About 80% of all new mothers experience some "baby blues"; feelings of sadness, emotional outbursts, teary times. These blues are considered normal for the first 10-14 days postpartum. If they...
midwife2b replied to MemphisOBRNC's topic in Ob/Gyn
Penicillin allergic patients who are GBS positive have an automatic sensitivity done because we are finding that clinda is not always sensitive to some GBS (sounds like mutation is happening). We've...
Rather than paraphrase what she said, I'm going to just say "yeah that!" Bradley techniques will help get through the tough times. I really wish we could incorporate Bradley/Lamaze?HypnoBirthing and...
Once you are in your refresher course, start looking at potential hospitals with L&D units. Often when units are recruiting they invite a prospective eimployee to "shadow" for a shift. You get to...
If our patient is awake, the anesthesiologist says, "and what is your name, please?" and the patient responds. Next: "And what are we going to do now?" "I am having a C-section". "And who is your...
midwife2b replied to StephL&DRN2B's topic in Ob/Gyn
Quote from Smiling Blue Eyes: Personally I dont' get hung up and play w/any numbers other than those. Really, there is not much diff between say, 70-80% ----I mostly chart 0, 50, 80, 90 or 100%. I am...
I really appreciate all the responses so far! Each of us has a different idea of what labor entails and means. I tell my clients that there are risks involved in crossing the street. One learns all...
midwife2b replied to tamrnmomof4's topic in Ob/Gyn
The Mag hung is premixed, nurses are no longer allowed to mix it on the unit. (40 g in 1000 cc NS). Two nurses must be present and verify pump settings on initiation of the loading dose and change to...
It's TOUGH to be different; to look at situations differently than most do. Change is different and not always accepted. There are jobs, there will always be jobs. They don't all include birthing...
midwife2b replied to ragingmomster's topic in Ob/Gyn
A shoulder dystocia drill is a great idea and I would let you "ladder up"! Emergency C birth drill would be good also, unless you have a lot of staff and get the patient to the OR in just a few...
The practice of routinely suctioning the newborn infant has not been assessed in any clinical trials. Its value is questioned by the authors of "A Guide to Effective Care in Pregnancy and Childbirth"...
Rare is the gestational diabetic who has an abnormal FBS. Usually come to find out they are herebefore undiagnosed type 2's. Where I work insulin treatment depends on the style of the doc/NP and how...
Unfortunately this is TRUE. Over the years I've done more with epidural catheters, meds, tubing, etc. than I care to admit and remember. Basically the ONLY thing we had to notify anesthesia for was...
Indocin was used more before we tried ibuprofen. It is an older method of tocolysis. It can be hard on the stomach, which is one of the reasons why it fell out of favor and ibuprofen replaced it. None...
I was a post masters student. It felt like a lot more than "part time", as I am sure any of the other CNM's will attest to! I worked full time for the first year (fall, spring, and 2 summer sessions)...
Yes, there is room for you! The one male I had the opportunity to work with taught us many things. He put a new twist on the "privacy, dignity and respect" part of our jobs. I just loved him and so...
I'm not sure the BON has ever written their views on body art. You might want to ask the nursing schools you are applying to, however; they may have policies related to visible tattoos and piercings....
It seems jobs come and go. When I first started looking there were zero in my area (even in a 200 mile radius). Then all of a sudden it seemed every doctor practice wanted a midwife. So you just have...
Agreed!!!!!!!!!! Your policy should cover what room will be used What equipment will always be in the room What equipment will be sent to the room Who will staff the room For example: "Room 15 will be...