babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    2nd shifter possibly moving to 3rd shift

    babyktchr replied to Jocee82's topic in Ob/Gyn

    I have worked nights for 14 years and don't mind it at all. It started out that I did it so I did not have to use daycare also. In the end however, I did send my child to daycare because working...
  2. babyktchr

    AWHONN Introduction to Fetal Heart Monitoring Online Course beneficial??

    babyktchr replied to Kilika421's topic in Ob/Gyn

    I would highly recommend it. As a manager, I suggest this to anyoine who is coming in as a newbie, or to anyone looking to get into OB. It is actually a requirement for any new hire of mine without...
  3. babyktchr

    What is fecal texture?

    babyktchr replied to kainos's topic in General Nursing

    my daughter just rushed in the room wondering why i was laughing so hard. this is a
  4. babyktchr

    Leaving facility AMA...

    babyktchr replied to JenTheRN's topic in Ob/Gyn

    While I have seen mothers go home for a sundry of reasons (I mean why not be home if you don't need to be in the hospital and all is well)...this is beginning to look like the most frequent reason why...
  5. babyktchr

    Electronic Charting for the newborn/ Special Care Nursery

    babyktchr replied to dmenday's topic in Ob/Gyn

    I agree with you on the hunting a pecking thing. I was frustrated with that module and that was one of my suggestions was to make it more friendly to the sick baby and the nurse. There are tons of...
  6. babyktchr

    How do you administer Nifedipine?

    babyktchr replied to winter_green's topic in Ob/Gyn

    We give the whole capsule, no sublingual. Pregnant patients are vasodilated by nature, so you really shouldn't see dramatic drops in BP (usually). I would think the sublingual route would tend to...
  7. babyktchr

    Electronic Charting for the newborn/ Special Care Nursery

    babyktchr replied to dmenday's topic in Ob/Gyn

    A few questions. Are you physicians trained to use the system so they can access information? What exactly is the issues you are having? You can certainly document moment to moment events in OBIX...
  8. babyktchr

    OB certifications

    babyktchr replied to Lola89's topic in Ob/Gyn

    most certifications require previous experience in order for you to sit for exams. AWOHNN has a basic fetal monitoring course online that you could take, but any further fetal monitoring courses...
  9. babyktchr

    The worst thing I've ever seen on my L&D floor...

    babyktchr replied to adpiRN's topic in Ob/Gyn

    You should be worried when this kind of thing DOESN'T bother you. Demises are heartbreaking, but term ones are the worst, especially in the case that you are describing. It is all part of the circle...
  10. babyktchr

    Oxytocin-Life

    babyktchr replied to OBRN4U's topic in Ob/Gyn

    Interesting. I was always taught that if you mix it, it is only good for 24 hours. Even our bags or antibiotics that the pharmacy makes have expirations dates printed on the
  11. babyktchr

    Oxytocin-Life

    babyktchr replied to OBRN4U's topic in Ob/Gyn

    It is one thing to live in a pyxis, they do have expirations listed on the bag. Once spiked, the bag is only good for 24 hours. Every bag of medication has an expiration date listed on
  12. babyktchr

    tachysystole vs hyperstimulation

    babyktchr replied to Deirdre's topic in Ob/Gyn

    Tachysystole is correct terminology that has been approved to be used instead of
  13. babyktchr

    Postepidural falls

    babyktchr replied to boxers's topic in Ob/Gyn

    Have not kept up with national trends in this area, but I bet it is a HOT topic. I know my last units fall numbers were going up, and post vag delivery showers with and without epidurals were the...
  14. babyktchr

    New grad 30 weeks pregnant and starting on L&D department

    babyktchr replied to dncndva215's topic in Ob/Gyn

    The only thing I have to contribute here is that the OP does have a 90 day period in which the facility can choose not to keep her on, and most places now can do this without cause. As a manager,...
  15. babyktchr

    AWHONN Staffing Guidelines

    babyktchr replied to doglover21's topic in Ob/Gyn

    The new guidlelines are 56 pages
  16. babyktchr

    No nursery but not allowed to tell new moms that their newborn must room in!

    babyktchr replied to Emberanna's topic in Ob/Gyn

    Although this could go a few different ways...I will jump in with this thought. If your facility touts "family centered care" or provides couplet care without nursery, it would be prudent that your...
  17. babyktchr

    what the heck am I feeling?

    babyktchr replied to loving2's topic in Ob/Gyn

    Oh my gosh, honey.....you will get it in time. Its hard not knowing, but it all will make sense one day. Good luck to
  18. babyktchr

    what the heck am I feeling?

    babyktchr replied to loving2's topic in Ob/Gyn

    The forhead, chin, tip of the nose reference is for contraction strength. Sounds to me like you need to sit down with your preceptor and have her really explain these terms to you. While seasoned OB...
  19. babyktchr

    Certification w/o OB experience?

    babyktchr replied to LoveANurse09's topic in Ob/Gyn

    Honestly, it has been a while since I have had to look at resumes and such. No one leave my unit. Its hard when you don't have experience to try to catch a break. I was one of those people who did...
  20. babyktchr

    Certification w/o OB experience?

    babyktchr replied to LoveANurse09's topic in Ob/Gyn

    Most specialty certifications require 2 years of
  21. babyktchr

    Postpartum Sleeping Pill

    babyktchr replied to Jemma's topic in Ob/Gyn

    I didn't think Dalmane was still around...holy cow.
  22. babyktchr

    iffy strip and discharged

    babyktchr replied to babymamaRN6's topic in Ob/Gyn

    I agree. You say there are accels with minimal to moderate variability. That right there rules out metabolic acidemia..you have an oxygenated baby. Periods of minimal variability can have a...
  23. babyktchr

    preterm inductions

    babyktchr replied to rebajcn's topic in Ob/Gyn

    One of the things that is so hot right now in my facility is "duty to report". Do you have a corporate intergrity hotline that you can report things to for breeches and such? You can report this...
  24. babyktchr

    Need your opinions

    babyktchr replied to achiever's topic in Ob/Gyn

    I never did understand why clinical experience is included on a graduate application. When I do interviews with the grads, that is the only thing listed and it is umm...kinda required and it is...
  25. babyktchr

    RN use of ultrasound in fetal demise cases

    babyktchr replied to April Tyler's topic in Ob/Gyn

    I find it absolutely unacceptable that a physician refused to come in and attend to a patient in this circumstance. This is an abomination. While I have to agree that the US was out of scope of...