    I would never expect you to have NRP or ACLS or STABLE coming into an interview, nor would I give that a LOT of weight. But thats me. To me...and its only me...I would look more favorably on you if...
  9. babyktchr

    inpatient OB RNC----HELP!!!?!?

    babyktchr replied to makelley32's topic in Ob/Gyn

    The exam has always been hard. I took it in 1999 and it was like taking boards. If you can, I highly suggest a review course. Pro Ed Center has an excellent one that affords you an opportunity to...
  10. babyktchr

    Managing breaks in Labor & Delivery

    babyktchr replied to polevaultererin's topic in Ob/Gyn

    Totally hear you. Its a
  11. babyktchr

    Managing breaks in Labor & Delivery

    babyktchr replied to polevaultererin's topic in Ob/Gyn

    If your lunch breaks are not a problem, then why is getting time to pump an issue? Why not just say, I need to pump for 15 mins? Yes, there are laws, and even ones that support the breastfeeding...
  12. babyktchr

    Where do your postpartum Mag patients go?

    babyktchr replied to lovemyjoblandd's topic in Ob/Gyn

    Wow, it is nice that you have that option. Our PP mag pt's, whether they are newly delivered or out a couple days stay in L&D until therapy is completed. Our PP unit does not handle that level...
  13. babyktchr

    New grad. position withdrawn! HELP!

    babyktchr replied to kdescarc's topic in Ob/Gyn

    Here's the thing. ANY position as a new grad is going to be stressful. There is a LOT to learn on any unit/specialty. With that said....BREATHE. It would be interesting to know why the offer was...
  14. babyktchr

    Question about noisy/open-glottis pushing

    babyktchr replied to seemerun's topic in Ob/Gyn

    When doing something for so long one way, its hard to change lanes. Look how long its taking for standardized nomenclature to catch on. Open glottis pushing is effective when done properly. It has...
  15. babyktchr

    Nurse managers (or experienced RNs), help me out?

    babyktchr replied to snapshot's topic in Ob/Gyn

    If I emailed you and didn' get back to you (first of all, shame on me) I would probably appreciate you stopping in or a call or something. Chances are the manager has some other things going on and...
  16. babyktchr

    RN Struggling After Neonatal Death

    babyktchr replied to jndavis21's topic in Ob/Gyn

    A good OB manager should set up some sort of debriefing with the team involved...at the very least should be contacting you to see if everything is ok. This should be a flagged event and I am sure...
  17. babyktchr

    magnesium sulfate infusion during eclampsia question

    babyktchr replied to LOLA184's topic in Ob/Gyn

    It seems you may have missed some areas in the magnesium realm and that may help you answer your own question. What are you trying to achieve using magnesium on pre-eclamptics. If hyporeactive is...
  18. babyktchr

    Wanting LD, offer for ICU--Help please!

    babyktchr replied to Katie71275's topic in Ob/Gyn

    I started in ICU as a grad. Discovered OB was my passion 5 years later. Someone took a chance on me in L&D, hired me and 15 years later I was manager. I felt my ICU experience served me very...
  19. babyktchr

    How long for orientation?

    babyktchr replied to obizyanka's topic in Ob/Gyn

    Ok, I need more info here. Did you have previous OB experience, especially in the postpartum arena? Why would they put you in other areas first if they hired you for L&D? Seems a bit fishy to...
  20. babyktchr

    Nurse Initiated Order Sets

    babyktchr replied to altomga's topic in Ob/Gyn

    Yes we have them. They are generally initiated when the section is scheduled and sent over with consents. If they aren't signed we generally initate as a verbal and the MD signs pre-op, or when...
  21. babyktchr

    Post op recovery of regional C-section

    babyktchr replied to planny's topic in Ob/Gyn

    If you are going to recover your csections, then you have to adhere to the PACU standards of your facility and AORN Can't have two standards of care. You will have to ACLS and have the necessary...
  22. babyktchr

    They call me the "spaz" on the floor. :/

    babyktchr replied to CCNP-FL's topic in First Year After Licensure

    Let's face it. 5-7 really bites (either AM or PM). Madness always seems to ensue during that time, no matter how much you have prepared checked off or expected. The brain sheet I so agree with....
  23. babyktchr

    What do you chart when you have a normal vaginal delivery?

    babyktchr replied to winter_green's topic in Ob/Gyn

    What you chart is what I would chart on baby at delivery. If I was labor nurse, I would chart SVD viable male/female over intact peri or , placenta delivery, any complications or out of the ordinary...
  24. babyktchr

    Help with Maternity Case Study

    babyktchr replied to 2bNurseCai's topic in Ob/Gyn

    Methergine probably not the best choice of med, considering she is being delivered and treated for her BP issues. Concurrent therapy with pit and methergine helps with lower segment issues. Sometimes...
  25. babyktchr

    AWHONN Fetal Monitoring Certification

    babyktchr replied to SuperMujer2373's topic in Ob/Gyn

    The AWHONN book is excellent. There is ONE book that is used for both courses. You don't necessarily have to study for the course, but you should have some sort of grasp on the physiology of decels...