babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Breastfeeding assessment

    babyktchr replied to babyrn65's topic in Ob/Gyn

    we document LATCH scoring with every
  2. babyktchr

    Does anyone know here they can get fetal monitoring CEU's

    babyktchr replied to mugwump's topic in Ob/Gyn

    I don't know where you are, but you can always check the AWHONN website to see if there is anyone local giving an advanced course. ( I just taught one today as a matter of fact) There are usually...
  3. babyktchr

    My poor co-worker!

    babyktchr replied to tryingtomakeit's topic in Ob/Gyn

    This happens to us way to many times. We are floated to med surg where we are supposed to be an aid or take a light assignment, only to have a full load. The last time I was floated, I was sent to...
  4. babyktchr

    Nuva Ring questions

    babyktchr replied to texasnursingstudent's topic in Ob/Gyn

    I loved the nuva ring, personally. I thought it was fabulous. I put one in every 3 weeks so I wouldn't have a period. Again, fabulous. Didn't have any side effects at
  5. babyktchr

    PKU testing

    babyktchr replied to doglover21's topic in Ob/Gyn

    In Delaware, it is preferred to have initial heelstick done after 24 hours. They come back for repeat test in 7-10 days. If they don't have the repeat done, the state hunts them down apparently, so...
  6. babyktchr

    any advice on shoes?

    babyktchr replied to graciev's topic in General Nursing

    I won't wear anything else than Crocs. I bought an expensive pair of New Balance for my plantar fasciitis, and then discovered crocs. Within a month, my horrifying pain was GONE. They are...
  7. babyktchr

    Foley Balloons for cervical ripening?

    babyktchr replied to RAIZIE's topic in Ob/Gyn

    I like how you think!!!!!!
  8. babyktchr

    fetal monitor question

    babyktchr replied to GingerSue's topic in Ob/Gyn

    Compressing the vena cava can be an issue when lying supine, but most pregnant women can tolerate lying flat for short periods of time. You can make moms more comfy by just "bumping" them, so they...
  9. babyktchr

    Mom on Antidepressants during pregnancy

    babyktchr replied to nurseyr1's topic in Ob/Gyn

    I guess it would depend on the class of antidepressant you are talking about. In any case, it seems that everyone is on an antidepressant, but I mostly see zoloft. We do not use abstinence scoring...
  10. babyktchr

    laboring down?

    babyktchr replied to love2shop's topic in Ob/Gyn

    Laboring down is waiting until there is an urge to push. Just because you are fully, doesn't mean mommy has an urge to push. Now, there are some that want to push before they are fully. You can't...
  11. babyktchr

    Foley Balloons for cervical ripening?

    babyktchr replied to RAIZIE's topic in Ob/Gyn

    Oh how I love foley bulb inductions. 30cc foley is inserted by provider, with NST prior to insertion. After that, monitoring is not necessary..patient may ambulate prn, shower, whatever. Catheter...
  12. babyktchr

    What is your opinion?

    babyktchr replied to L&D-RN-Mom of 4's topic in Ob/Gyn

    Ok. First, I really don't understand why you were fired? Maybe I am missing something. Did you start pushing with the patient, or was the decel occurring without pushing? I don't really see where...
  13. babyktchr

    Can't mix drugs??

    babyktchr replied to shortstuff31117's topic in Ob/Gyn

    Unfortunately, this is an abomination of JCAHO...apparently part of their patient safety mission. Going to nursing school really doesn't give you much clout any more, if you ask me. But you know,...
  14. babyktchr

    Closing the unit

    babyktchr replied to JenTheRN's topic in Ob/Gyn

    When our unit has no patients (does not happen often, but interestingly enough just this week) we have 2 nurses staffed (we usually have 5). You just have to have someone there in case someone walks...
  15. babyktchr

    Cervidil--Talk to me!

    babyktchr replied to KellNY's topic in Ob/Gyn

    Ok....you MUST continuously monitor patients with cerividil. MUST. This is a time release prostiglandin and is considered INDUCTION, even though it is cerivical ripening. There is no defense for...
  16. babyktchr

    Help identifying decels on fetal monitor strip

    babyktchr replied to sweetcheekers's topic in Ob/Gyn

    With the NICHD nomenclature, a variable is a variable is a variable, no matter what the timing. So if you see a V, U, or W with contraction, after or otherwise..it is a variable. Its all a matter of...
  17. babyktchr

    Standard of Care/preterm labor check

    babyktchr replied to magz53's topic in Ob/Gyn

    All you can do is document it...making sure (as everyone else has said) that you include how many times you spoke with the MD and what was said (no orders blah blah blah). I also let the patient know...
  18. babyktchr

    Unsafe staffing in OB dept

    babyktchr replied to rntobe2005's topic in Ob/Gyn

    Oh my word. You poor thing. I can't understand at all the mind set of a facility, to be THEMSELVES at risk for this. It would be a non-defendable thing if something did go wrong. Negligence..no...
  19. babyktchr

    nursing documentation

    babyktchr replied to evie1424's topic in Ob/Gyn

    There is a standard of care the says you must visually check newborns every two hours. I have am off for a few days, and I can't remember where that standard lives. We do q15 min VS for 1 hour, then...
  20. babyktchr

    Wow

    babyktchr replied to ladylabor's topic in Ob/Gyn

    Oh my word. Where did all of her blood go?? The lowest I had was 4.3, and it was a 75% abruption. She too went to the unit after I watched her for a while and then her DIC panel showed 20,000...
  21. babyktchr

    Lisa Miller's Advanced Fetal Monitoring--worth $300?

    babyktchr replied to kirsnikity's topic in Ob/Gyn

    Yes I thought it was rather interesting. Sometimes I wonder if Michelle simply doesn't like things she thought up? Michelle started her conferences again, but nothing local for me. If I want to see...
  22. babyktchr

    Lisa Miller's Advanced Fetal Monitoring--worth $300?

    babyktchr replied to kirsnikity's topic in Ob/Gyn

    I have taken quite a few Lisa Miller conferences and they are well worth it to me. One thing I will say....in the ones I have attended, the content doesn't change a whole lot...so I was hearing a lot...
  23. babyktchr

    Certification exam in in patient obstetrics

    babyktchr replied to Mayberry61's topic in Ob/Gyn

    I took a review course. I found it more helpful for me than to review a book. Professional Education Center has a good
  24. babyktchr

    Confused about Variability & Decelerations

    babyktchr replied to luv2shopp85's topic in Ob/Gyn

    Very true..but if this 30 weeker (or below) gives you a 15x15 accel, then this baby must be held to this standard for any subsequent antepartal testing. For those who don't archive, document document...
  25. babyktchr

    Confused about Variability & Decelerations

    babyktchr replied to luv2shopp85's topic in Ob/Gyn

    Ok...variablility. If you think of a ECG...and the QRS complex. The spike going upwards is the "R" wave. What a fetal monitor does is place a DOT on paper that represents the fetal R wave. It...