babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Babies cut during c-sections?

    babyktchr replied to rbytsdy's topic in Ob/Gyn

    Its those direct OP babies that get nicked....at least in my experience. Maybe a handful in my
  2. babyktchr

    What Are Your Vital Sign Requirements For A Normal Newborn?

    babyktchr replied to obnursesteff's topic in Ob/Gyn

    We do q 15mins x the first hour then q 4 hours x 24 hours. After that they are q shift. Visual checks documented every 2
  3. babyktchr

    MRSA at the umbilicus!!

    babyktchr replied to mercytech's topic in Ob/Gyn

    the security sensors are attached to the cord clamp. We used to have the ankle ones but they fell off very frequently and the powers that be thought that the cord ones were a bit more reliable. They...
  4. babyktchr

    MRSA at the umbilicus!!

    babyktchr replied to mercytech's topic in Ob/Gyn

    Yikes...I think that the "not sterillizing" them anymore is your issue. Do they really have to work that hard to figure that one out? What worries me more though is....where did the MRSA come from...
  5. babyktchr

    NRP online course

    babyktchr replied to kesigirl's topic in Ob/Gyn

    You might want to try to go the American Academy of Pediatrics website and look there for information if an online certficiation is
  6. babyktchr

    How long is orientation for new grads on your unit?

    babyktchr replied to mitchsmom's topic in Ob/Gyn

    Oh my gosh....all of these posts sound so wonderful, I wish I lived where you did. Many moons ago, when I oriented to the wonderful world of women's health ( I wasn't a new grad) I got 2 weeks of...
  7. babyktchr

    Nuchal cord x4!

    babyktchr replied to texas-rn-fnp's topic in Ob/Gyn

    a good friend came in for routine NST and had completely flat line. after a BPP of 2/8, they sectioned this 36 week baby to find a nuchal cord x7. the baby's neck was hyperextended from the...
  8. babyktchr

    Nurse Delivery

    babyktchr replied to tinyscrafts's topic in Ob/Gyn

    I have caught quite a few and you do get used to it. Our docs from time to time allow us to deliver while they are there to learn, which is a great thing. Keeping a level head is key, even though...
  9. babyktchr

    Question about my birth experience...

    babyktchr replied to mesces's topic in Ob/Gyn

    The size clots you described would not have concerned me. Mag patients will bleed a bit more because of the relaxation of the uterus. Were you symptomatic with your H&H?? I would hope so if you...
  10. babyktchr

    Sta C/S

    babyktchr replied to imenid37's topic in Ob/Gyn

    We thought of that at one time, but honestly we don't have the staff to go up to the OR (we don't even have an OR on our unit) and set something up, especially during an emergency. It seems we cannot...
  11. babyktchr

    Sta C/S

    babyktchr replied to imenid37's topic in Ob/Gyn

    We are totally at the mercy of waiting for an OR team to come in for any stat c/s (any c/s for that matter) It gets very nerve wracking waiting while you watch a strip or a bleed or whatever...
  12. babyktchr

    To Bulb Sxn Or Not?

    babyktchr replied to LD123's topic in Ob/Gyn

    How fabulous is this reply??? Just the little blurbs are a great read. THANKS!!!
  13. babyktchr

    My first Birth, what should I bring

    babyktchr replied to sunnym's topic in Ob/Gyn

    One of the things my dear friend loved when I was one of her "birth mothers" was lavender oil. Lavender is used by our alternative medicine department for pain relief, and just a drop or two on each...
  14. babyktchr

    To Bulb Sxn Or Not?

    babyktchr replied to LD123's topic in Ob/Gyn

    Where does the evidence live that supports this? Do the people telling you this have evidence to back this up??? I would be interested to see
  15. babyktchr

    drug testing AP and IP

    babyktchr replied to cnmmsn's topic in Ob/Gyn

    Just for the sake of saying this....I didn't say I agreed with said
  16. babyktchr

    drug testing AP and IP

    babyktchr replied to cnmmsn's topic in Ob/Gyn

    I have no rationale other than this NNP just came to us from "the big city" and she correlates STD's with drug use. At least that is how she explained herself to
  17. babyktchr

    drug testing AP and IP

    babyktchr replied to cnmmsn's topic in Ob/Gyn

    I think it is a fabulous idea, and our facility is trying to do the same thing. I just haven't had enough time to research it at this moment in my life. I know Michelle Murray spoke of drug testing...
  18. babyktchr

    New Grad with an LD Job--any advice?

    babyktchr replied to BirthingBabies's topic in Ob/Gyn

    Welcome to the world of OB!! Words of wisdom...hmmm.....watch everyone and ask many many questions. Resolve yourself that you won't be comfortable in this arena for quite sometime, and you will need...
  19. babyktchr

    Cytotec and pitocin for iufd??

    babyktchr replied to l&drocks's topic in Ob/Gyn

    I wonder is the patient would've chosen D&C is she was just given conscious sedation, or spinal? Did she end up seeing the baby and getting photos? Seems to me she didn't have enough information...
  20. babyktchr

    D5&1/3 for ketones in urine?

    babyktchr replied to epiphany's topic in Ob/Gyn

    I guess it really depends on what the level of ketones are. Typically if they are trace to 1+, we hydrate PO or if there is N/V involved, IV with LR. If they are large, there is generally an order...
  21. babyktchr

    D5&1/3 for ketones in urine?

    babyktchr replied to epiphany's topic in Ob/Gyn

    I guess it really depends on what the level of ketones are. Typically if they are trace to 1+, we hydrate PO or if there is N/V involved, IV with LR. If they are large, there is generally an order...
  22. babyktchr

    Labelling Lidocaine

    babyktchr replied to imenid37's topic in Ob/Gyn

    we just got the word recently from JCAHO that you have to label meds on anything sterile...hence the delivery table. They have even invested in STERILE PENS to do this with. I think the JCAHO folks...
  23. babyktchr

    Can you be an OB RN with an Assoc. Degree?

    babyktchr replied to kmj1228's topic in Ob/Gyn

    My first reaction to this post was...."why would you think that?" Can hospitals in this day and age, with the nursing shortage so prevalent, pick and choose whom they employ based on degree?? And in...
  24. babyktchr

    new to site

    babyktchr replied to mamacat's topic in Ob/Gyn

    I work in a level 1 hospital, have for over 15 years and what I can say to you is that it is different from what you are used to and you will get used to it. I really just depends on what you want to...
  25. babyktchr

    Advantages of staying at home during the first stages of labour?

    babyktchr replied to Nurse_In_Training's topic in Ob/Gyn

    I want to work where you work