Minou

Unbelievable !. I work in a small Birthing Center that is actually in a separate building from the main hospital ( soon to be changed ). We are a closed unit so do not float ( that is nice !!!! ) The price of that is we take mandatory call twice a mo...

I feel for you, indeed it is very difficult any time you have a demise, especially the full term babies that are/appear perfect. You probably never will forget your first demise, it is imprinted in your mind, but you put that in your bag of experienc...

Hi , I am curious about how other L&D nurses deal with an admitted primip, not ruptured , irregular uc's, not really progressing, but oh soooo in pain ( 1/th/high ), this being the reason for admit, and refusing pitocin ...and BTW, you only hav...

What I found useful when I started was to read other nurses' charting to get ideas of what to write ( and sometimes what not to write ). Remember to be accurate, to the point and chronological . re-read your charting and if you're not sure, have some...

I do too....I guess ideally, this should be started before pregnancy but more realistically, in the doc's office...part of the initial prenatal care should be to educate the pt about the possible ways to do birthing...I guess if you're high risk at a...

I agree....I totally respect pt's rights to go whichever route they choose...but they need to be educated and assume the responsibility of their choices...health care being what it is today, we don't ( pt and staff ) have the luxury of doing slow na...

I'm glad to see these responses...Here i am thinking i'm not a "supportive" l&d rn....well, the pt did'nt want to go home although we told her she wasn't in active labor and the doc didn't want to p.o. family. but yeah, I would've gladly given he...

Hi, I have to say that a c/section just because it's convenient is outrageous ( be it on the pt's part or...the doc's ...) But I do support c/s for valid reasons ... I have 2 c/section stories...that actually happened a day apart not too long ago.....

Hey, I thought I was the only one that used that Holiday Inn thing..." Are you the nurse " as you're getting ready for a sve....:-)

Hi, I have a "hypothetical" question. A Grand Multip presents to ob from er c/o big gush of water 4-5 hours ago, no bleeding. er docs get a positive Nitrazine, do a U.S. : live fetus, everything mormal but no amniotic fluid noted, consistent with rom...

Wow, first of all congrats on the good nursing you provided this pt ( which I am sure she will never fully appreciate ), now, my pet peeve with these know-it-all people is that I don't understand why they don't just have their babies at home....Oh I ...

I just love this... a girl after my own heart...wow...I am going to cut/paste this somewhere, it is just too precious, Thank you for sharing, Minou

I know how you feel !!! my first job was like that ( not L&D, but med/surg ) and unfortunately lasted 7 months...I hated everything about that job ...lousy pay, lousy understaffing, lousy equipment, and the atmosphere, what a hellhole !!! A disgu...

This is a difficult thing to settle... pt's right to have a record of the birth (makes sense ) vs staff's right to do their job unhindered and to not be on tape ( also makes sense ). Pt safety always, always comes first. we don't need people crowding...

we use mostly 18g, some rn's go for 20g when they have a hard stick but I tend to think if you can get a 20g in, you can get 18g in as well. 16 G, too big !! Minou

Well, since reading this thread a couple of days ago, I had a chance to mention Lotus Birth at work... not very popular....I get a lot of " WHAT ??? ", " Yuck " , " Are you serious ? " and " What for ? "...Whooey, I guess I can relax ...Lotus Birth...

Wow, that is a lot of pitocin. my L&D is level 1 so our unit protocol says 20 m.u./hour and only a few docs give us orders to increase up to 30 m.u.. But you know what ( of course mention that to a doc and they don't believe you ) if your pt is ...

Thanks for the validation, of course i'm hypothetically not quite in your area which means that this goes on in more than one hypothetical place ( i need to start cut & paste ). I've talked to almost everyone concerned about this hypothetical pt...

At my hospital, we basically have epidural orders for active labor/4cm/when appropriate...so that leaves us room. of course some docs are pickier but since they're not there...we do them when we decide...some rns stick to the 4 cm...me personally, if...

Hi all, Thank you for the great replies. I am still torn about this " hypothesis " of mine. ok, Now what if I were to say that this hypothetical mom had been told in er that once on ob, she would be getting an abortion, because she has had a normal p...