babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    How high is too high for pitocin

    Scary to think that your manager is more interested in keeping people happy more than keeping patients safe. The use of pitocin that high is insane. As someone said earlier, if it isn't working at...
  2. babyktchr

    How to pass Anatomy and physiology ?

    A&P was my greatest challenge, and my greatest love in nursing school. It takes constant study time to really "get it" I really have nothing more to add to the great advice that has already been...
  3. babyktchr

    20 wk fetus, prom

    Our tertiary center will not accept a 20 week transfer. Depending on situation, we will keep the person pregnant, on antibiotics, and keep her stable until
  4. babyktchr

    Another ? about working the 7p-7a shift

    I must say that I am an avid lover of sleep...and get mighty cranky when I can't have my fill. My first night...I get up at 0700 and take 50mg benadryl...get the kid to school...then I am back to...
  5. babyktchr

    Choice: cesarean v.s. vaginal birth

    I am interested to hear why you think it is unethical. There are thousands of elective surgeries every single day. Why is this any different? I am not trying to start something...just really...
  6. babyktchr

    How important is Left side

    Off the back is what you want to do...doesn't really matter which side. There was a study a while back...pregnant women who had swan ganz catheters in...and they measure CO on both sides and actually...
  7. babyktchr

    nurse assisted deliveries

    I have had my share of deliveries. It just can't be helped sometimes. Babies come no matter who is or isn't there. Have you ever helped someone take off their panties to find a head sticking out???...
  8. babyktchr

    Choice: cesarean v.s. vaginal birth

    Although I don't understand why someone would, I would respect a decision for an elective c/s. For some reason, women really think that a c/s is easier than a vag delivery. I don't know where it came...
  9. babyktchr

    Fetal Demise less than 20 weeks

    I know the classes are few and far between, but what you may want to do is contact them and find out if there is a RTS coordinator in your area that may be willing to teach the course for you and some...
  10. babyktchr

    Fetal Demise less than 20 weeks

    Oh my...I am like you sister. I feel pulled to these very special people also. You have to understand, this is not a pleasant thing to deal with, and it is really not something that everyone likes...
  11. babyktchr

    Bereavement f/u pp

    I have just joined the advisory board for our hospital in this area. I just recently did the RTS certification and it was wonderful. Seems I have attended most of the demises in the past few years...
  12. babyktchr

    Bereavement f/u pp

    We make calls at 2 weeks, 6 weeks, 4 months, and as needed to a year. It also depends on holidays during that time period also. Have you been thru the RTS bereavement training?? It is a wonderful...
  13. babyktchr

    A & P or Nutrition first?

    A&P is one of those courses that NEED to stick with you throughout your career. Take the extra time and really learn it. It is a tough course. I did two of them...loved
  14. babyktchr

    Are unnecessary c-sections on the rise?

    Elective sections are a whole different animal here. Believe it or not..there are women out there who just do not want to labor. With any surgery, they are informed of the risks of surgery, possible...
  15. babyktchr

    Are unnecessary c-sections on the rise?

    The c/s rate at my hospital is well over 40%. It is outrageous. Factor in though, that we do not advocate VBAC delivery anymore...so repeats are rising. My concern is with the primes who have a...
  16. babyktchr

    Not cut out for L&D

    Finding your niche is such a good thing. It sounds like your hospital and immediate directors are good people. L&D takes a long time to "get". You really don't feel comfortable after about 2...
  17. babyktchr

    Oral contraception and weight gain

    I absolutely love the Nuvring. I have problems with estrogen withdrawal, and was on mircette for a while. Problem is..I forget to take them. I got samples of the ring from my OB and I use them...
  18. babyktchr

    Suggestions to a new OB nurse

    My advice....pay attention to everything. I started in OB after working in CCU. I hadn't worked hard until then. It is a whole new ballgame in OB. I find that when you first start out, you have...
  19. babyktchr

    Nubain administration during labor

    Well...nubain is the drug of choice at my hospital, and although you try to give it in a reasonable amount of time before delivery, it doesn't always happen that way. Every woman is different. I...
  20. babyktchr

    Questions about breastfed baby

    Everyone has suggested what I do...but I will certainly run this by our lactation goddess and see is she has any bits of wisdom. Does you hubby has difficulty feeding her with a bottle
  21. babyktchr

    Advanced Fetal Monitoring Course needed ASAP in So.Cal

    I looked on the proedcenter site and they don't have a class that is ASAP. Sorry. Try the AWHONN site, they will have classes. Try the online course. IF you do...please write and let us know what...
  22. babyktchr

    Advanced Fetal Monitoring Course needed ASAP in So.Cal

    Along with the AWHONN site...check out: http://www.proedcenter.com...see if Michelle Murray is in your area or Lisa Miller, they are both excellent and have advanced classes pretty frequently. There...
  23. babyktchr

    Circumcision on a few hour old newborn?

    This post has made me want to do some research on recommendations for circs......how long after birth etc. I wonder if the AAP site has info. Will have to look...will let you know if I come up with...
  24. babyktchr

    Mundane question

    When I really bond to a pt and family, and they have delivered...I thank them for allowing me to share their experience....(even after 11 years..I still cry)...if they haven't delivered, I wish them a...
  25. babyktchr

    pre eclampsia dx tools/guidelines?

    FABULOUS...thanks for