babyktchr BSN, RN

Nurse Manager, Labor and Delivery

Member

  • Content

    850

  • Visitors

    10,345

  • Followers

    0

  • Likes

    7

All Content by babyktchr

  1. babyktchr

    Nursing student curious about FHR decels and monitoring?

    babyktchr replied to mille173's topic in Ob/Gyn

    Late decels don't necessarily mean the baby is in trouble, but that the placenta isn't doing what it is supposed to be at that moment. If there is good variability with the late decels, then you want...
  2. babyktchr

    epidural and decel question

    babyktchr replied to JadeRN7's topic in Ob/Gyn

    I can't add anything to this other than I can't believe a charge nurse would tell you that.
  3. babyktchr

    Inpatient OB review course

    babyktchr replied to ShannonSRN's topic in Ob/Gyn

    you could contact professional education center and see if they would come. they have a fabulous review course, but I am sure they are going to need a pretty hefty turnout and it may cost you bunches...
  4. babyktchr

    What is Wrong With This Picture?

    babyktchr replied to realnursealso/LPN's topic in Ob/Gyn

    All I can say is OMG. This injury did not require a nurse or any other trained medical professional to see that this man had a severe injury. This nurse should lose her license..period. The video...
  5. babyktchr

    Late decel?

    babyktchr replied to jennf83's topic in Ob/Gyn

    That would depend on your BIG PICTURE.....variability and such. If it is just one, and there is a reason ( mom just got epidural, mom is lying flat etc) then it never hurts to change positions....
  6. babyktchr

    Late decel?

    babyktchr replied to jennf83's topic in Ob/Gyn

    A late decel is telling you something. Variability tells you something also. The decel is telling you that there is some perfusion issue with the placenta and it warrants investigating, for example...
  7. babyktchr

    Infant airways and decels

    babyktchr replied to jennf83's topic in Ob/Gyn

    According to NICHD terminology, a variable is an ABRUPT decrease in FHR that is less than 30 secons from the beginning of the decel to the nadir. A late or early decel is a GRADUAL decrease in FHR,...
  8. babyktchr

    Need help with my students on rotation

    babyktchr replied to Midwifemama5's topic in Ob/Gyn

    I couldn't agree
  9. babyktchr

    Is stadol contraindicated in drug abuse patient?

    babyktchr replied to Jiayou's topic in Ob/Gyn

    Stadol is contraindicated in patients with narcotic addiction becasue of its antagonist effects (as well as Nubain). It can cause severe withdrawal symptoms, including seizures (not pretty)....
  10. babyktchr

    Doctors perform induction and then C/S on non-pregnant woman

    babyktchr replied to klone's topic in Ob/Gyn

    Yeah...not having fetal heart tones would've been a HUGE red flag to proceed to other testing...not just go by a convincing story. It scares the bejeeezus out of me that a resident would proceed to...
  11. babyktchr

    VBAC for a Lady Who Has Had 2 Previous C-sections

    babyktchr replied to BabyRN2Be's topic in Ob/Gyn

    We do not do VBAC's at my facility...small community
  12. babyktchr

    Do "ominous" fetal heart tone strips ever improve if you wait awhile?

    babyktchr replied to beachmom's topic in Ob/Gyn

    holy cow.....absent variability AND lates with no improvement with intrauterine resuscitation and BPP of 2 and we wait to see if it gets better? If only the fetal monitor could spell out HELP...
  13. babyktchr

    Cervidil Question

    babyktchr replied to adoptionacres's topic in Ob/Gyn

    You have to wait 30 mins before starting pitocin after removing cervidil, but I don't know of any restriction on re-inserting after removal. Must be a very thick cervix you are trying to
  14. babyktchr

    frustrated

    babyktchr replied to jennifers's topic in Ob/Gyn

    Go ahead and send resumes to HR, but do not call the managers directly. I find that annoying and there simply isn't anything I can do if there are no jobs available. All I would be able to tell you...
  15. babyktchr

    Minimum staffing requirements

    babyktchr replied to OBRNinTN2010's topic in Ob/Gyn

    Yet another BLINK BLINK moment. This is madness. Not only is this unsafe, but lets look at it in a different way. How do you get a break if you are the only one working? I look at it from this...
  16. babyktchr

    scary case last night

    babyktchr replied to adpiRN's topic in Ob/Gyn

    You did not tell us what kind of decels you were having. If the baby had moderate variability and accels, despite the decels, this baby was not in metabolic acidemia. The moderate variability alone...
  17. babyktchr

    OB department closing-house supervisors role

    babyktchr replied to tranquility00763's topic in Ob/Gyn

    Your unit it totally closing, like poof no
  18. babyktchr

    Physiology of FHR monitoring

    babyktchr replied to butterball1980's topic in Ob/Gyn

    Absolutely. One of the main goals of fetal montoring is proving that it is in fact FETAL and not maternal. You should always chart mom's HR AND baby's HR, so that you know that what you are in fact...
  19. babyktchr

    Staffing guidelines without central monitoring

    babyktchr replied to babynurse357's topic in Ob/Gyn

    Well....for YEARS I worked without central monitoring and we held to AWHONN standards. We kept monitors up very loud and honestly you could be in the middle of something and hear a decel down the...
  20. babyktchr

    drug screening patients

    babyktchr replied to moz's topic in Ob/Gyn

    If you google neonatal abstinence scoring, you will come up with a plethora of information on screening tools, the basis behind the scoring and how to score a newborn going thru withdrawal. You can...
  21. babyktchr

    NCC Electronic Monitoring

    babyktchr replied to BabyRN1991's topic in Ob/Gyn

    you can google him...he is into a lot of stuff, but their new multidiscplinary book is out there for sale. It is by Lisa Miller and David Miller and an excellent
  22. babyktchr

    What is appropriate nurse to patient ratio in stage 2 of labor?

    babyktchr replied to MVgal's topic in Ob/Gyn

    Even in the advent of central monitoring, you still have to evaluate your patient...not just watch a monitor. There should be no reason why you should leave a pushing patient (unless you have...
  23. babyktchr

    NCC Electronic Monitoring

    babyktchr replied to BabyRN1991's topic in Ob/Gyn

    I did pass. If you can take the review course, I would. The test really challenges your knowlege of physiology when it comes to monitoring and reading strips. Acid base is in there along with basic...
  24. babyktchr

    What is appropriate nurse to patient ratio in stage 2 of labor?

    babyktchr replied to MVgal's topic in Ob/Gyn

    AWHONN states 1:1 ratio....period. I wonder what rationale your manager has for this and what steps she is prepared to take to stand behind this position when something bad happens. When you are in...
  25. babyktchr

    Couplet care - how do you handle float pool nurses?

    babyktchr replied to klone's topic in Ob/Gyn

    Part of the contract of having the closed unit is that the staff will cover the call outs or need for extra staff or deal with being short. We had a couple of rough bumps last summer and I threatened...