eden

eden

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All Content by eden

  1. No more VBACs

    eden replied to 33-weeker's topic in Ob/Gyn

    As long as certain criteria apply our docs will happily do vbacs and we generally have good success rates. Then again we also have a dr. that will do breech deliveries under certain

  2. Home birth vs. hospital

    eden replied to rnmi2004's topic in Ob/Gyn

    Actually my facility is very pro-natural birthing(providing that's what mom wants) with a 40% epidural rate. I love it. There is also a committee trying to get a study off the ground to have the beds...

  3. Home birth vs. hospital

    eden replied to rnmi2004's topic in Ob/Gyn

    I would never have a homebirth, there are too many what ifs. I get tired of hearing how horrible hospitals are. You just have to know where to find a good center where you live and do research into...

  4. Skeptical of Ultrasound at 12 weeks! Any advice??

    eden replied to dougRN2BE's topic in Ob/Gyn

    Too early. If it's a boy it will be because there was a 50-50 chance not because you had a great US technician . I have see later US (16-22 weeks) be wrong at delivery. Talk about a surprise for mom...

  5. PKU testing

    eden replied to doglover21's topic in Ob/Gyn

    We do ours after 24 hours of age. If baby is discharged before 24 hours we do the PKU and it is repeated at 5 days of age. The only time we don't do the PKU is if it's a midwife pt, the midwife will...

  6. Nurses children and vaccinations, how do you feel?

    eden replied to Mistify's topic in General Nursing

    I'm sorry you had such a rough time of it. Like I said, I'm pro vax but studies have shown that the natural immunity (to chicken pox anyway) IS better. I have had chicken pox and so did most people I...

  7. Nurses children and vaccinations, how do you feel?

    eden replied to Mistify's topic in General Nursing

    I, in general am in agreement with vaccinations. I think it depends on the vaccine. The autism factor has me considering delaying vaccinations but I certainly would do most of the mainstream ones. A...

  8. OB explanation??

    eden replied to nursejllrn's topic in Ob/Gyn

    We have 3 units, PP, L&D and LDRP. Everyone on L&D and LDRP is cross trained to do labouring. I like the mix

  9. Laboring down

    eden replied to nurse79's topic in Ob/Gyn

    Labouring down as long a baby is fine is the best thing they can do. When I explain to my patients that waiting for that urge will in fact make less work for them in the end, most labour down nicely....

  10. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    Wow,this vorcera system people are talking about, I don't think I'd like that one either. Our is just a small clip the size of a dollar coin. there is no voice recogniton or anything like that. It...

  11. EFM - the research & the realities

    eden replied to kathiecnm's topic in Ob/Gyn

    What is your level of care/how many births a year - We are a teriatry care facility with 5000-6000 deliveries/year. Do you have central monitoring?- No Do all your patients have continuous EFM - No Is...

  12. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    Management won't fix our broken down system, it costs too much. Too bad we herd animals are so naive that we like the system:rolleyes: Our computer system also helped increase our baseline staffing...

  13. Letter writing for fundal pressure

    eden replied to Beautifulbirth's topic in Ob/Gyn

    Our facility will not do an ARM if the presenting part is high. I have never heard that before so I guess since we only ARM when the head is well applied, that's why we don't do

  14. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    We are not required to wear them. Only the PP nurses wear them since they are the ones that moved more frequently. Laboring a pt is 1:1 so we know where they are. The reason housekeepers don't use...

  15. Letter writing for fundal pressure

    eden replied to Beautifulbirth's topic in Ob/Gyn

    Sorry about the experience. Whether they would take you seriously is hard to say. I honestly didn't know FP was still used anywhere, it is expressly forbidden at our facility for any

  16. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    I guess I should add that our system only activates our emergency bell, it is not attached to our call light system. We do not hear every time a patient rings the call bell when we are in other...

  17. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    We have had the system in place for over 5 years and there is NO "you were on break too long" at all. The system is not used in other parts of the hospital and we are not naive in using it ( and to...

  18. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    Sometimes though (like when a nurse does a delivery) there's no time to get to a phone and with the system we have all we have to do is pull the call bell out of the wall and out emerg bell signals so...

  19. Nurse tracking devices

    eden replied to PattonD's topic in Ob/Gyn

    We have in our OB unit and I like it because when we hit the emergency button for things like bradys, cord prolapse or nurse deliveries it's rings in all our rooms and you get immediate help. It...

  20. Why so many interventions ??????

    eden replied to Mooncricket55's topic in Ob/Gyn

    I don't think rural has anything to do with it. I work in a large urban center, where we use lots of IA, no routine IV's and less the half our patients have epidurals. Most of our IV's are in pt's...

  21. What's your experience with doulas?

    eden replied to EnergeticRN's topic in Ob/Gyn

    It depends on the doula. There are a couple of fantastic doulas who work out of our center, who are very supportive of their client and who do not interfer when there are medical decisions to be made...

  22. Are medical-legal concerns changing childbirth?

    eden replied to kathiecnm's topic in Ob/Gyn

    I think high risk areas have become over medicalized, I know that those interventions are necessary sometimes though but for low risk, uncomplicated pregnancies I think there is such a fear of being...

  23. Do any U.S.A Labour and Delivery wards have Entanox available for Pain relief?

    eden replied to woodhill30's topic in Ob/Gyn

    We use it, our epidural rate is pretty low

  24. Pitocin induction-pit rates

    eden replied to HappyNurse2005's topic in Ob/Gyn

    I imagine the slower starts also allow mom to adjust a little better to the contractions so mom does not go completely beserk from the onslaught of contractions. I also know from observation that in...

  25. Pitocin induction-pit rates

    eden replied to HappyNurse2005's topic in Ob/Gyn

    Start at 1 and increase by 1-2 q 30