babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    Written up for something beyond my control

    babyktchr replied to mombabyRN96's topic in Ob/Gyn

    The only other option you would've had was to call the doctor and tell him what you were given by the pharmacy and let him decide what to do. He could've given you the "recipe" for what he wanted or...
  2. babyktchr

    Need Help on Centricity Perinatal charting

    babyktchr replied to bandaidlady's topic in Ob/Gyn

    First of all it is totally unacceptable that you are not being trained properly to work with this system. Your preceptor needs to do this, no matter who she is in the food chain. You would think...
  3. babyktchr

    Could really use some calming down right now

    babyktchr replied to proud nurse's topic in First Year After Licensure

    Coming from a management standpoint, unless you are a really seasoned nurse, I rarely take any new nurse out of orientation early....even if you are doing well. What I usually do is have you with...
  4. babyktchr

    FHT question, where is the variable on this strip?

    babyktchr replied to violet_violet's topic in Ob/Gyn

    I don't know that I would document any variables on this strip. Need to know gestation here because you have some 10x10 accels but no 15x15 to call reactive for >32 week baby. Variability is mod...
  5. babyktchr

    What would you do?

    babyktchr replied to violet_violet's topic in Ob/Gyn

    This kid needs a birthday.
  6. babyktchr

    Umbilical Cord Blood Gases

    babyktchr replied to HeartsOpenWide's topic in Ob/Gyn

    There is only one or two questions on that exam. If you happen to take Lisa Miller's review course, she does and EXCELLENT job of breaking down gasses and makes it so user
  7. babyktchr

    Early decel? or Variables?

    babyktchr replied to violet_violet's topic in Ob/Gyn

    Definitely variable, as the drop from baseline to nadir is less than 30 secs. This is where you really have to count out your seconds because any longer and they certainly could've been early. Some...
  8. babyktchr

    Recurrent variables...

    babyktchr replied to violet_violet's topic in Ob/Gyn

    What is the baseline here? Deeper variables would give me more concern than little ones at this point. I would also take into account what is going on at the time. Is the patient pushing? Is the...
  9. babyktchr

    How do you pronounce...?

    babyktchr replied to violet_violet's topic in Ob/Gyn

    MVUs
  10. babyktchr

    Fetal Heart Monitoring Class??

    babyktchr replied to hbk77's topic in Ob/Gyn

    absolutely. it is a BASIC course, but will give you what you need to know in order to hit the ground running. good luck to
  11. babyktchr

    How often are your postpartum vital signs and assessments?

    babyktchr posted a topic in Ob/Gyn

    How often do you do post partum VS and assessments for c/s and vag deliveries? Just wondering what everyone else is doing.
  12. babyktchr

    Fetal Heart Monitoring Class??

    babyktchr replied to hbk77's topic in Ob/Gyn

    Agree with the AWHONN basic course online. It is a great start. The other AWHONN classes are for 6 months and above experience level. You will not be expected to have NRP as a grad and it may be...
  13. babyktchr

    Experienced RN in med surg/step down and ER trying to transtion to L&D

    babyktchr replied to denise9882's topic in Ob/Gyn

    Its a tough time for new grads/new nurses. Specialty areas, like L&D, look more for experienced nurses because it takes a long time to get someone trained. Orientation is one thing, but to be...
  14. babyktchr

    What can I do to increase my chances of being hired in Couplet Care as a new grad?

    babyktchr replied to Amber307's topic in Ob/Gyn

    Love, love, love your enthusiasm. Keep that!!! Get your CNA and depending on where you are, you may be able to land a position in OB. Then LEARN!!! Watch, ask questions, get involved. It looks...
  15. babyktchr

    argument after delivery

    babyktchr replied to Lanesmama's topic in Ob/Gyn

    Nothing like a good Jerry Springer moment in
  16. babyktchr

    When your patient is complete...

    babyktchr replied to violet_violet's topic in Ob/Gyn

    An urge to push is always a good thing, but there are some providers who still hold on to the addage of pushing when complete. Sometimes you have to be more creative in how you present your case. I...
  17. babyktchr

    C section attire

    babyktchr replied to jmdisque's topic in Ob/Gyn

    We wear our own scrubs to work and then change for c/s into hospital scrubs. We do not have our own OR, so when we take the patient to the main OR, the OR staff takes over the patient (circulator,...
  18. babyktchr

    Postpartum pit

    babyktchr replied to Elvish's topic in Ob/Gyn

    There are certain docs I work with who continue pit for at least 6 hours post partum. Other use cytotec in the rectum, or IM pitocin. I think that the use of medications should be based on symptoms...
  19. babyktchr

    Central monitoring policy

    babyktchr replied to jmdisque's topic in Ob/Gyn

    The goal of computerized documentation is to stay at the bedside and do it...just like paper charting, but sometimes that just isn't feasible. While company's like Obix encourage bedside charting,...
  20. babyktchr

    Seeking advice and how to approach former job

    babyktchr replied to punkydoodlesRN's topic in General Nursing

    I agree with the above. Submit your resume and letter of intention. HR will have to determine if you are eligible for rehire. As a manager, my hands were tied when I received emails or calls from...
  21. babyktchr

    "I'm not listening to you" says the doctor

    babyktchr replied to beachmom's topic in Ob/Gyn

    Grrrrrr. This always burns me. This needs to go to your facilities risk department AND to the medical staff office. You DO NOT want this person back. Medical staff department is responsible to...
  22. babyktchr

    New grad to mother/baby needs advice....

    babyktchr replied to navywifeRN's topic in Ob/Gyn

    Well, now all we have to do is build us a rocking birthing center and you can all come work there!!!!! Again...SMILING and thank
  23. babyktchr

    Bedside report

    babyktchr posted a topic in Ob/Gyn

    The big buzz now in nursing. Just wanted to know if anyone has any success stories for making it work in L&D. Would love to get a sense of who is doing it successfully and making it work for...
  24. babyktchr

    Orientation

    babyktchr replied to dramaprincess531's topic in Ob/Gyn

    WOW. WOW. WOW. Say no. Say it loud. Say it
  25. babyktchr

    May I ask??

    babyktchr replied to Burlshoe114's topic in Ob/Gyn

    It is such the common thought that L&D is the greatest floor to work on...after all, all you do is rock babies right? I am not poking fun, just echoing a phrase I have heard more times than not....