eden

eden

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All Content by eden

  1. Pitocin question

    eden replied to BirthingBabies's topic in Ob/Gyn

    26 mu is our upper limit. You can go above it and go up to 40mu but it requires a written order from the doctor and I believe they are also transferred to high risk due to increased risk of uterine...

  2. Second guessing myself? Was I wrong?

    eden posted a topic in Ob/Gyn

    I had a multip with a history of quick deliveries come in. She walked in and was pushing. The doctor had been called to come immmediately but I knew he was not going to make it so another nurse came...

  3. Second guessing myself? Was I wrong?

    eden replied to eden's topic in Ob/Gyn

    So I talked to 2 different dr's and they both gave me different answers. Number 1 said that he never clamps and cuts the cord before delivery, that you are always supposed to either deliver through...

  4. Birthing on all fours

    eden posted a topic in Ob/Gyn

    What is your opinion on this position for delivery? I had a patient who was about to deliver and who could not turn around or even onto her side. The Dr. could not get there in time and I really found...

  5. labor and delivery nurse-patient ratio

    eden replied to magz53's topic in Ob/Gyn

    I would take it up the chain of command to get someone to listen. We had similar problem with staffing and after several attempts to increase our staffing we had to take our complaint to the hospital...

  6. Birthing on all fours

    eden replied to eden's topic in Ob/Gyn

    Oh I totally agree, it seems to be no problem for the midwives and I am sure if I had done it before I would not have found it quite so awkward (that combined with the fact that this was only the...

  7. Birthing on all fours

    eden replied to eden's topic in Ob/Gyn

    Well this mom was cruising so the failure to progress was not a problem. We were switching positions frequently to relieve her urge to push prematurely and the all fours was just the postion she ended...

  8. labor and delivery nurse-patient ratio

    eden replied to magz53's topic in Ob/Gyn

    In my hospital it is 1:1 on active labour and 1:1 even in early labour although there have been times when it has been 1:2 in early labour but it is rare. Unfortunaltely that means our pp moms often...

  9. What would you do first?

    eden posted a topic in Ob/Gyn

    With a baby who has respiratory depression due to narcotics before it's birth? Would you give O2 then narcan or vice versa? Everyone seems to have their own opinion so I figured I'd ask here and see...

  10. How does your facility utilize pitocin for post-3rd stage?

    eden replied to klone's topic in Ob/Gyn

    Like I posted earlier we do 5 units IV push or 10 units IM and generally that is all that is needed. We don't give it 20 or 40 units because it is not always necessary and why give them an infusion...

  11. What would you do first?

    eden replied to eden's topic in Ob/Gyn

    We have done a mock code as well and boy did it throw me for a loop. I was called to our resus room (which is hardly ever used) and was told they needed help with a baby. I looked around in confusion...

  12. I need some advice about L & D

    eden replied to gensing82's topic in Ob/Gyn

    She may want to try and get her feet wet in a postpartum or gyne ward. I also started in med/surg where I worked for 2 1/2 years. I just had to keep applying for L&D positions and I applied for a...

  13. What would you do first?

    eden replied to eden's topic in Ob/Gyn

    So at my facility we do O2 via PPV first then narcan though there have been some nurses where I work that suggest narcan should be given first. They say that the narcan will reverse the effects of...

  14. LPNs in L&D

    eden replied to sissyboo's topic in Ob/Gyn

    LPN's are not hired where I live. The only place they can work here is in long term care

  15. Do you have a nursery at your facility?

    eden posted a topic in Ob/Gyn

    For moms to take babies for the night if they are tired? I just find this such a foreign concept. Our hospital has a 24 hr rooming in policy and where I work on low risk there is no nursery and even...

  16. Do you have a nursery at your facility?

    eden replied to eden's topic in Ob/Gyn

    We have a resus room if the baby codes with a crash cart and NICU down the hall. We have never had a problem with infant abductions. Babies do not leave the room at anytime for bathing,weights, pku's...

  17. Do you have a nursery at your facility?

    eden replied to eden's topic in Ob/Gyn

    Well I don't work nights:) but I know they do rounds at night q1-2 hrs. I haven't heard about any problems with choking babies. I can see the logic in using a nursery for moms who have been up all...

  18. Curious about birth control

    eden posted a topic in Ob/Gyn

    and pregnacy. No I am not pregnant,not on birth control pills and not looking for medical advice. I'm just curious does anyone know what effect birth control would have on pregnancy? I hear about...

  19. Curious about birth control

    eden replied to eden's topic in Ob/Gyn

    Yes, that is why I put the "anyway beyond that" part in my last

  20. Do you have a nursery at your facility?

    eden replied to eden's topic in Ob/Gyn

    We're not a small hospital by any means, we do 5500+ deliveries a year and are just as short staffed as the rest of the country. It is not hard to give them a quick diaper demo and then they must do...

  21. Do you have a nursery at your facility?

    eden replied to eden's topic in Ob/Gyn

    I find the rooming in works really well. I realize new moms need their rest and that is why our visiting hours are limited. There's nothing more exhausting then giving birth and then an hour later...

  22. Curious about birth control

    eden replied to eden's topic in Ob/Gyn

    Yes I understand that from a legal standpoint you cannot give medical advice, it just irks me when the only response I get is "you seem to be concerned about yourself". I would first call a pharmacist...

  23. Curious about birth control

    eden replied to eden's topic in Ob/Gyn

    As I said before I really do NOT need medical advice and honestly I am not going to say it again because it is clear that no matter what I say people in general will still think I am looking for...

  24. Curious about birth control

    eden replied to eden's topic in Ob/Gyn

    No it's really not about me, I said so in my initial post. It's kind of hard to get pregnant when you are not having sex but thank you for the assumption. If it were about me I would not be here...

  25. My patient was complete for 7 hours :(

    eden replied to waterfall99's topic in Ob/Gyn

    Our Ob's will let moms go for that long depending on the situation. If mom is fine and comfortable, baby is doing well it avoids alot of unnecessary csections. We generally wait for mom to have an...