babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Looking for good study guides/materials...

    I am assuming that you are taking the inpatient ob exam here...since you didn't specify which exam you were taking. I used the AWOHNN books on competency and the their OB book that I cannot for the...
  2. babyktchr

    Evil OB

    I work with a doc who does just that very same thing. He has even gone so far as "POP" the perineum open like a midline with his fingers. It is a god awful sound and it is really all out of his...
  3. babyktchr

    Umbilical clamp cutter

    We have the same kind of transponders it sounds like...and we use the same cutter except we now cut on the side of the clamp...that is how the rep showed us. The company provided us with "their"...
  4. babyktchr

    Nuva Ring

    I love it. It is mindless...every 3 weeks I put a new one in so I don't have a period. I have a hard time with some pills and such because of hormonal migraines and estrogen withdrawal. I have had...
  5. Saw Michelle last month, kind of her farewell performance in our area...and she was fab as always. Hope you enjoy the
  6. babyktchr

    We lost a mom to HELLP!!!

    Egads, it is so true......when it is bad it is bad bad bad. What a terrible
  7. babyktchr

    cytotec for retained tissue

    I have used cytotec for post partum issues....and one doc uses it for placentas after delivery of IUFD. Seems to me the practioner of the original post took the LONG way around to get that placenta...
  8. babyktchr

    Ice to reduce a swollen ant lip?

    Funny this has come up...had a midwife at work try the "Cervical melting" thing....she put ice in a glove and pushed it right up there. What I heard was (cause I wasn't working that night) was...
  9. babyktchr

    How much Fentanyl??

    I enjoyed this one for some reason. She is a bit more feisty, if you can believe that...and since she is taking a year off, she has that devil may care attitude. I always come away with "AH HA"...
  10. babyktchr

    Very sad update on the twins

    Oddly enough, I had a patient with the same scenario at the beginning of the month. She had twin gestation with rupture of twin A at 13-14 weeks. The only thing she felt was trickling for a while...
  11. babyktchr

    How much Fentanyl??

    Yes, and let me get back to you on them, gotta look that up in the back of the drug section of her lecture. I have NEVER used fentanyl, not even when I worked in the ICU, so I have no experience at...
  12. babyktchr

    How much Fentanyl??

    I just got back from a Michelle Murray conference and she dedicated a good portion of a day to drugs used in labor, and she has convinced me to look into fentanyl. We don't even use it in epidurals...
  13. babyktchr

    L&D nurses who worked other floors first

    I came from ICU/CCU and thought it helped tremendously when I finally got a postion in L&D. I still use a lot of ICU
  14. babyktchr

    new med order

    :yeahthat:
  15. babyktchr

    new med order

    OH MY WORD. Previous csection and high dose pit...would NOT happen at my institution....not no how, not no way. That is quite the pickle, what do we do with demises at early gestations with previous...
  16. babyktchr

    How do you remember everything

    Patience is key honey. You will find your niche in how to do things. You have to communicate with your preceptor though, and tell her you are feeling a bit whelmed and to perhaps share her thoughts...
  17. babyktchr

    New to ICU with no clue

    OOOOH....I was in nursing school when I started a critical care tech job. I worked there while in school and then stayed after I graduated. I LOVED it. It was sooooo scary at first and there was...
  18. babyktchr

    Toradol for PTL?

    Can't imagine the use of toradol for the use of PTL. What properties does an NSAID have to stop contractions? Besides, use of NSAIDS in pregnancy after 28 weeks is contraindicated because it can...
  19. babyktchr

    I survived

    :yelclap: I just love that
  20. babyktchr

    Wow...from a student

    :yelclap: Yeah
  21. babyktchr

    OB scrubs

    Many years ago there were hosptial provided scrubs for OB. We wear our own scrubs now, and in any style. We used to wear the same top and same color pants all of the time. We went to any style or...
  22. babyktchr

    OBTV -vs- GE QS system

    We use the QS system, but only for surveillance, we do not use computerized charting. It is an ok system for what we use it for, I dont' think it is the most user friendly, but it is the only system...
  23. I went to ICU as a new grad, but I was also an ICU tech for 2 years prior, so the transition was a bit more smooth. I feel that ICU experience is invaluable and made a difference when I finally found...
  24. babyktchr

    Epidural-induced Hypotension

    :roll
  25. babyktchr

    Staffing ratio for this patient

    I am not a Mag level kind myself. Patient response is key, so diligent assessment is called for. I would like to know what this patients PIH profile showed. NO WAY this patient would be 1:3 where I...