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I would d/c IV fluids if they are tolerating things well and put the IV to a lok. You can flush Q4H to keep access for 24 hours per the orders.

My large teaching hospital uses them. I love them and as much as they burn I'd say they work well for 8/10 women who try them. I've given them at all stages of labour and even during pushing. I've had one pt who loved them so much we probably did the...

If it is insane we manage the best we can and do those who require our most immediate attention first. That is we discharge early and do priority PHN visits if baby/mom meet the criteria and if we are back logged on labouring beds we have shut off Pi...

I have no problems with most of your initiatives. I think it's silly to have to sign a consent form for formula, so long as you are talking to mom about her choice it's fine. We do give out a pamphlet on formula feeding to moms who choose to do so. ...

I'm in Canada too but code pink is infant abduction here as well. Glad you survived your first code.

Sometimes we turn it off but more often then not we either keep it at a steady rate without increasing it once good labour patterns are established or we half it to see if labour keeps going on it's own.

I am a Canadian L&D nurse. I started in medicine and cardiology to get skills experience then applied for anything related to L&D, postpartum, gyne or NICU. It took a year and a half of applying but I did eventually get a call back ( I swear ...

Under 20 weeks ER, over 20 weeks if it is pregnancy related to OBS and over 20 weeks but an MVA or something of that nature mom must first be cleared in the ER then come up to us as happened to me when I was 35 weeks. I was in an MVA and wanted them ...

Thanks for the links, that is really most helpful. It was a hep B clinic in this scenario, as it is given in the 4th grade here not at birth. I didn't realize that it would be an issue since it was a routine vaccine but I definitely see your point an...

I am an OB nurse but am looking to get out of the hospital and into public health. I had an interview and it went well except I feel like I bombed one question. Please help me figure out where I went wrong in my answer. In the scenario I was supposed...

I am also in Canada. At my facility we can prime, program, start and adjust the rates. It is a 2 nurse check to adjust and start the pumps. We can also do top ups but if we have given 2 and they are still uncomfortable then we call back anesthesia. B...

I don't know how hard it is to get a visa, it didn't seem too bad for my american friends. You don't need to be a midwife to work in L&D here though the experience will certainly help you get a job in the area. Good luck figuring out where you w...

I am in Canada 1. Midwives deliver babies unless its a forceps or csection - Here it is up to women whether they want a midwife, GP or OB 2. Most women never even see a doctor- See above 3. We don't induce mothers unless its medically necessary or th...

I would say if it's your dream job do it. I had already been working on my unit for several years before I had my first and the only thing that was dfferent was that once I was visibly pregnant, they stopped having me work with the IUFD's as they do ...

I frequent a few different message boards and on one, a woman says she gave birth to twins. Her story just seems made up to me. She says she had several u/s during the pregnancy and never knew it was twins- this I have seen before so that is not wha...

Well there was no mention of that in her story but that could be a possible explanation.

They are a safe option if you are low risk, that being said I was low risk and would never consider a home birth, too many what ifs for my liking. I loved being around the colleagues I knew and trusted but then again I work at a low intervention faci...

We are supposed to only have 3-4 mom/baby pairs but if it is busy then yes, we have as many as 6. It sucks when we do because they don't get all the attention they need but at the same time a stable mom and baby is not the priority, a labouring mom m...

I was in L&D for 5 years before I had my first and it made no difference in the care my patients got before/after I gave birth personally. It annoyed me if the family made a comment but they were few and far between. The only difference I see is ...

Yes the 5 units is as 3rd stage management, I have never in 10 years seen a dose that small cause any sort of hypotension. It's standard here.

We do either 5 units IV or 10 units IM, that's it. We only hang a bag if mom is having significant bleeding after that small dose. Hanging a bag on everyone really seems overkill to me. With what we give we certainly don't have a large number of PPH...

Be patient. I started out on a medical unit on advice from my preceptor. It was not the job I wanted but what it did was give me strong critical thinking skills, developping judment and practicing a much wider range of skills then what I use on my L...

When I first started on my unit, someone forgot to warn me about one of the family practice doc's. I did a cervical check on her patient and she went on a rampage. I told her if she didn't want me doing checks she needed to be here at all times with ...

Nothing. The baby is the parents gift.

Walking, position changes, birth ball, hydrotherapy ( tub or shower), sterile water injections, massage, counter pressure. There are so many wonderful things that can help a med free birth. Hands and knees is an awesome position and also hot water bo...