eden

eden

Member

  • Content

    238

  • Visitors

    4,194

  • Followers

    0

  • Likes

    0

All Content by eden

  1. Did I overreact or underreact?

    eden replied to eden's topic in Ob/Gyn

    I've been in ob for 1 1/2 years. Mom was having irregular contractions at the time. Efm had been implemented 20 or so minutes and the tracing looked ok. There was good variablility , no accels but...

  2. Did I overreact or underreact?

    eden replied to eden's topic in Ob/Gyn

    No, no clarification was given. It was my fist job evaluation since starting. I suppose tonight I will read the emergency procedure manual if I have a quiet

  3. unsafe staffing in LDRP

    eden replied to eden's topic in Ob/Gyn

    I know the system has it's kinks but I think it's a good one, mostly. It just gets overwhelming and I worry for the

  4. unsafe staffing in LDRP

    eden replied to eden's topic in Ob/Gyn

    No it's not privately

  5. RN's role care of pregnant women receiving an Epidurla

    eden replied to kajama's topic in Ob/Gyn

    We are able to do pretty much everything with an epidural. We can help set up the patient, program and start the pump, change the epidural bag, increase or decrease the rate of infusion and...

  6. Positive or unknown GBS

    eden replied to MemphisOBRNC's topic in Ob/Gyn

    For positive moms if at least 2 doses are not given baby will have a cbc and differencial done. If the diff comes back at greater the 30% then cultures are done and babies are started on amp and gent....

  7. What do patients say that irks you?

    eden replied to NurseforPreggers's topic in Ob/Gyn

    What really irks me is when patients tell me I am deliberatly trying to kill them by withholding an epidural from them if anesthesia is not there the minute they say the word epidural and that I would...

  8. How long is too long? re: 2nd stage of labor

    eden replied to pebbles1977's topic in Ob/Gyn

    The longest 2nd stage I've seen was 8 hours. Mom was fully at the beginning of my shift, had no urge to push so rested for a couple of hours. We did directed pushing for a couple of hours....

  9. Fetal Monitoring

    eden replied to SerenityR.N.'s topic in Ob/Gyn

    I would also recommend the Awhonn Fetal monitoring book, it was

  10. What do patients say that irks you?

    eden replied to NurseforPreggers's topic in Ob/Gyn

    Oh and the other thing is smokers who have and epidural. "Can I go for a smoke? It is a walking epidural right?" Even if you didn't have an epidural we wouldn't let you out until after your recovery...

  11. What do patients say that irks you?

    eden replied to NurseforPreggers's topic in Ob/Gyn

    For me, I don't like when they they say they want an epidural but no IV because the IV hurts too much:lol_hitti. Like the epidural is so much less painful. Elderly patients are so much better when it...

  12. How many deliveries do you have per month?

    eden replied to RaeT,RN's topic in Ob/Gyn

    We do approx 650/month 16 LDRP beds 6 L&D beds 2 recovery room beds 3 caserooms/OR's 35 postpartum beds 4 triage beds and an early labor waiting room not sure how many antepartum beds ( 6 or 8 I...

  13. When doctors don't listen

    eden posted a topic in Ob/Gyn

    I had a prime who was fully when I came on at change of shift. Baby was 160-170 and in poor position but there was good variability with some decreased periods. They were ok letting her continue to...

  14. When doctors don't listen

    eden replied to eden's topic in Ob/Gyn

    Yes were were using a pulse oximiter and yes the nurse can apply a scalp clip if traned to do so but no one there was able to do one so the resident had to be

  15. When doctors don't listen

    eden replied to eden's topic in Ob/Gyn

    I think it would have made a difference in that they would not have waited so long. I was concerned that maybe the heart rate being shown was actually mom's being doubled not baby's. With the scalp...

  16. Stillbirths

    eden posted a topic in Ob/Gyn

    I had my first stillbirth yesterday and I completely freaked out. The mother had found out the day before that the baby had died so it was not unexpected but I couldn't handle it. As soon as I could I...

  17. Stillbirths

    eden replied to eden's topic in Ob/Gyn

    I think I should clarify. I wasn't in the room when I freaked out. I had taken the baby out of the room to clean him up as per mom's wishes when I had my mini meltdown. Thank you so much for your...

  18. body fluids exposure

    eden posted a topic in General Nursing

    I was with a nurse at a delivery today and when the doctor cut the cord the nurse got blood splashed on her face. Would you be

  19. body fluids exposure

    eden replied to eden's topic in General Nursing

    The phyiscians don't use them either. Honestly I've never seen them used at any hosptial delivery room where I live or in the US where I 've

  20. Techinal problems, advice needed please

    eden posted a topic in Ob/Gyn

    I started working on an LDR unit a few months ago. My vag exams are getting better but the problem is after about 8cm I really am less accurate because I have really small hands. Is there any way I...

  21. body fluids exposure

    eden replied to eden's topic in General Nursing

    They don't have splash shields at this hospital and they don't stock masks execpt for when doing epidurals. Even if they did have slpash shields they would only be used by the physicians. Do all the...

  22. body fluids exposure

    eden replied to eden's topic in General Nursing

    Masks are not used in or

  23. body fluids exposure

    eden replied to eden's topic in General Nursing

    yah but prenatals say hep B and HIV

  24. reading at work

    eden posted a topic in General Nursing

    Is it acceptable to bring a magazine to work?? I go to work and by the end of the shift, most times there is nothing left to be done when patients are settled for the night. Some charge nurses find...

  25. reading at work

    eden replied to eden's topic in General Nursing

    Oh I won't read anymore but I just think it is silly when all they do is talk and tell me I don't look busy and trust me if a woman comes in for a precipitous delivery there is no way I'd be saying...