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jarrn03

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  1. The doctor never instructed them to have sex in the hospital. He had no idea that it had happened until he came out of the OR.
  2. Your approach to your deliveries are about the same as mine. I totally get a kick how the familys always ask how much babe weighed, no one asks if they are breathing etc. My babies stay on their mommy as long as I can keep them there. I do eyes/thighs while babe is skin to skin. I find myself being passive aggressive to the obnoxious family members when they keep whining about how much the baby weighs. We dont have mandatory nursery time. The babe are bathed in the pp room, hearing screen can be done in the pp room also.
  3. The doctor was unaware of it happening until the nurse told him.
  4. Have you ever had a pt and her spouse have sex in their room "to get things going naturally"? We had a couple come in that had had intercourse that am, stimulating contractions. Her cervix was changing but then stalled out around 7 CM. The mother to be's sister was gaurding the door. Her nurse went to go in to the room because the central monitoring was showing a decel. When she approached the room the sister stopped her and told her what was going on. To make a long story short it sure enough stimulated contractions, her water broke and delivered precipidously and the nurse delivered as her doc was in the OR. In our busy unit with all our experieced and long time nurses said it was a first for them. Would love to here if you have had a similar experience;
  5. Has anyone had a pt bring in a pic of their mucous plug on their cell phone? I've gotten 2 in 4yrs. I about died!! Thank god for cell phones!
  6. Days-$48 Eve-$50 Noc-$52 Here in Oregon.
  7. I can totally relate to the moms not getting to see their babies because of meds. I delivered at 28wks due to preeclampsia and was on Mag. It was pure torture. I think I finally whinned enough the nurse took me down at about 22 hrs post op. I only lasted a few minutes but that's all I needed! Pictures are not the same as touching and seeing. I had a lot of guilt. I got preg 3 yrs after having my tubes tied and hadn't come to the terms of having another child..I was done! That all change the moment I touched him. He has been a true blessing to our family!
  8. We had the same thing happen a few months ago but we were fortunate that nothing horrible happened. I was so happy that I wasn't working that night. It went through 3 nurses and a CRNA before the night shift nurse found it. Of course it happened to one of our floor nurses daughter. The nurse that was primarily responsible kicks herself for not listening to her gut. She watched the other nurse struggle to put it in the pump.. our PCN bags are 250cc and the epidural bags are 100. Like said above it's back to nursing 101!! The 5 rights! It was definetly a lessoned learned because I think we all are guilty of cutting corners now and then. Also one time the pharmacy stocked epinephrine instead of ephedrine in our epidural box..luckily the nurse read the label!!
  9. The longer you wait for the bath the more the skin absorbs it and less you have to wash. I don't try hard at all to get it off. Why waste a good thing! Julie
  10. My son also had a 2 vessel cord. It was DX at my 20 wk ultrasound. I was sent for a level 2 US and nothing else was found so we elected not to have an amnio. 8 wks later I delivered due to pre-eclampsia. He spent 74 days in the NICU. After he was sent home we noticed that his "preemie" head was looking odd. His forehead was growing in a V shaped. We were sent to a craniofacial doc and he was dx with Mytopic Craniosynostosis. That lead to some genetic testing because of some other dysmorphic features. He was found to have a chromosome abnormality on # 14. It had duplicated half of it's self. So the genetist researched like crazy to find some data and they can not find anyone with the same type of abnormality or a syndrome related. So Joel has his own "syndrome". I am happy to say he his totally normal!! Developing normally with kids his age! He does have chronic ear infections because of his craniofacial deformity. They think the 2 vessel cord is related to the chromosome abnormality. Julie RN I forgot to mention he was conceived after I had had my tubes tied for 3 yrs!!
  11. We have a policy that if they meet critieria such as late entry to care..after 20 wks, past history of use, any + screens, precip labors. Mom's have to give consent, but we don't have to have consent to screen the kiddo. If they have any of the above the kiddo gets tested also. Here in Oregon they've put all the pseudophedrine behind the counter. We have had a lull on the meth babes. "knock on wood".
  12. jarrn03 replied to perle1's topic in Ob/Gyn
    My son also had a 2 vessel cord. It was DX at my 20 wk ultrasound. I was sent for a level 2 US and nothing else was found so we elected not to have an amnio. 8 wks later I delivered due to pre-eclampsia. He spent 74 days in the NICU. After he was sent home we noticed that his "preemie" head was looking odd. His forehead was growing in a V shaped. We were sent to a craniofacial doc and he was dx with Mytopic Craniosynostosis. That lead to some genetic testing because of some other dysmorphic features. He was found to have a chromosome abnormality on # 14. It had duplicated half of it's self. So the genetist researched like crazy to find some data and they can not find anyone with the same type of abnormality or a syndrome related. So Joel has his own "syndrome". I am happy to say he his totally normal!! Developing normally with kids his age! He does have chronic ear infections because of his craniofacial deformity. They think the 2 vessel cord is related to the chromosome abnormality. Julie RN I forgot to mention he was conceived after I had had my tubes tied for 3 yrs!!
  13. Currently our facility uses stadol. We are looking into using Fentanyl. For those of you that use it can you tell me what you like and don't like about it. What are the usual dosages? Thanks for your help. Julie
  14. What they were doing is called amnioinfusion. This is done for different reasons. One is when the amniotic sac has broke and water has came out, the cord loses some cushion. If the baby is laying on the cord or it is being compressed in anyway it will cause the heart rate to go down with each contraction. So we replace the amniotic fluid with normal saline to provide a cushion. We also use it to dilute amnioitic fluid when there is meconium present. Does that make sense? It is very useful! It's done very easy through an intrauterine pressure catheder. It's threaded through the lady parts into the uterus. Julie RN
  15. jarrn03 replied to stephera's topic in Ob/Gyn
    I tell my pts "Natural" is coming out the magic door. Doesn't matter how you get there, just as long as it comes out the magic door. Everyone has a choice. C-sections are not natural so we do everything we can to make it happen "natural".

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