eden

eden

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All Content by eden

  1. What's wrong with eye drops?

    It's not required by law here and the parents can refuse it if they want to. They do not need to sign a waiver just a verbal "I do not want it" is enough. I think it's silly there is a law that a...
  2. How many RNs in a delivery?

    There is 1 RN for a routine, no complications anticipated delivery. Anything out of the ordinary requires more personel. We have a good emergency system that is easily activated should anything...
  3. No more VBACs

    An article just came out where I am living. We have the lowest c-section rate in the country at 21% due in part to our willingingess to do vbac's. I am so glad that it's an option here. I would refuse...
  4. Caught a 12-pounder!

    I know. This one had so much verix, the bath took way longer then normal. The baby was so heavy you would've thought it was a 42 weeker. Had mom been pregnant any longer I can not see how she would...
  5. Caught a 12-pounder!

    There was an 11 lb 4oz abay born at 39 weeks by dates but was assessed at 37 weeks. Mom was NOT gestational
  6. Refusing "Hospital Protocal"

    Is there any way you could present evidence based practice to your OB's to get policy
  7. Refusing "Hospital Protocal"

    Honestly the best thing for labouring women is to be mobile. Being strapped to the bed is counter productive
  8. Refusing "Hospital Protocal"

    Sure Arwen, it looks like you just have to come on up north of the border:). It works well and if I ever moved elsewhere that rquired IV access, hep B and EMF for the entire labour, I'd probably be...
  9. Refusing "Hospital Protocal"

    Really, unless you are in a high risk category, hep B is not needed. Here it is not required unless you are in one of the high risk groups. Studies show that IA (we just listen q 15min and if there...
  10. yet another intervetion for birth.....

    It doesn't really seem practical to me. Besides where I am vag exams are limited unless mom is progressing quick and repeated exams are needed. Once you gain experience there is never too much...
  11. L&D IV starts: Staff or IV team?

    We do our own IV's. The lab does most of the bloodwork but we can and do our own if the lab is unable or we need something sent stat. It seems like it would be a huge hassle to have to call the IV...
  12. doctor won't approve my birth plan...

    I see nothing wrong with your birth plan. It certainly is not outrageous. Most of our pt's are monitored via IA and we do not have use of routine IV's either. If your are low risk it should not be a...
  13. I'm with you on having to stop people from taking pics and video during a resus SBE. A) it's distracting for me and B) who would want those pictures. I don't get that at
  14. Where did I say you had to be forced into the pictures? The OP asked if we minded and I responded accordingly. I have never had anyone take my picture without first asking
  15. I don't mind being in the pictures. I feel honored that they want me in there because it means that I made an impact on them. I do however hate being on their videos because I hate hearing my voice....
  16. Needlesticks

    The only one I had was a clean needle with NS. I was withdrawing the needle but it slipped and got my finger. I probably should have reported it but it had not been used on a patient and the only...
  17. How long to wait for Madame Placenta??

    Ours will wait for 60 minutes. Anything longer and it's a manual removal and 24 hours of abx, unless mom has a hx of retained placentas then they only get 30 minutes. The vast majority will be...
  18. Question about pulse.

    I had a patient complaining about being able to feel her pulse in her abdomen. I did feel her pulse when I laid my finger on her abdomen. It was concerning to the patient but the doctor did not seem...
  19. Question about pulse.

    Well it occurred to me to look it up in my general assessment book after asking on here. It did say that if someone has very relaxed abdominal wall muscles you could certainly feel an aortic pulse and...
  20. Question about pulse.

    Well that's what I thought but it had her really freaked out and the doctor saying nothing didn't help calm her
  21. pts going out to smoke

    Ours is a smoke free facility. We do allow patients to leave for a smoke because a) we are not their babysitters b) they must have someone there to watch their baby, we don't do that c) if someone is...
  22. No more VBACs

    Our section rate for the last year just came out. We were at 20%. This coming from a large high risk, teaching hospital. Our National average is 25% so I think we are doing pretty well. Alot of our...
  23. Babies overnighting in moms room

    Working on the committee is a great idea. We do only rooming in and have had no problems with it. We just check on them several times a night and have had no liability issues. We don't even have a...
  24. Home birth vs. hospital

    Can we stop with the child abuse analogies already? It is every person's individual choice where they give birth. I would never have a baby anywhere but a hospital. I have seen some scary doctors...
  25. No more VBACs

    There are riskes to sections as well, that's why VBACS are a good option. Yes there is risk of rupture but with properly managed care, that risk is very low. There are also risks in getting an...