kastas

kastas BSN, RN

Labor and Delivery

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All Content by kastas

  1. Aldrete Score

    Can anyone please tell me what an aldrete score is?
  2. what made you choose GI?

    I chose it solely for the hours. I've done 12 hour shifts for 10 years. All of my children are in school now and I work 830 to 4, m-f. I do have to take call, but it's rare to get called in. I love it! I never dreamt that I would like Endo, but it i...
  3. Do you use gel when inserting Cytotec?

    We try to use no gel or minimal gel. I sometimes use a little NS on the pill itself to help the break down process. I've never thought to use it as lubricant.
  4. Name hospital and salary--everywhere

    Wow! I'm moving to the Mason Dixon Line!!!!!!!
  5. Moving to Kansas!

    I don't think that is called for! I've lived in Topeka and Lawrence and I love Topeka! We have a bad reputation only b/c we have a very low cost of living and it is a very old city. Our crime rate is much lower than Kansas City's! There are parts tha...
  6. Moving to Kansas!

    Hello and welcome! I know both schools have excellent programs. The big difference will be in the setting. Baker uses Stormont Vail hospital in Topeka and KU uses KU Med in KC. 2 very different hospitals, but I believe the nurses that each produces a...
  7. RN-BSN Small rural community

    Exactly what this poster said! ICU charge, RT charge and ED MD if available. We just started our team and it has already been a God-send for us!
  8. The Labor & Delivery Nursing Team

    If I understand correctly you are asking if the atmosphere is different. Are the relationships different between staff and MD's on L&D? ... Well, if I'm correct I'd say YES, very different. You work with a few specific doctors and rarely do you h...
  9. Can dilation reverse?

    My thought is that it doesn't necessarily have to be r/t swelling. It could be slightly more dilated b/c pt was up walking and pp was lower and pressing on cervix. I've also seen where the bbow was making cervix seem more dilated. Once water broke or...
  10. L&D RN moving to Colorado Springs

    Thank you Ginger! I hope the comment was directed to both of us. I will be in touch!
  11. Holy cow! I can't imagine 3:1 !! We (almost) always get 1:1, 2:1 if overnight induction or slow moving prime. We do have separate areas for antenatals, but staff that also. The ante side we have anywhere from 4 to 8 patients (rarely any pp mom's/babi...
  12. Job Question

    And if the above post doesn't work just call the unit you are interested in. I did that and asked what the DONs name was and then called her myself. I told her of my experience and interest in the unit. She set up an interview with me while we were o...
  13. L&D RN moving to Colorado Springs

    Ok, somehow my last post to you didn't go through. I've been doing some internet research and don't see many L&D jobs advertised in or around the Springs. There are several PP jobs. I guess if we found a hospital that we liked it would be a plac...
  14. L&D RN moving to Colorado Springs

    Did you ever get any private responses to this question? I am curious also. I do high risk L&D and am wanting some opinions.
  15. Where were u 9/11/01?

    The 1st day of my son's preschool. I didn't have the TV or radio on that morning. As soon as we got to school I saw everyone gathered around the TV, most were crying and all were in a state of shock. I just remember how quiet that building was. The c...
  16. Is it TRUE SMALL LETTER PASS, BIG LETTER FAIL?

    OMG! I did the exact same thing! I threw the BIG envelope on the ground and ran to my room. My husband very calmly brought it to me and told me I was being silly and to just open it. Sure enough, I'd been lied to. All was well!
  17. any other students trying to lose weight?

    If that isn't the truth! I've recently lost with WW, then life hit. I started buying the junk again and guess who ate most of it! Yep, me! I went shopping last night and didn't buy any junk food. What a great feeling and the bill was significantly le...
  18. Hey Lori! Remeber me? I worked on L&D with Molly at LMH. Well, I don't work there any more, but just saw your post here. I can't think of his name right now (Eddy?) but there was a guy on here a lot that worked agency. He lived in Topeka and wen...
  19. I am on our hospital's Peer Review Committee. It has taught me sooooo... much. The biggest thing we hear is, "it was so busy that day" and "I didn't feel safe with the staffing that day". Our leader ALWAYS says, "what would you have done differently?...
  20. That was probably my biggest lesson thus far. WEAR GLOVES! I often didn't wear gloves at delivery so that I could finish up charting or write on my strip. We always have a nursery nurse, MD, and charge nurse in there. Sometimes, you have the time to ...
  21. Urine Question...

    I don't know the literature either. I do know that when women come in with ketones and an irritable looking pattern we will often have ordered to run fluids until small to no ketones. It almost always works.
  22. Urine Question...

    or not drinking
  23. How many deliveries do you have per month?

    Rae and Moondancer, you didn't say how many rooms you have. Jeez! I can't imagine doubling us I am beat as it is most nights. Do you do one on one for active labor or is that just impossible? We have 200+/- every month. We have 18 LDRP's and 2 other...
  24. Are they still using Cytotec?

    I'm bumping this thread up b/c it has peaked my interest. Sorry, I guess I missed it when it was being discussed. Of those out there whom take it upon themselves to inform the pt of the pros/cons of pit/cytotec how exactly do you word it? I don't th...
  25. Patients refusing Pitocin

    Too Funny!!! :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: