midwife2b

midwife2b

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All Content by midwife2b

  1. Ice to reduce a swollen ant lip?

    I wholeheartedly
  2. Birth Control Patch Warning

    http://www.medicinenet.com/script/main/art.asp?articlekey=52626 This is an article from WebMD about the study and results. I heard this back in the summer and was quite surprised that all of a sudden...
  3. Is doula training useful?

    I wholeheartedly agree with the other posters!!! You can learn so many useful techniques and tips that will help with lots of different situations. I'm still learning... everyday, with each new...
  4. ...and a side order of placenta please

    ....how would your hospital handle the request of a woman who wanted to take her plalcenta home- and there are several cultures that do dig a hole (deep) and plant a tree over top or do something...
  5. failed midwifery course

    Unfortunately you are probably going to have to discuss the situation with someone at your institution. You don't say where you are posting from, but in the USA you must list all previous...
  6. new med order

    Don't think so. But I will ask
  7. Adoption Issues

    I think counseling is better now. Open adoption is more accepted. Most of the ladies I have cared for carry out with their plans. I also think helping them create a memory helps as well. We encourage...
  8. new med order

    There is such a thing as a "high dose pitocin protocol". Several large teaching hospitals investigated it and use it, and our residents use it. In our hospital it is only used for 2nd trimester...
  9. How do you remember everything

    My preceptees carry a small notebook where they jot down things. In order to say a birth is finished, for example, certain paperwork must be completed (delivery summary, start birth certificate, etc.)...
  10. How much Fentanyl??

    Fentanyl 50-100 ug q 1 hr. ALso use: Nubain 10 mg IV q 1-2 hr Stadol 0.5-1 mg. IV q 1 hr. Occasionally one doc orders Demerol 25-50 IV Epidural standard infusion is 50cc bag, 3 ug/cc Fentanyl,...
  11. 1st job a joke?

    Did she write this up and give it to you to sign? Most places have a disciplinary policy that they MUST follow in order to avoid a lawsuit. Employers in "at will" states can be taken to court and...
  12. ...and a side order of placenta please

    I second this
  13. community project

    If your local health dept. provides prenatal care, call and ask to make an appt. with the director of the service (usually but not always a nurse). Your community may have different issues that you...
  14. Toradol for PTL?

    We use short courses of Motrin (600 mg tid x 48 hr) up to 33 wks. of pregnancy. Since Toradol is in the same class it makes sense to me... NSAIDS can cause premature closure of the ductus arteriosus...
  15. OB scrubs

    We wear our own scrubs, which are color coded to our unit only (other staff in other areas cannot wear these same colors for their scrub pants). Our scrub techs wear hospital scrubs but the...
  16. Lorthtus Bi

    I have a patient who is interested in a Lotus birth. Have any of you helped with this, and what problems or concerns did you have?
  17. Lorthtus Bi

    For the record, I am really not looking forward to this!!!!!!!! I laughed at some of the posts from the links; gotta laugh now because I surely can't when I am respectfully fulfilling the wishes of my...
  18. Lorthtus Bi

    Thanks, I read through the posts and would like to avoid all that discussion :) I just wondered if anyone had experience with it. THis lady is planning ahospital birth and I know all the nurses will...
  19. L&D

    Staffing varies depending on whether you work in a small, medium or large hospital. USUALLY no more than 2 patients but when I worked in a small hospital this wasn't always the case. AAP/ACOG give...
  20. pregnant/ tb skin test??

    A couple of Health Depts. in my area routinely administer TB tests to their pregnant clients. They pick up a few exposures, no actives that I can
  21. Pet Peeves

    :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl:
  22. 12N Sleeping During Break

    Vicky, you are correct. Our HR Dept. has a well worded policy; the rationale is that you are "still on the clock". If you do not clock out for your breaks, you are considered "on the clock" and...
  23. Position for taking BP in preecclamptics

    At our facility, if a woman comes to triage for a "PIH workup", initial BP's are taken in both arms, sitting. The rationale is that she has had all her BP's taken in the office while sitting. After...
  24. "OB-nurse" vs. CNM....difference?

    I'd try googling "CNM in Pittsburgh" and see what you come up
  25. "OB-nurse" vs. CNM....difference?

    As more schools become online based, the list of CNM's and clinical sites grows. Schools have established relationships with certain CNM's. Over time clinical sites are "shared" by schools because of...