I have found that there is really not one good position that works all the time. I have found that the trick is to frequently change position. Try pushing on the right for 15-30 min, then go to...
at your cervix replied to rdhdnrs's topic in Ob/Gyn
We have gone to taping report and it works great. Most nurses hated it and complained about it, but when the recorder broke and we went back to live group report, they realized how much they acutally...
at your cervix replied to monie2004's topic in Ob/Gyn
Don't worry about it if you don't agree with others exams. I work with one doctor that always checks 1-2 cm more than anyone else so when I call her, I just say "she is my 4 so she's probably your...
at your cervix replied to L&D_RN_OH's topic in Ob/Gyn
I must have missed something here, neither of the first 2 hospitals that she went to actually performed a c-section, so how can we say that her rights were actually violated? I believe that the...
Primip comes in, SVE, 9cm, pt wants an epidural, anesthesia just finished a case and is free, standing at the nurses station. Anesthesia comes in, starts IV for you while you set up room. SVE after...
at your cervix replied to geekgolightly's topic in Ob/Gyn
The most ominous late declerations are the subtle ones and because they are so subtle, you may not recognize them by auscultation alone. Naturally, if you are low risk and no problems during labor,...
at your cervix replied to AmberL&D/RN's topic in Ob/Gyn
I think that the day shift nurse of whom you speak needs to reassess her priorities, or yours as the case may be. The first priority is always patient care. You should never put spiking her IV bags...
at your cervix replied to Ruby Vee's topic in General Nursing
I work labor and delivery and have had 2 children in that time. The only thing that I would refuse to do because of pregancy is to take care of a fetal demise-after I was showing. I felt that it...
Lately, most of our moms have been requesting babes go to nursery for the night. I am having a hard time explaining the benefits of rooming in to mothers without sounding like I am preaching to them....
at your cervix replied to Caseyrnbsn's topic in Ob/Gyn
I have given it IV when needed FAST like cord prolapse, severe hyperstimulation with prolonged decel etc. Where I used to work we acutally had a protocol for IV drip terb for preterm labor, I think I...
at your cervix replied to obeyacts2's topic in Ob/Gyn
I also have had pt's that I could not pick up contractions due to "fluffiness". If they are on pitocin, especially with an epidural, I ask the MD to place an IUPC (nurses can't do it in my state)....
I work in a "medium" size hospital now and I think that it may be time for a change. I could go to a large hospital in the area, or a smaller hospital that does low risk births, similar to a birthing...
at your cervix replied to at your cervix's topic in Ob/Gyn
I started this thread back in October because I was very unhappy at my current job and a group of MD's that I worked with had built a new small hospital. I was a little afraid to go there because it...
at your cervix replied to elleRN's topic in Ob/Gyn
Pitocin is a medication and you need a doctor's order to administer it. We have a standing order that says to add 20 units of pitocin to the first liter of fluid after delivery and then add 10 units...
at your cervix replied to Mofe'ny's topic in Ob/Gyn
OK, a little off the subject, but reminded me of this. I had a pt that came in with a birth plan that said that she didn't want to be offered any meds under any circumstance (you know the type.) We...
Just wondering if this unfortunate situation is unique to the facility where i work or if it is everywhere! whenever the NICU gets very busy, the nurses become very hostile and rude to L&D...
at your cervix replied to at your cervix's topic in Ob/Gyn
That sounds so familliar Mark. Why is it that there is this unwritten rule that all of the "housekeeping" tasks are the responsibility of the night shift? Last week, came in to night shift. 5 pts...
at your cervix replied to rndiva1908's topic in Ob/Gyn
Think back to when you started cardiac nursing. I am sure that you may have felt the same way. We probably all feel that way when we start something new. If you still feel uncomfortable after...
at your cervix replied to at your cervix's topic in Ob/Gyn
I think that is hilarious when they call us to er for a fhr when they are only 5 weeks. I have started asking when they call how far along the pt is because I went down to er one night for a fhr, I...
at your cervix replied to ShannonB25's topic in Ob/Gyn
The one thing that I found that helps most with finding a posterior cervix is to have the pt tilt her hips upward, it brings the cervix around and it is MUCH easier to
I just remembered another one. Does this happen on anyone else's unit? If a nurse wears red socks to work, you will have a bleeder, never fails. I keep extra clean white socks in my locker so that...