babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Pitocin question

    babyktchr replied to BirthingBabies's topic in Ob/Gyn

    SIXTY!! OMG. Sounds to me like this patient needed a bit of cervical ripening before using all that pit. And I would hope that there was some sort of internal monitoring going on for that much pit....
  2. babyktchr

    Pitocin induction-pit rates

    babyktchr replied to HappyNurse2005's topic in Ob/Gyn

    AWHONN has an entire publication on Pitocin augmentation and induction, with their guidelines and recommendations. There is also referenced work. The newest literature I teach in the FHM course thru...
  3. babyktchr

    Nursery nurses NOT NRP certified! Yikes! Help please

    babyktchr replied to StatRNNJ97's topic in Ob/Gyn

    OOH my word!!!!! This is a huge NO NO. At my institution you have 90 days to get NRP and cannot do anything remotely involved with delivery or mom/baby on your own until you have NRP certification....
  4. babyktchr

    Too Sensitive?

    babyktchr replied to jserrano's topic in Ob/Gyn

    What you describe, sadly, is probably more like what goes on in a majority of the hospitals across the country. I know in my little neck of the woods (100 births/mo) we get into some pretty sticky...
  5. babyktchr

    Mom/Baby Nurses

    babyktchr replied to JustAboutRN's topic in Ob/Gyn

    Mom/Baby nursing is one of the many dimensions of OB nursing. You have to have expertise in the care of a postpartum mom and a newborn. It can be trying, especially if you have a handful of them to...
  6. babyktchr

    driving after birth

    babyktchr replied to paintedbison's topic in Ob/Gyn

    I, too, cannot believe that there are no discharge instructions going on. We have had to revamp our many times because of JCAHO, and national safety recommendations. Not only do we have to give...
  7. babyktchr

    driving after birth

    babyktchr replied to paintedbison's topic in Ob/Gyn

    Again..it isn't the ACTION of driving that is the problem. It is the physiologic changes going on in the body that can cause syncopal episodes, dizziness and blurred vision (amongst many others) that...
  8. babyktchr

    What is a SAM pack?

    babyktchr replied to TRINI_RN's topic in Ob/Gyn

    Interesting.
  9. babyktchr

    What is a SAM pack?

    babyktchr replied to TRINI_RN's topic in Ob/Gyn

    Why didn't you ask someone at the facility what it was? I am sure someone would've explained it to you. I personally have no
  10. babyktchr

    driving after birth

    babyktchr replied to paintedbison's topic in Ob/Gyn

    We say 2 weeks. There is literature that supports that in the two weeks PP(and sometimes longer) there are continual shifts in fluid and hormones. Certainly there can be shifts in BP, creating...
  11. babyktchr

    Why do other floors think OB isn't real work?

    babyktchr replied to lannisz's topic in Ob/Gyn

    It is the same in my hospital..."oh I wish I could come work on your floor so I can sit and rock babies". UG. The gratification comes when someone (a CNA or nurse) is pulled to help us out when it...
  12. babyktchr

    labor and delivery nurse-patient ratio

    babyktchr replied to magz53's topic in Ob/Gyn

    I work in a little hospital, and I guess we are lucky to have a pneumatic tube system to send labs. If that is down..I call the nursing supervisor, and she usually finds me someone that can do
  13. babyktchr

    labor and delivery nurse-patient ratio

    babyktchr replied to magz53's topic in Ob/Gyn

    You have to take your own specimens to the LAB???? What is up with that? You don't have any kind of transport system?? That would be first and foremost for me...I would be calling someone to take...
  14. babyktchr

    staffing issues

    babyktchr replied to paintedbison's topic in Ob/Gyn

    YIKES. I agree with everyone else here. It is way out of standard, and just plain
  15. babyktchr

    Midwife gets jail in baby's death

    babyktchr replied to Mrs.S's topic in Ob/Gyn

    :yeahthat:
  16. babyktchr

    Pts abusing "cultural/religious" practices to manipulate RNs

    babyktchr replied to HvnSntRN's topic in Ob/Gyn

    . Oh my. I, too, have learned so much from reading this thread. There are so many different cultural nuances, it is hard to keep up. It is good to know there are so many resources (you as nurses)...
  17. babyktchr

    My patient was complete for 7 hours :(

    babyktchr replied to waterfall99's topic in Ob/Gyn

    Shame that went on for so long. It is kinda obvious from what you wrote that the baby was just too fat to fit. I am also one to let the 'labor down' thing happen, and really use urge to push dictate...
  18. babyktchr

    Newborn infant assessment

    babyktchr replied to Avelinne's topic in Ob/Gyn

    Gosh, the best newborn assessment thing I ever did was a conference sponsored by Professional Education Center. It was really indepth and the speaker was phenomenal. That was YEARS ago though....
  19. babyktchr

    Lactation Consultants - need your advice

    babyktchr replied to gwenith's topic in Ob/Gyn

    Oh my word. I have been out of critical care nursing for about 12 years now, and we weren't allowed to do nipple twist at all. We had one doc that continued to use it, and he was reprimanded to the...
  20. babyktchr

    Bilichek help

    babyktchr replied to JenTheRN's topic in Ob/Gyn

    I will have to check our policy, but I think we have to send our bilicheck machine in if we get a greater than 3 mg difference between serum and the bilicheck meter. The thing about these meters....
  21. babyktchr

    Caught my first yesterday!

    babyktchr replied to mitchsmom's topic in Ob/Gyn

    Oh yes...our unattended deliveries are written up on our "safety tracking tools". I guess they sit around in the OB/GYN meeting and smack each other on the hands. I think if they DID have to fork...
  22. babyktchr

    Caught my first yesterday!

    babyktchr replied to mitchsmom's topic in Ob/Gyn

    We have a doc who chronically misses deliveries because he goes back to the office, or wants to come when there is head sticking out. The last delivery I "caught" for him...as he was charting..I...
  23. babyktchr

    Decel Interventions

    babyktchr replied to hoping to be an rn's topic in Ob/Gyn

    All of the interventions that you mentioned are correct. Sometimes it takes longer for a kid to recover, depending on the insult. Very often after an epidural, there is a drop in BP that decreases...
  24. babyktchr

    Pre-printed forms?

    babyktchr replied to JenTheRN's topic in Ob/Gyn

    We use Hollister. They have a huge selection of pre-printed forms, but I find that they are very redundant. We have tweaked some of their forms to cut down on the quadruple charting, but it is a...
  25. babyktchr

    Nubain question

    babyktchr replied to q12RN's topic in Ob/Gyn

    Oh my. NEVER NEVER NEVER give nubain to a patient who is taking methadone. It causes almost instantaneous withdrawal symptoms...seizures, the whole magilla. It is tough nowadays, when patients...