eden

eden

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All Content by eden

  1. Is this birth plan reasonable

    eden replied to wulfbourne's topic in Ob/Gyn

    Your plan does not sound unreasonable to me. We do all of this rountinly here including the thorough assessment on mom's chest, if so desired. The only thing we don't like to do is not cutting the...

  2. Complementary Alternative Methods

    eden replied to nurse79's topic in Ob/Gyn

    I love sterile water injections. Any nurse can do them because it's not a drug we are dispensing. They work amazingly well for back labour and they do sting a lot but it's so short comapred to the...

  3. Movie: "The Business of Being Born."

    eden replied to epiphany's topic in Certified Nurse-Midwives, CNM

    I will see this when it comes out on DVD. From everything I see and read about maternity care in the US, it doesn't look like the system is working (ie the c/s rates are

  4. IV in Emergency?

    eden replied to CEG's topic in Ob/Gyn

    I've had to start one a few times in an emergency. There is almost always someone nearby and we have a great emergency system that help is pretty much instantaneous. If I don't have an IV and I can't...

  5. Wide range of epidural rates for use with PCEA

    eden replied to RNLaborNurse4U's topic in Ob/Gyn

    That doesn't seem too outrageous. Our basal rates are 10-15cc with a 5cc blous dose and a 20 minute lockout for a total of up to 30cc hourly. If that still does not keep them comfortable they are...

  6. Opinions re: epidural vital signs

    eden replied to JenTheRN's topic in Ob/Gyn

    It seems to be overkill. We use bupivicaine and we do vitals q 2 min for 15 min then q 15 min for another

  7. Time: in room to epidural?

    eden replied to Montessori Mommy's topic in Ob/Gyn

    It depends. We don't need to do labs or any consents, the anesthesiologist does the consent when he come in the room and unless the patient is high risk we don't need to do labs. All we do is start...

  8. Precipitous Second Stage Question

    eden replied to TarheelRN's topic in Ob/Gyn

    Haha, don't feel bad. I started getting that comment when I had to deliver 4 babies in 6 weeks:lol2:. It happens to most everyone in spells. All had their babies in less then 10 mintues and the ob...

  9. Cervical prolapse

    eden posted a topic in Ob/Gyn

    Ever had one and what was the treatment? I saw my first one but the doctor said it was not bad and to just keep an eye on it. How would they treat if it was a more severe

  10. are VBAC's pretty safe?

    eden replied to JulieRN07's topic in Ob/Gyn

    Hmm, I think the rates depend on where you go. I see you are in the US and from what I've read on this board, the US doesn't seem to favour VBACs. If properly monitored they are safe (less then 1%...

  11. Is PP Hemorrhage usually pretty obvious???

    eden replied to azzurra29's topic in Ob/Gyn

    No not always obvious. You will learn by what your patient does/doesn't do, what you see and gut instinct (and time). The obvious ones are easy, you see it coming with the gushing blood and boggy...

  12. Routine pitocin questions...

    eden replied to shortstuff31117's topic in Ob/Gyn

    Pit for 8 hours after a complication free delivery? I think our patients might go on strike if we did that:lol2:. If someone is bleeding heavier then our docs like, it's 40 units in 1000cc, running...

  13. Routine pitocin questions...

    eden replied to shortstuff31117's topic in Ob/Gyn

    We don't do routine pitocin. Most of our SVD's will get 5 units IV or 10 IM but if a mom doesn't want it and there is no bleeding problem we do not give it. If a mom has refused pitocin but then...

  14. Refusing "Hospital Protocal"

    eden replied to HeartsOpenWide's topic in Ob/Gyn

    Lunges also work great for turning OP babies. You can even do them with moms who have epidurals, depending on their levels. I had a prime do this to rotate her OP baby. She delivered direct OT without...

  15. Refusing "Hospital Protocal"

    eden replied to HeartsOpenWide's topic in Ob/Gyn

    Judgmental much? I guess I'll run back to my no continuous EFM, no routine NS loks, tertiary care center, that does both low and risk risk deliveries, less then 20% section rate (with great outcomes)...

  16. cord blood gasses

    eden replied to hejn0006's topic in Ob/Gyn

    We do routine cord gases on all babies and the nurses do the collection. Why not have a training session for the staff to do the collection/interpretation or have the staff collect them on every baby...

  17. Pulling epidurals

    eden replied to Elvish's topic in Ob/Gyn

    We pull them. I have always had them intact but if I get one that is difficult to pull I will have someone else come in rather then risk it breaking off. Usually a change in position/nurse is all that...

  18. My 2 cents on natural birth/birth plans

    eden replied to feebebe23's topic in Ob/Gyn

    Sigh, you're really not listening to what I'm saying. The OP said "changing this may result in injury or death of my baby". That is a scare tactic plain and simple. Please show me where I said EFM...

  19. Work Vent- help

    eden posted a topic in Ob/Gyn

    My manager came to me today and said that come the fall I would be the preceptor for the new senior student. I told her that I don't feel as though I'm the best person for it because I am horrible...

  20. My 2 cents on natural birth/birth plans

    eden replied to feebebe23's topic in Ob/Gyn

    EFM is subjective. What someone may call a late, someone else may say it's early or miss it entirely. What one says is average variablity, someone else may call decreased. The differences in those...

  21. My 2 cents on natural birth/birth plans

    eden replied to feebebe23's topic in Ob/Gyn

    rninwhc got to the reply before I could but said everything I would have. I use both EFM and IA readily in practice, depending on the situation. I just don't think that someone not agreeing to EFM, if...

  22. My 2 cents on natural birth/birth plans

    eden replied to feebebe23's topic in Ob/Gyn

    Yes I have seen an unexpected twist or 2 where the FHR suddenly decreases but there is usually a reason( quick descent, quick progress in labor, nuchal cord ect). I have also seen babies on the...

  23. My 2 cents on natural birth/birth plans

    eden replied to feebebe23's topic in Ob/Gyn

    It's not stating the facts because evidence suggests otherwise. Why not tell them that EFM is subject to misinterpretation, is subjective (2 people can interpret the same strip differently) and there...

  24. What's wrong with eye drops?

    eden replied to Jo Dirt's topic in Ob/Gyn

    I agree it does not hurt the child and I would err on the side of caution but the fact remains it is their child and their decisions need to be

  25. My 2 cents on natural birth/birth plans

    eden replied to feebebe23's topic in Ob/Gyn

    It is scare tatctic when you say "if you don't have EFM your baby's HR can go down but may not be dectected for 5-30 minutes". The reality is that most labors and deliveries are uneventful and that...