babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    ProEd Center Courses for RNC

    babyktchr replied to heather092800's topic in Ob/Gyn

    All of their prep courses are worth
  2. babyktchr

    Certifications

    babyktchr replied to heatherxnicole's topic in Ob/Gyn

    Being a new grad will bring you all sorts of challenges in the next year. You will be learning so much while orienting to your chosen area to practice. As a new grad, don't bog yourself down in even...
  3. babyktchr

    more meconium???

    babyktchr replied to babyktchr's topic in Ob/Gyn

    The "sick" babies that I am referring to are mec aspiration pneumonia babies. In this specific facility I have just noticed a high incidence of thick nasty meconium and these babies having mec...
  4. babyktchr

    Staffing for sick call/ not enough nurses

    babyktchr replied to MomBabyUnitRN's topic in Ob/Gyn

    Budgets are tight now a days and I am sure that your manager is telling you the truth. While PRN staff isn't budgeted, per se, you do have to have the positions available. Some things to think...
  5. babyktchr

    1st Nursing Cartoon caption contest - win $100

    babyktchr replied to Brian's topic in Nurses Rock

    Doggie Howser,
  6. babyktchr

    Med surg patients on OB floor

    babyktchr replied to Nik32's topic in Ob/Gyn

    Unfortunately this happens. There should be guidelines set up as to what KIND of patient is ok for your unit and when it is appropriate. We had the same thing happen, but then got too busy to...
  7. babyktchr

    Current Practices/Hospitals using AmniSure

    babyktchr replied to bevseven's topic in Ob/Gyn

    We just started using it and I am not a full believer yet. Just the other day I had a patient who complained of a large gush, amnisure BARELY positive...AFI 19. Of course there could've been a high...
  8. babyktchr

    Newbie advice- Ob 1st job not going so well

    babyktchr replied to NuNurse<3's topic in Ob/Gyn

    First, any manager worth her salt would realize that it takes a year or two for ANY nurse to get comfortable in labor and delivery. It certainly does sound like management is failing you. It also...
  9. babyktchr

    Dealing with OB docs...

    babyktchr replied to Bridget41040's topic in Ob/Gyn

    one of the most useful things that i learned thru the years is NOT to play their game. ignore the comments....if you respond you FEED them. if there is no payoff, they won't continue. i also find...
  10. babyktchr

    intrauterine pressure catheter(IUPC)

    babyktchr replied to nurse955's topic in Ob/Gyn

    Wow.
  11. babyktchr

    intrauterine pressure catheter(IUPC)

    babyktchr replied to nurse955's topic in Ob/Gyn

    For those of you who can place IUPC's and/or FSE's.....what kind of competency do you complete before being on your own placing these things? Is this a yearly competency or more/less frequent. I am...
  12. babyktchr

    Inpatient OB RNC exam - am I qualified?

    babyktchr replied to LLLovely's topic in Ob/Gyn

    Two years of experience is required before taking the exam. For the Inpatient exam there is a lot of pathophysiology and interpretation of fetal strips as well as questions directly relating to...
  13. babyktchr

    The OB ICU - Does It Exist?

    babyktchr replied to gracieD's topic in Ob/Gyn

    There are some out there. Many of them specialize in high risk pregnancy (severe cardiomyopathy or other heart related issues) that require invasive monitoring. There used to be one in the Philly...
  14. babyktchr

    LPN/OB tech

    babyktchr replied to iheartPN11's topic in Ob/Gyn

    Our OB techs are LPN's and scrub for our csections and are at lady partsl deliveries. An RN must do the first assessment, but then after that, they do VS and assessments thereafter until they are...
  15. babyktchr

    Rupture of an unscarred uterus?

    babyktchr replied to 2curlygirls's topic in Ob/Gyn

    it is rare, but have seen it twice....both were multips with very thin lower uterine segments. scary
  16. babyktchr

    Ever have an OB refuse to come for an emergent strip?

    babyktchr replied to obprof's topic in Ob/Gyn

    ABSOLUTELY document what the physician said, and put it in quotes (leave out any obnoxious comments, of course). I would be documenting the refusal and then filling out the appropriate risk...
  17. babyktchr

    Delivery Pitocin

    babyktchr replied to rntmo95's topic in Ob/Gyn

    we run the 30/500. I have run much higher concentrations per physician order in cases of PPH. its all
  18. babyktchr

    Cervidil guidelines

    babyktchr replied to obnurse9398's topic in Ob/Gyn

    How effaced was the cervix? Just because you are dilated, doesn't mean you are "ripe" per se, especially in a prime. The 1-2 cm dliated prime can be squirrely, and maybe a little ripening would...
  19. babyktchr

    Labetalol policy for PIH

    babyktchr replied to anggelRN's topic in Ob/Gyn

    Cardiac monitoring should be done on patients who are receiving IV Labetalol. I would imagine most facilities would have a policy on that given its mechanism of action. PO it is not
  20. babyktchr

    22 weeks on a cardiac floor.

    babyktchr replied to raskol's topic in Ob/Gyn

    Stargazer, I did not get that from the OP. She mentioned that her OB had not been consulted, not that they did not have L&D. Even if that were the case, any ED SHOULD have the appropriate...
  21. babyktchr

    22 weeks on a cardiac floor.

    babyktchr replied to raskol's topic in Ob/Gyn

    Dilaudid is fine to give. This patient should have had OB consult and orders for fetal heart tones. At 22 weeks, you definitely can find them with the proper doppler. I have gone to many a med/surg...
  22. babyktchr

    Central monitoring survey

    babyktchr replied to obnurse9398's topic in Ob/Gyn

    you have to convince someone you NEED central monitoring? how about patient safety? LDR, 10 beds, 2 OR's and 4 triage beds. 12 docs and 2000 deliveries a year. Came from 6 bed LDRP with central...
  23. babyktchr

    Which RNC certification should I get?

    babyktchr replied to MKS8806's topic in Ob/Gyn

    inpatient ob seems to be the right choice. SCN is good for those who live and breathe it day in and day out. it will be very specialized. inpatient ob is a comprehensive certification. good luck...
  24. babyktchr

    baby friendly questions

    babyktchr replied to Rhee's topic in Ob/Gyn

    you can go to their website (google baby friendly initiative and they should have a list of the hospitals that have been certified. it isn't a long list right now. it is an expensive endeavor, and...
  25. babyktchr

    baby friendly questions

    babyktchr replied to Rhee's topic in Ob/Gyn

    I feel for you.....much of what you said is what I thought when we started the journey. It does feel as if lactation has become this giant entity and all else be damned. Even medically necessary...