babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. 1000 deliveries per year. No in house OB anesthesia (they get called in for c/s and epidurals) No in house OB, but on call and sometimes they stay in house if
  2. babyktchr

    Nurse ratios & comfort with high risk meds

    OMG. The last time I ran a labetalol drip was when I worked in ICU. I can't even begin to imagine running it in OB and WITHOUT any monitoring. My institution does not allow it to be given without...
  3. babyktchr

    JCAHO & Labeling Medications

    We actually have sterile labels and markers for that purpose. I personally don't put anything on the table anymore until it is asked for. I would love to meet Mr. JCAHO...seems they just don't have...
  4. babyktchr

    I made my patient cry (long)

    Oh I couldn't agree more....you did the right thing. I, too, would've suspected some kind of abuse in this situation, and would've done the same exact thing. Hopefully your sick feeling will be...
  5. babyktchr

    Am I the only one who finds this disrespectful?

    My two cents here. I thoroughly enjoyed reading the "rules" thread. Its nothing that I haven't thought of, and certainly something that I haven't said before. Nice, actually, to know that you...
  6. babyktchr

    clinical question

    Ok...think this thru. You already started the pathway...keep going. You had a dramatic drop in BP....then what happened? Think about placental physiology and fetal circulation. You almost answered...
  7. babyktchr

    To paint or not to paint... cords

    The World Health Organization came out with a statement a few years ago, and it stated that doing NOTHING was the thing to do with cord care. It was stated that alcohol took away the "good" bacteria....
  8. babyktchr

    EFM Certification Exam

    The NCC certificate of added qualification exam is something that I am also planning to take next year. I hear from sources that it is a difficult exam. Professional Education Center is offering a 2...
  9. babyktchr

    vag check & infection

    How excellent is that???????????
  10. babyktchr

    Tracking baby names

    I don't personally keep a record of all the names, but our delivery book does. One funny story. A longtime nurse of our unit retired many years ago, and at her retirement party, (attended by over...
  11. babyktchr

    16,000 deliveries a year? Really?

    The charge nurse at Parkland wears a walkie talkie and is informed of admissions and issues via that. The unit is divided into hallways according to risk level. They have (or did) a fabulous low...
  12. babyktchr

    Video cameras banned in L&D

    I really have no problem with anything that you have said. Yes, it is an experience that no mom or dad will ever forget. (unforunately, there are a good percentage now that just don't care either...
  13. babyktchr

    Video cameras banned in L&D

    That is EXACTLY what happened. I was even more frustrated and angry when the manager questioned me about my motivation to NOT let them take pictures. I know my mouth was on the floor, and I just...
  14. babyktchr

    Video cameras banned in L&D

    We don't allow video anymore...which is just fine with me. I would rather not have pictures either, at least until the baby is out and stable. Recently had an episode where one family member had not...
  15. babyktchr

    Fetoscope, doppler, EFM?

    As the above poster said, fetascopes are hard to come by and most have never seen one. Auscultation is one on one care, and most facilities, I would imagine, do not have this kind of staffing....
  16. babyktchr

    Crocs!

    Have any of you seen the crocs buttons you can put in the holes of the shoes on top? A few stores here at the beach sell them and they are just adorable. Hearts and butterflies, stuff like that. A...
  17. babyktchr

    Crocs!

    Crocs have totally cured my plantar hell. I started wearing them after I spent $130 on New Balance running shoes recommended by podiatrist. Since I started wearing the crocs, within 2 weeks the pain...
  18. babyktchr

    Ephedrine IV push

    anesthesia should provide you with that
  19. babyktchr

    Wanting to make this nightmare get better

    I can't believe they just keep one person around, doing that many deliveries a year. We do almost 1000 a year and when we are slow we are REQUIRED to have 2 nurses there, and one in house on call,...
  20. babyktchr

    Positive or unknown GBS

    Sounds to me like this ped needs some literature place on his/her desk for some
  21. babyktchr

    VBA2C w/ 1st at 25 weeks

    With 2 previous c/s, I would think you would be hard pressed to find anyone that would attempt a VBAC delivery. It really comes down to what the institution will allow...and most now are not allowing...
  22. babyktchr

    Teen dies from Med Error in Labor

    Wow. Our epidural meds come in a 250cc bag....penicillin would be in a 100cc bag. I would find it hard to confuse those...but I am hoping they use different things in that
  23. babyktchr

    Time outs for C sections

    We do time outs for
  24. babyktchr

    Hispanic patients

    We have all of our forms/instructions/permits in spanish. They are translated via our hospital interpreter from the english ones. They then go to a few checks and balances (they are sent to other...
  25. babyktchr

    Epidural placement as a "spectator sport"

    I actually kinda like this response. Our anesthesia department PREFERS no support people in the room but at times will allow one person to be in the room but totally in front of the patient. I find,...