sandseaandstone

I am five weeks into my orientation in labor and delivery. I have an ER background as well as cardiac stress testing and occupational health. I was able to witness a spontaneous vaginal delivery yesterday with a hemorrhage afterwards the patient's he...

I've worked In a level one trauma ER, and then eventually did agency for ERs. In my opinion, I liked the level one better because when stuff went down you could page a trauma code and everyone was there ( for example: brain bleed- neurosurgeon is cal...

I just started L&D about eight weeks ago...I had to do basic fetal heart monitoring, work through 15 hours of baby friendly material, did NRP and read an L&D book as if now. I need STABLE, and have been trying to get as much software (STORK) ...

I am a level one trauma nurse who went to L&D. Your ED skills will enhance your knowledge when triaging patients (especially falls and MVAs), assessment skills related to shock and of course assessment skills used to assess mom/baby, amongst othe...

I was a new grad in the ER in a level one trauma center.....get ACLS if you haven't. Try to start looking at the material for TNS cerification---a lot of the "whys" are explained. Ask ask ask questions and for demonstrations-- OBSERVE EVERYTHING. Kee...

I agree with Klone. I left a m-f no weekends no holiday schedule doing M W F occupational health T Th cardiac stress testing (ER agency whenever I wanted on the weekends) to do ***hired for nights**** /but ended up getting days 12 hour every other w...

We are going through getting baby friendly certification. The skin to skin initiative in my opinion is such a good thing---mom gets baby right away and she gets to see him/her the first hour before anyone else. Sometimes moms do great with sections a...

Did she have any clotting? Or any obvious sign of blood loss?

When I clicked that link it only took me to a login page, not the article.

The link won't let you guys read- so the above link is the resource and here's the article: March 26, 2012 — Red blood cell (RBC) transfusions in most hospitalized patients should be performed based on "restrictive," rather than "liberal," hemoglobin...

[h=1]Guidelines Define Hemoglobin Levels for Transfusion[/h] Free Medscape registration required to read article--excellent professional site. Karen I am truly grateful for all of this discussion- it's really helping me to get a good idea about these...

With the patient continuing to pass baseball sized clots and her H &H continually dropping, I was concerned (especially coupled with the HR). BUT-- I see that a bedside ultrasound, vigilant monitoring of her symptoms and understanding that young ...

I'm a nurse that's from ED and went to labor and delivery. It's a totally new ball game and lingo. I'm in my fifth week of orientation and they split my shifts into two eights and two twelves between two preceptors and then when they aren't there, I'...

You know, I was just thinking too- the mom is a primip and trying to diligently breast feed. They were talking about the baby losing weight and them having to stay longer---ahhhh!!! I can feel the critical thinking chains tightening :)

She did get 3 bags of LR the day prior, so I could see having dilution come into play. No, a bedside ultrasound was not done as of when I left yesterday. I think I understand a little bit better what I am to expect I terms of labs, symptoms and trea...

Thank you for helping me understand---And just to clarify by symptoms, you mean:: dizziness and what else?

She had a midline episiotomy....why is she still having clots of that size if she had all of that pit, methergine, and cytotec? Those size clots are normal? That hemoglobin was drawn this am, long before the baseball sized clot was passed this aftern...

What about the related tachycardia?

*Pitocin

I forgot to mention that after delivery this patient did receive two bags of Patosa and she also received one dose of Methergine and she also received 200 µg of Cytotec.