NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. New nurse, need help!

    NurseNora replied to I RN A's topic in General Nursing

    The more you expect perfection and beat up on yourself for not reaching it, the more difficult it is to learn from your mistakes. We all make them. If we're not making mistakes, we're not trying...

  2. "pit to distress"

    NurseNora replied to geekgolightly's topic in Ob/Gyn

    The high dose protocol was originated in Ireland. It required the woman to be in spontaneous labor and dilated to a certain minimum and no longer making progress or not making progress as fast as the...

  3. Uniform Question For Seasoned Nurses...

    NurseNora replied to bluemorningglory's topic in General Nursing

    How many nurses here remember ash trays in the nursing stations and doctors smoking while making rounds??? Ah yes, smoking at the nurse's desk... I'm just so glad I quit smoking before you had to go...

  4. Uniform Question For Seasoned Nurses...

    NurseNora replied to bluemorningglory's topic in General Nursing

    I only had to wear a white dress and cap for a short time after graduation while I did a 6 week Med/Surg orientation before I went to L&D where I moved to scrubs and a paper hat. I do not miss...

  5. family requests and time management

    NurseNora replied to lalalalexi's topic in General Nursing

    I once had a new dad come out of the bathroom wearing nothing but one of our skimpy towels hand me his dirty clothes and tell me to get them cleaned. I handed them back and told him to have his family...

  6. Reporting violations of the law?

    NurseNora replied to feebebe23's topic in General Nursing

    In my hospital, all OB patients under 18 get a Social Service consult to be sure the mother and infant have/will have acceptable living conditions. I let SS decide if a police report needs to be...

  7. postpartum cheat sheet

    NurseNora replied to nurselou81's topic in Ob/Gyn

    When you start your orientation, ask your preceptor what she uses. Our hospital requires us to use SBAR for report and we have preprinted forms that we made up (Situation, Background, Assessment,...

  8. Placenta/cord question...

    NurseNora replied to LauraLiz's topic in Ob/Gyn

    The autopsy is offered to the parents and they decide if they want it or not. The problem is that it rarely shows just exactly what happened. The parents are looking for an answer and so often, it...

  9. Second guessing myself after watching foley catheter insertion video

    NurseNora replied to Elizabeth K.'s topic in Pre-Nursing Students

    We do a lot of painful things. Making a patient get up and walk after surgery hurts, but it's necessary and in the long run, they'll be much better of for having done it. Most Foley's don't hurt, but...

  10. What do I say to rude patients?

    NurseNora replied to floatRN's topic in General Nursing

    Yes, set boundaries. "I can't stay in the room when you use foul language, I'll leave for 5 min so you can calm down, then I'll come back and we'll continue with this." Every time foul language is...

  11. If pay was not an issue, would you still be a nurse?

    NurseNora replied to Elizabeth K.'s topic in General Nursing

    Growing up, I never wanted to be anything but a nurse, ever. My mother used to tell me "I don't know why you think you want to be a nurse. You'll be a terrible nurse, you really aren't good with sick...

  12. Help preparing for unit change to L&D

    NurseNora replied to luvmyboys's topic in Ob/Gyn

    It seems to me that NICU experience would be of use for an L&D nurse. AWHONN is the national organization for Women's Health, Ob, and Neonatal nurses. Becoming a member would entitle you to their...

  13. pregnant anesthesia providers

    NurseNora replied to Allda's topic in Ob/Gyn

    "Scavenging system" was the term I couldn't think of; Thanks. I've been doing L&D long enough to remember when the put the scavenging systems in. I can remember walking into a room with a loose...

  14. Bicitra

    NurseNora replied to mugwump's topic in Ob/Gyn

    No, I just tell the patient to knock it back quickly like a shot to

  15. MVU's

    NurseNora replied to Nichols9878's topic in Ob/Gyn

    Even with an IUPC in, you should be palpating. Does what you feel agree with what the machine is reading? If not, you can start trouble shooting the monitor. If you're new to L&D, you can improve...

  16. Who do you see as an OB?

    NurseNora replied to Mary C's topic in Ob/Gyn

    I currently work in a rural hospital that is the only one within 3 hours of here. Most of my coworkers deliver here. They choose their labor nurse in advance and talk with her about it. If they're...

  17. MVU's

    NurseNora replied to Nichols9878's topic in Ob/Gyn

    Say your baseline is 20mm, the first contraction is 40mm, then 80mm, 55mm, 60mm, 50mm in 10 min. You would add (40-20=)20, (80-20=)60, (55-20=)35, (60-20=)40, (50-20=)30=185MVU. There is no one...

  18. assessing effacement and station

    NurseNora replied to theamberdawns's topic in Ob/Gyn

    Look at diagrams of the pelvis, The spines are not located at 3 and 9 o'clock as you might think, but are more at 4 & 8. On the posterior aspect of the lady parts, you can feel the ligament that...

  19. pregnant anesthesia providers

    NurseNora replied to Allda's topic in Ob/Gyn

    I know at one time there was an increased risk of miscarriage for nurse anesthesists giving general anesthesia. Now that there have been improvements in keeping the anesthesia gasses from circulating...

  20. Things you'd LOVE to be able to tell patients, and get away with it.

    NurseNora replied to AngelfireRN's topic in Patient, Colleague Relations

    "If you'd made this much of a fuss nine months ago, you wouldn't be in this situation

  21. Things you'd LOVE to be able to tell patients, and get away with it.

    NurseNora replied to AngelfireRN's topic in Patient, Colleague Relations

    The proper response to this question is, "Oh, what a cute little

  22. HELP! Is it just me?

    NurseNora replied to BmichelleRN's topic in General Nursing

    A nurse 3 days on orientation should not be in the count. Her preceptor should not be the charge nurse. Although she probably has good skills, she has too many other responsibilities to orient...

  23. giving report to rude nurses

    NurseNora replied to tolerantgirl's topic in General Nursing

    If you don't ask for what you want, you're less likely to get it. "I'd appreciate it if you didn't check your text messages while I'm trying to give you report" is a simple statement of your wants...

  24. Info on cross-trained staff

    NurseNora replied to ebby79's topic in Ob/Gyn

    At my hospital all the staff were cross trained to work nursery, L&D, and Post Partum. As we grew and began to get more and sicker babies (we're only a level 1, but since we're in the middle of...

  25. free flow afer delivery

    NurseNora replied to theamberdawns's topic in Ob/Gyn

    If you patient saturates a peri pad in 15 min, she's bleeding too much. Whenever you are unsure of how much your patient is bleeding, weigh the pads. One gram equals 1ml of blood. We're not as good...