babyktchr BSN, RN

Nurse Manager, Labor and Delivery

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All Content by babyktchr

  1. babyktchr

    NCC Electronic Monitoring

    babyktchr replied to BabyRN1991's topic in Ob/Gyn

    I took it two years ago and I took Lisa Miller's review and then the test. I personally would not do it any other way. Lisa is an excellent speaker and teacher and prepares your well for the exam....
  2. babyktchr

    Couplet care - how do you handle float pool nurses?

    babyktchr replied to klone's topic in Ob/Gyn

    We closed our unit for patient safety purposes on both ends. No nurse floats to us because they are not trained to take care of newborns and my nurses are not trained specifically to work anywhere...
  3. babyktchr

    one of my biggest fear happened.. in need of some words of wisdom

    babyktchr replied to mctina_20's topic in Ob/Gyn

    Oh dear heart, this has happened to me and I am sure it has happened to many out there. You evaluate what you observe and feel and see. You report this to the provider. YOU did not send the patient...
  4. babyktchr

    AWHONN membership

    babyktchr replied to what2donow's topic in Ob/Gyn

    OMG...I am always on the site looking for resources for policy and procedures, updates on current practices and networking with other members. Why re-invent the wheel when there are so many out there...
  5. babyktchr

    AWHONN membership

    babyktchr replied to what2donow's topic in Ob/Gyn

    I "get" that I belong to a group dedicated to excellent education and patient care and stand with thousands of who practice their profession in OB land, endless resources, networking ability and a...
  6. babyktchr

    Managing decelerations

    babyktchr replied to jennf83's topic in Ob/Gyn

    WOW.....if you were my staff member, you certainly would've had that basic AWHONN course by now, and then moved right along into the intermediate course. I cannot believe you have not had formal...
  7. babyktchr

    IUPC scope of practice

    babyktchr replied to obgoddess's topic in Ob/Gyn

    It is a board of nursing issue state to state. Thankfully it isn't within scope of practice in my state, because no matter how much training there is , why oh why can't a physician or midwife do...
  8. babyktchr

    IV push hydralazine or labetalol - tele?

    babyktchr replied to klone's topic in Ob/Gyn

    Labetalol yes, Hydralazine no, but requires constant BP
  9. babyktchr

    Tylenol for newborn fever?

    babyktchr replied to faithful64's topic in Ob/Gyn

    100.7 for a mom is not a fever. It is an increase in temp, the body's response to the immune system working. We do not treat a temp until it is over 101.5. Why not let the body do what it is...
  10. babyktchr

    Documenting decelerations

    babyktchr replied to theamberdawns's topic in Ob/Gyn

    Oh dear. Documenting and doing something about it certainly are two different things. You certainly should be documenting decels no matter what kind they are, and describing them. Now, I would not...
  11. babyktchr

    Who's got a WICU?

    babyktchr replied to ragingmomster's topic in Ob/Gyn

    Winnie Palmer is AMAZING, as is Prentiss Women's in Chicago. If you have the clientel to use it, build it. Why
  12. babyktchr

    How long will it take you to admit a new patient to L&D?

    babyktchr replied to Jiayou's topic in Ob/Gyn

    I can fully admit a patient in 30 mins to an hour, depending on where she is in labor, but I have been doing it of 16 years. As with what the above poster said, you have to really know what you are...
  13. babyktchr

    allergic reaction during prepidil induction or ..razor burn?

    babyktchr replied to greenykilt's topic in Ob/Gyn

    wonder if she waxed instead of
  14. babyktchr

    TCB's

    babyktchr replied to scrubnurse's topic in Ob/Gyn

    We just had the bilichek rep in to do another inservice and she instructed us to perform the test in as much natural light as possible. We use a chart for when to draw serum, and as someone else...
  15. babyktchr

    confused on 0-10 w.prepidil and events last nite

    babyktchr replied to greenykilt's topic in Ob/Gyn

    OMG...can you believe we ever did anything WITHOUT central monitoring? You could be in the middle of something and stop and hear a decel from down the hall, that is how in tune you got with the...
  16. babyktchr

    confused on 0-10 w.prepidil and events last nite

    babyktchr replied to greenykilt's topic in Ob/Gyn

    You certainly can chart while sitting at the desk, but you are being PAID to take CARE of the patient. Charting is only one part of your job. While you are responsible to evaluate the FH and...
  17. babyktchr

    confused on 0-10 w.prepidil and events last nite

    babyktchr replied to greenykilt's topic in Ob/Gyn

    Oh dear.....that adds a new spin. Preterm/late preterm baby, mommy hypertensive....yikes. This fetal heart rate should've evaluated every 15 minutes. As a nurse manager, one of the first questions...
  18. babyktchr

    confused on 0-10 w.prepidil and events last nite

    babyktchr replied to greenykilt's topic in Ob/Gyn

    There are several things going on here. Prepidil can certainly stimultate labor, especially in multips. I am assuming there was at least 4-6 hours between doses of prepidil, and after the second...
  19. babyktchr

    Visitation/Control

    babyktchr replied to shebbie's topic in Ob/Gyn

    We have locked doors and visiting hours from 10-9. Laboring patients can have 3 visitors during labor and only the ones they have selected. They are given wrist bands for ID purposes and only those...
  20. babyktchr

    Couplet Care/Postpartum

    babyktchr replied to guiltysins's topic in Ob/Gyn

    AWHONN states 3-4 mom/baby couplets per nurse. There is no going back and forth to nursery, baby stays with mom, except for testing and circs etc. Your day would incorporate assessment and teaching...
  21. babyktchr

    Using Narcan to help Pts to Void Post C/S

    babyktchr replied to Hyrita's topic in Ob/Gyn

    We cannot remove foley's for 24 hours after Duramorph spinal because of the potential for urinary retention. We have narcan and nubain orders for itching. I am going to discuss the use of narcan...
  22. babyktchr

    Pregnant & Working... When to Tell?

    babyktchr replied to LNDRN2's topic in Ob/Gyn

    On my unit we celebrate our staff being pregnant, so I am at a loss why it would be such a big deal to say something. We are much smaller in comparison, so maybe that is the difference....but really,...
  23. babyktchr

    how long before u get to do stuff?

    babyktchr replied to reddellrn's topic in Ob/Gyn

    Oh dear. Sounds to me like you need to have a chat with your manager. It is one thing to go willy nilly and allow anyone to orient you (not a great practice), but not to have a written plan of...
  24. babyktchr

    Why lvn's /lpn's should not work in labor and delivery

    babyktchr replied to LNDBSN's topic in Ob/Gyn

    In my state, LPN's or LVN's cannot give IV push medication and have to cannot do initial assessments of a patient. Employing them in L&D on my unit would not be productive. I will say that the...
  25. babyktchr

    OBIX labor charting anyone?

    babyktchr replied to L&D2FNP's topic in Ob/Gyn

    I am there with you sister. We still use paper charting, and I can't wait to get into EMR totally. We use OBIX for surveillance only, and strip annotation. I got to know the folks quite well at...