babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    seizures after delivery in mom with PIH

    babyktchr replied to lifeLONGstudent's topic in Ob/Gyn

  2. babyktchr

    What exactly are AWHONN's guidelines for staffing?

    babyktchr replied to webbiedebbie's topic in Ob/Gyn

    I would like to add to another post here that in addition to assessments of newborns, there is a standard of care that states you must document a physical observation of the newborn every 2
  3. babyktchr

    Absolutely the most entertaining birth plan I have ever read....

    babyktchr replied to Mermaid4's topic in Ob/Gyn

    Thanks sooo much for the chuckle. TOO
  4. babyktchr

    What do you want your OB patients to get from childbirth class?

    babyktchr replied to Mahnikuh's topic in Ob/Gyn

    If I had my wish....I would want prospective parents to know that babies don't come in a half hour, like on a Baby
  5. babyktchr

    Need your expertise

    babyktchr posted a topic in Telephone Triage

    I need some help and I am hoping you all can lead me in the right direction. Currently we are trying to set up policy and procedure for telephone triage for our labor and delivery unit. One of the...
  6. babyktchr

    Uterine rupture yesterday...

    babyktchr replied to USA987's topic in Ob/Gyn

    I second, third, and fourth that!!!!!!! Be very
  7. babyktchr

    Labor epidural charting

    babyktchr replied to Harlean's topic in Ob/Gyn

    We are small hospital too...and our CRNAs don't put in labor epidurals. We don't have an assigned MD either...I don't mean to sound critical at all..just they don't hang around...and especially at...
  8. babyktchr

    Labor epidural charting

    babyktchr replied to Harlean's topic in Ob/Gyn

    We recently "made over" our labor charting and one of the things we did include was sensory assessments. It had previously been yet on ONE more piece of paper to chart on. The only thing we did not...
  9. babyktchr

    Needed... Public Relations Ideas for failing LDRP

    babyktchr replied to kc2004's topic in Ob/Gyn

    The nearest hospital is 20 miles away..the nearest NICU is 45 miles away...give or take. When we have to ship a bad baby...a team from the "big" hospital comes and then decides where the baby...
  10. babyktchr

    Needed... Public Relations Ideas for failing LDRP

    babyktchr replied to kc2004's topic in Ob/Gyn

    I work in a 6 bed LDRP with no NICU in house. We do almost 1000 deliveries a year, of course low risk deliveries. In the instances that we have a high risk occasion, pts are shipped to high risk...
  11. babyktchr

    What do you use for Post Delivery pain meds?

    babyktchr replied to NurseFirst's topic in Ob/Gyn

    No fentanyl...we don't even use it IV...our policy prevents us from using it unless on cardiac monitor. They used to use it in our epidurals...but we have gone to
  12. babyktchr

    Extraction of a retained placenta

    babyktchr replied to Meloday's topic in Ob/Gyn

    Some moms feel crampy when the placenta separates...there is a lot of massaging going on to help the process along...a bit of gentle tugging on the cord. Some feel the urge to push, some docs I work...
  13. babyktchr

    What do you use for Post Delivery pain meds?

    babyktchr replied to NurseFirst's topic in Ob/Gyn

    To tell you the truth...with the PCA we get just as much itching...from the morphine or the dilaudid. What I think really makes the difference is the toradol. I have seen such a turn-around with...
  14. babyktchr

    Cervical exams

    babyktchr replied to ryleikat's topic in Ob/Gyn

    I don't know about the docs or midwives you work with, but the ones in our group are very accomodating. When I first started, they got dilation, thick or thin and high or low. As I got more...
  15. babyktchr

    Extraction of a retained placenta

    babyktchr replied to Meloday's topic in Ob/Gyn

    Sounds like he snapped the cord...which happens from time to time. They do go "up there" and get it...it isn't the most pleasant of experiences. Sedation is ordered so the patient is calmer during...
  16. babyktchr

    What do you use for Post Delivery pain meds?

    babyktchr replied to NurseFirst's topic in Ob/Gyn

    I have no clue why they stopped using it. The anesthesia gods must have gotten together one day and said...no more. Every once in a doctors wife or nurse will request it...but otherwise we just...
  17. babyktchr

    Is IVF possible after TL?

    babyktchr replied to NoCrumping's topic in Ob/Gyn

    That just cracks me up!!! I had to look at it twice myself and figure it
  18. babyktchr

    What do you use for Post Delivery pain meds?

    babyktchr replied to NurseFirst's topic in Ob/Gyn

    Duramorph...wow....lucky you!!! We stopped using it eons ago. How do you think they fair with it?? As I remember, they itch themselves to death, but they moved well and really had no pain. We used...
  19. babyktchr

    Cervical exams

    babyktchr replied to ryleikat's topic in Ob/Gyn

    It really does come down to practice. And just resign yourself that it is gonna take some time before you will be comfy. I have checked cervix's for over 10 years now and there are times I am...
  20. babyktchr

    pit induction protocol

    babyktchr replied to ShawnetteRN05's topic in Ob/Gyn

    Ahhhh...daylight obstetrics. I am so glad someone else is suffering from that. We have a few docs who like to get the pit up high..then shut them off at 4 and restart in am...do the same..then...
  21. babyktchr

    What do you use for Post Delivery pain meds?

    babyktchr replied to NurseFirst's topic in Ob/Gyn

    We use motrin 800mg for SVD with a T3 back up if needed. For sections..they usually come back with PCA and toradol...then percocet and
  22. babyktchr

    Unhappy Nursing Student

    babyktchr replied to Keyatte's topic in Ob/Gyn

    You see...by direct entry..I think of going into a program without a bachelors degree. There used to be a lot of programs like that. Now they have all turned into requiring bachelors. I don't...
  23. babyktchr

    Unhappy Nursing Student

    babyktchr replied to Keyatte's topic in Ob/Gyn

    I thought in the US there were no more direct entry programs for midwifery. I talked to ACM and that is what they had told me. Programs now require bachelors in something to get into a program. I...
  24. babyktchr

    pit induction protocol

    babyktchr replied to ShawnetteRN05's topic in Ob/Gyn

    AWHONN has a wonderful paper on active labor management....check it out if you can. We typically only go to 20mu. One doc likes 30mu..another 26mu. You know..if they aren't in labor after...
  25. babyktchr

    Preventing infection in post c-section patient

    babyktchr replied to findingmywayRN's topic in Ob/Gyn

    Our c/s get a dose of antibiotics intra-op then q 8 x 2. We have a protocol now for all surgeries actually..hysters and the like for preop then to dc in 24 hours. We don't have a high post op...