babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Cervidil

    babyktchr replied to Emily Canwell's topic in Ob/Gyn

    Continuous monitoring is the standard of care. Since cervidil is long acting prostiglandin, it is considered an induction, even though it is for cervical ripening. Unfortunately, after a few...
  2. babyktchr

    Cervidil

    babyktchr replied to Emily Canwell's topic in Ob/Gyn

    Oh yeah...been caught TOO many times with cervidil deliveries..so I am put those heplocks in just in case of anything....hyperstim, fetal distress yada yada
  3. babyktchr

    Cervidil

    babyktchr replied to Emily Canwell's topic in Ob/Gyn

    Can't add much more to the above post. It is very important that you institute CONTINOUS fetal monitoring after the insertion of cervidil. Don't let any doc tell you otherwise. I have read that pit...
  4. babyktchr

    another nurse hurt a patient in labor

    babyktchr replied to rnurse2be's topic in Ob/Gyn

    The nurse was INTENTIONALLY grabbing the IV to cause the patient pain? I know that it happens, especially with a hand IV, to accidentally touch the area. IV's are "sore" spots with patients in...
  5. babyktchr

    Doula Thoughts on L&D (long)

    babyktchr replied to futureTMA's topic in Ob/Gyn

    Wow...interesting thread. I will only add that I have had two very negative experiences with doulas...one that sat in the rocker and did not assist the patient whatsoever except to say that she was...
  6. babyktchr

    What is this called? (stupid question)

    babyktchr replied to mommy2boys's topic in Ob/Gyn

    I worked briefly in a hospital that had this contraption. It is called a surgagator, and it is like a power washer for the perineum. You got a wand and it hooked up to the wall hosing and you...
  7. babyktchr

    Drying up Breastmilk

    babyktchr replied to Justhere's topic in Ob/Gyn

    Cabbage leaf therapy is something that I have recommended on occasion..that and a tight bra and frozen peas (those bags just form fit so nicely). An extra added unrelated tidbit......shredded carrots...
  8. babyktchr

    Nursing doing ABG's

    babyktchr replied to Turk182's topic in Nurse Management

    [. I enjoyed doing them. I did
  9. babyktchr

    Nursing doing ABG's

    babyktchr replied to Turk182's topic in Nurse Management

    Happened onto this question while browsing. I came from a hospital where I worked in ICU/CCU and although we had a respiratory department and one assigned to our unit specifically 24/7, nursing was...
  10. babyktchr

    A Question about GTPAL (Pregnancy Codes).

    babyktchr replied to DJ Trance AZ's topic in Ob/Gyn

    I personally don't see the "T" for term in our language. Graivida para preterm abortion living is what we use. Anything over 20weeks gestation is to be included in the parity
  11. babyktchr

    Vaginal breech

    babyktchr replied to JeanettePNP's topic in Ob/Gyn

    One of the most beautiful deliveries I have ever attended was a multip breech delivery of a 9lb baby girl..and an intact peri. The doc was cool calm and collected and directed everyone in what to do....
  12. babyktchr

    No Doppler in OR - Management NO help!

    babyktchr replied to StatRNNJ97's topic in Ob/Gyn

    We take our own dopplers to the OR for c/s...routine or emergency and check a fetal heart tone prior to prep. We also have a monitor up there in case of a prolonged hold time in the pre-op area. Our...
  13. babyktchr

    Research Paper: Elective Cesareans

    babyktchr replied to missninaRN's topic in Ob/Gyn

    Gosh..I wish I could find the paperwork on this...but NIH is doing a 2 day conference on this subject. They are going to publish but I cannot for the life of me find the brochure I got in the mail....
  14. babyktchr

    phone protocols

    babyktchr replied to babynurse2001's topic in Ob/Gyn

    I used both of those books when we were researching our telephone triage stuff. I also did a lot of online research and found that it is more complicated than what the books or any other resources...
  15. babyktchr

    posterior ?

    babyktchr replied to jzprple's topic in Ob/Gyn

    :yeahthat:
  16. babyktchr

    early decels during latent phase-advice needed

    babyktchr replied to newnurse.rs's topic in Ob/Gyn

    I wish we had the capability to see the strips we talk about. Ok...if they were early....then we are talking head compression...and at 3cms...either the baby is too fat to fit, or malpresented...
  17. babyktchr

    ICU nurse to OB/GYN nursing???

    babyktchr replied to Krista77's topic in Ob/Gyn

    I was an ICU nurse for 5 years when I felt the need to go to OB. I had no experience whatsoever, but they took a chance on me and it has been the best thing I have ever done. I think your experience...
  18. babyktchr

    Bleeding at 14 weeks

    babyktchr replied to letina's topic in Ob/Gyn

    Bleeding is such a subjective term.....I am curious...bleeding like I have to wear a pad like I have my period or bleeding like its pink when I wipe? Glad to hear the baby looks good...where is that...
  19. babyktchr

    maternal transports

    babyktchr posted a topic in Ob/Gyn

    I work in a small community hospital which handles mostly low risk pregnancies. We transport high risk stuff...especially preterm moms to a tertiary center about 1 1/2 hours away. Of course being...
  20. babyktchr

    RNC in L&D

    babyktchr replied to ldnurse7581's topic in Ob/Gyn

    I am certified in inpatient OB and there are several excellent books and review courses out there to help you prepare. Check out the NCC website...it will give you the breakdown of what is covered in...
  21. babyktchr

    How to Study? For RNC Inpatient Obstetric

    babyktchr replied to SierraN's topic in Ob/Gyn

    I do better with lectures and courses and I took the review course given by Sharon Hall thru Proeducation center. I know she is doing a bunch this year..check out the website that SBE
  22. babyktchr

    Applying Oxygen when O2sat is 99% on RA

    babyktchr replied to SC RN's topic in Ob/Gyn

    What an excellent thread this is. It is difficult sometimes to not dwell on SaO2 and really look at what you are doing with oxygen and PaO2. Intrauterine resusitation involves taking a PaO2 to over...
  23. babyktchr

    Postpartum Self Medication Program

    babyktchr replied to midwife2b's topic in Ob/Gyn

    I have always wondered why someone hasn't developed a PCA kind of machine for pills. Wouldn't it be nice to have percocet, T#3, motrin, etc in a machine that is programmed and the patient can just...
  24. babyktchr

    EFM certification?

    babyktchr replied to Selke's topic in Ob/Gyn

    I have been EFM certified for years now, and yes, I think that I have benefitted from it...only because of the continuinng education that comes with it. The key to anything monitoring wise is...
  25. babyktchr

    Finding FHT early in pregnancy

    babyktchr replied to Littlewonder's topic in Ob/Gyn

    I also find if you lay these patients completely flat, it helps finding those wee little