timonrn
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Where I work we average 250+ births/month; we always have Surgeons on site altho not always an OB; What prompted us to iniate our "OB STAT" idea (that is, any MD in the house must RUN to OB to possibly deliver the baby--if it is an OB doc the better, regardless if it is your pt or not) was about 10 years back a mom had a uterine window that ruptured at home and by the time EMS got to her she couldn't see--anyways the only MD in the house was the worst OB doc known to man--you know the type--ready to retire and everyone covers his mistakes--but he did the emergency c/s and couldn't find the baby for all the blood-went in up to his forarms in the abd. cavity and finally fished the kid out from behind the liver--both lives were saved but mom needed a hyst becuz she went into DIC. The moral of the story is work at a hospital with these on site--OB residents (God bless 'em), anesthesia, RT, surgeons, NICU NP's, on-call LDR nurses, etc etc. You'll feel much better knowing they are just an in-house phone call away--
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I'm not an LDR nurse but sounds like a pulmonary embolis? or maybe an amniotic fluid embolis? Her body may have vaso constricted due to a PE and thus constricted the vessels in the placenta causing the decels?? I'd like to know, too. Did they do a scan on her for PE's? Did she have a mild stroke?
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...who knew all her pregnancy that if she didn't get clean her baby would go to foster care, so yesterday when the 72 hr police hold was placed on baby, she had NO idea how she tested positive for large amnts of cocaine, but after further pondering, she told the social worker that the Dad's sperm had cocaine in it!! I'm sure you OB nurses have heard it all and add this to that file!! LOL
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One word: Twin Cities! If you need a job, move here!!!
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Haji, thanks so much for your info. Timon rules!
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We have quite a large IV team and I am thankful for their expertease and wisdom every time I work--their response time is usually less than 1/2 hr unless a trauma is called--I can't imagine a hospital w/o an IV team--This is a 350 plus teaching/trauma hospital. Others from Minnesota hospitals--do you all have IV teams?
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What is the difference b/t a Groshong catheter and a regular Central line and why can a Groshong stay in so much longer than a CL? Thanks and pardon my ignorance--
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I agree with the above post about trying getting a translater in time, this is why the above books were recomended--only as a supplement to the already in place policies. We use AT&T language line but an alternative company called Garden and Associates works quite well for us--I will usually call them first. The trick is trying to get the MD, Nurse, Pediatrician and whatever all together at once for D/C instr--try this once!!
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I hate emptying NG cannisters, esp if it is real mucousy or chunky!! And I hate vomit or spit--makes me dry heave!!
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Minnesota requires 24 ceu's every two years for RN's, while to keep my EMT up I need 48 every 2 years--go figure-
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We, too are in the same boat--many spanish speaking women in the last year. No one speaks spanish around here. So, thank-you for the suggestion of books (I have a year of college spanish but it doesn't really help). Another suggestion--I bought a little flip pocket book for EMT that the paramedics use and that has good spanish/english medical stuff. I'm going to look at that site for arabic phrases as well--lots of arabic-speaking people moving to the midwest--
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I'm not sure this is exactly what you are looking for but we have a book on our unit called "Drugs in Pregnancy and Lactation" that works real well for MDs/Nurses that need to answer questions for their pts about a drug they are on. Sorry--don't know the author--If you are interested let me know, I will find out for you--
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Here in MN (the MNA contract) gives us about .80 more an hour! Hopefully will change w/ new contract in May.
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Here in MN (the MNA contract) gives us about .80 more an hour! Hopefully will change w/ new contract in May.