BENNETTRN

Oh I am so sorry for your loss, you and your family are in my prayers! Dont hold back your tears, emotions, or sorrow. And as many others have suggested seek support from others who have experienced this. We have a wonderful perinatal bereavment team, and they express that one of the parents biggest fears is that their baby will be forgotten, and with their support groups and education they make sure that this doesnt happen. They hold a candle light ceremony every spring, and the parents say their babys name and a moment of silence and release a ballon in the babies memory, among many other support meetings and get togethers year round. I know right now this is probaby not what you are thinking about, but just know that months down the road, there are resources out there to help with your loss and make sure that your sweet baby boy is never forgotten! I know I will forever remember this post. My heart goes out to you and your family!

Be very scared, I have never heard of doing this and cant believe that the possiblity of a anaphylactic reaction is taken so lightly there. We had a all out anaphylactic reaction on our unit back in Feburary this year. Mom was GBS+ and the nurse hung the first dose of Amp., and all you know what broke loose, (this lady came in with NKDA), it took all of us on the unit, approx 10 nurses, anesth x2, the OB, and our manager to run this emergency. She swelled up so fast and the redness quickly crept down her body like a wave, anesth could barely get a airway d/t the severe edema, and heart tones went down like a cliff dive. Mom was in ICU after, and baby in NICU. Maybe you can start talking to some of the nurses in a effort to band together and get this practice changed, or at least a protocol. Good Luck to you, and I hope you dont have to deal with a anaphylactic reaction ever!

We use it for DIU's only at our hospital.

THE FREQUENT FLYERS- PTS THAT COME IN FOR R/O LABOR STATING THEY HAVE BEEN CTX'ING, THEY ARE INTENSE AND FREQUENT, PUT THE TOCO ON, NO CTX'S, STILL NONE AFTER 10 MIN'S, 30 MIN'S..........YOU ARE SITTING AT BEDSIDE PALPATING FOR CTX'S IN CASE MONITOR NOT PLACED RIGHT, BUT STILL NOTHING. PT SAYS "THIS ALWAYS HAPPENS EVERYTIME YOU GUYS PUT THE MONITOR ON THE CTX'S STOP, I DONT KNOW WHY" AND SOMEONE ELSE SAID AND ITS MY OTHER FAVORITE, SO WHEN WILL THE BABY BE BORN, I NEED TO KNOW WHEN TO TELL SO AND SO TO BE HERE. OKAY I WILL PULL OUT MY CRYSTAL BALL AND GET BACK TO YOU, LOL

ME TOOO, my fingers hurt now!

Thanx everyone, you guys gave some great tips!!!1

Exactly- instead of reading her the riot act for eating so much of Sally's birthday cake, I will accept her for who she is, and all the wonderful qualities she posesses as a person, and should she decide the try and loose some weight I will be there when she is a little on edge because she is being forced to stomach rice cakes, just like I would hope she would be there for me when I was on the edge, chewing the end off of every pen in sight or eating 3/4's of Sallys cake because I was trying to quit smoking, LOL :) !!!!!!!

Thanks for the motivation, and the stat, wow I didnt know the average was 8 times before actually quitting. I will give it my all, so many of you have done, and I need to join the ranks. It must feel great to say I was able to quit.

Sounds like you have quite a brave doc, trying to do so called convience deliveries, but he or she has flipped their lid, doing this at 35 wks. He or she is sure to get burned some point for this practice. That is RIDICULOUS!!!!!! Im sure you cringe everytime you flip the Pit switch!

I LOVE IT, THANKS SO MUCH FOR SHARING, I TOO WILL BE PRINTING IT AND TAKING IT TO HANG ON THE BOARD! EVERYONE WILL GET A GOOD LAUGHT AT IT!

Minerva and Gompers- I think you took the birth plan to seriously, I dont think she wanted to say "Hi my name is such and such and, then immediatley flop out her back side with anesth armed and ready. As for the part about the family being present, who cares if she didnt have the guts, not everyone is assertive, and some are to assertive. For those who are not, the nurse is the pts advocate, if she doesnt want certain people in there then take care of it in a appropriate way, have you never done that before? I have, it doesnt bother me a bit. I have also seen pts tell people to leave the room and alot of times, certain family members will wiggle their way back in, and it isnt unreasonable that the pt maybe to exhausted or in to much pain to keep telling people that she doesnt want them there and to leave, Im happy to step in, in a very nice way! So dont read more into the birth plan than is there. ITS REFRESHING AND HILARIOUS!

I am a newer nurse also, and like you at my previous job we generally used #22's, never had a problem then so why now. A really good nurse I work with told me I was waiting to long to advance the cath, the cath gets warm and wont move as easy and you have to push so hard then, that the vein blows. The second you get return advance the cath before the pts heat warms it up to much. I havent missed one since, except for a really hard stick, so I should say I havent missed one since, from blowing the vein! Good Luck

A few things, one thing I remember from my psych rotation in nursing school re theraputic communication, is NEVER ASK WHY! In re to smoking you already know the answer, addiction is a disease. Do you want someone to say because it feels good, they like it, they are afraid of withdrawl, they have tried and tried to quit but have started again or failed. Nurses are human too. My goodness I would never think of asking an obese person why they ate so much, or ate fatty foods. You have to accept the whole person, bad habits and all. Some really good points have been made. I eat healthy, while others may not, I dont drink coffee, while others do, I wear a seat-belt, while others may not, I dont gamble, I dont drink alcohol, but hey Im the DD! But I do smoke! None of us are perfect, everyone does something that is not healthful. My family is strongly opposed to smoking, yet my grandfather died of lung cancer and NEVER smoked a day in his life! Living is a risk itself! The hospital I work at used to have a NO SMOKING policy for all employee's, if caught once you were counseled, caught twice you were provided smoking cessation classes, third time you were terminated, if I remember right. That has nowchanged andsmoking is allowed in designated area's for all. Another good point that was made is you can make a choice to take a quick break even if you dont smoke, I would hope though that smoker or not most nurses dont take breaks when their assignment is going to H#LL in a hand basket, and if they do thats another story. I work with many nurses that get report and go get their morning coffee, doesnt bother me a bit. Now even though I smoke, I NEVER SMOKE during my 12 hour shifts, I found what I think is a great secret for smokers, because I myself dont feel real comfortable leaving the unit and my pts, (Im a L&D nurse) even though I know other nurses would take good care of them the 5 min's that I was gone. Its just the anal and nervous part of me, but certainly dont mind covering for a smoker or nonsmoker while they take a break. I chew the Nicotene gum and love it, the first time I used it I wasnt sure about it, but it does work great. Besides not wanting to leave the unit, I dont smoke at work because I dont want to be asked why, or looked down upon for smoking, I dont tell anyone I work with that I smoke. In the morning I dont smoke while wearing my scrubs, I keep my work bag and coat in a area of the house I dont smoke (my non-smoking work appearal). Even though the gum works, dont ask me why I dont use it all the time, I guess I just havent decided any reason is good enough to quit the real thing, until now, so please read on. After much planning and God willing my husband and I have decided to try and have a baby. We would like to start trying at the end of July this year. I obviously plan on quitting, and D Day is set for June 1. I have spoke with my OB and FP doc. My mom has even offered to by the gum or patch to help, she and my dad worry sooo much about the smoking. So everyone who has quit or tried, I would love to hear any words of wisdom and advice. To be honest Im a scared.

We use 18G, agree with another poster if its b/c anesth wants a 16 they need to put it in.