NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Additional education to get the job?????

    NurseNora replied to javawren_23's topic in Ob/Gyn

    Perhaps taking a foreign language would help you. In my area, Spanish is very helpful, the local community colleges also offer Navajo or Apache which could come in handy. If you have a non English...

  2. Para or Gravida

    NurseNora replied to NiesyLuv0o's topic in Ob/Gyn

    Your patient is still a primipara until she delivers the second baby after 20 weeks. She enters labor a G2 P1 and leaves a G2 P2 (no matter how many babies she delivered from that pregnancy. Triplets...

  3. Vit. K, Vag Hand, and Late components....please explain

    NurseNora replied to RNTX2002's topic in Ob/Gyn

    Crawl under the drape head first. You have to be covered while the surgery continues. Loosen the leg strap so you can get her legs apart enough to get your hand in the lady parts. Placing your fingers...

  4. JCAHO and bedside medications...

    NurseNora replied to RN*mommy's topic in Ob/Gyn

    Good foundations do often get lost in the overkill. Does anyone remember that HIPPA began to insure that someone changing jobs could remain insured? Now when we think of HIPPA, we think about not...

  5. The nurse-call button...

    NurseNora replied to LauraLiz's topic in Ob/Gyn

    I also would rather have someone use the call bell than sending a visitor out to the desk to ask for something or, worse, wait around while needing something. I tell my patients to please use the call...

  6. I GOT THE JOB

    NurseNora replied to stustressed's topic in Ob/Gyn

    There is not one right way to do things. Start by learning how your preceptor does things and with time, you'll adjust it to your own way. If you follow someone else, you'll see that she does things...

  7. JCAHO and bedside medications...

    NurseNora replied to RN*mommy's topic in Ob/Gyn

    We still leave them at the bedside, but I have heard suggestions from other places that had to change. Locked drawer in the room, yes, you have to come in and unlock it for her, but at least it's in...

  8. Need Refresher with Insulin/Mag/Pit Infusion pump setup

    NurseNora replied to mee6's topic in Ob/Gyn

    I've been taught that insulin always gets it's own

  9. who catches your babies?

    NurseNora replied to iluvob's topic in Ob/Gyn

    In my hospital (Level 1, 1100 births/yr), it is usually another L&D nurse who catches the baby. The requirement for us is that at delivery, the mother and baby each get their own nurse, NRP...

  10. Fetal monitoring during epidural placment

    NurseNora replied to LM813's topic in Ob/Gyn

    In active labor you only have to assess FHR q15min, so if everything has been well, the loss of signal for that period of time is not a big deal. Document why you can't record it and if takes longer...

  11. new graduate interested in advanced fetal monitoring

    NurseNora replied to mzjennx's topic in Ob/Gyn

    You have to start with the basic fetal monitoring. The AWHONN Intermediate Fetal Monitoring course requires 6 months of experience before you take it and is required for the Advanced course. You'll...

  12. Fundus check after a C-section

    NurseNora replied to loveblinded's topic in Ob/Gyn

    The only difference I can think of with a midline incision is that she probably had general anesthesia (midlines are typically done when there's a real rush and no time for a spinal) and so will be...

  13. Transabdominal amnioinfusion

    NurseNora replied to mugwump's topic in Ob/Gyn

    Haven't done this one. When I used to work in the big city medical center, we often took of a couple liters of fluid as necessary from the the hydroptic twin with twin/twin transfusion syndrome, but...

  14. Who's using AmniSure?

    NurseNora replied to Conejita's topic in Ob/Gyn

    We use Amnisure and like it. You can get a false negative if there is too much fluid, but if someone is leaking puddles, why bother with the amnisure anyway. You can also get a false negative if her...

  15. What is your schedule like?

    NurseNora replied to Brandy0331's topic in Ob/Gyn

    There's a lot of flexibility. I work part time which for me is 2 12 hr shifts per week. At my request, I work every weekend, Sat and Sun night. Since there are a couple of other old foggies who also...

  16. How many couplets are you responsible for?

    NurseNora replied to zoo*moon's topic in Ob/Gyn

    AWHONN standards are for 3-4 couplets per nurse. That's healthy couplets, not ones with

  17. Calling all OB nurses

    NurseNora replied to WhoNeedsaShot?'s topic in Ob/Gyn

    I just realized that you haven't mentioned doulas. They are people who can be hired as labor coaches. There are probably several threads in this section about doulas, read them for more

  18. Calling all OB nurses

    NurseNora replied to WhoNeedsaShot?'s topic in Ob/Gyn

    1, The best coach is the one best able to help the woman with her labor. A teenaged boy is not usually a good coach even if he is the biological father (notice I said usually, there are no hard and...

  19. Honest opinion on length of time it takes to admit a new labor patient

    NurseNora replied to bandaidlady's topic in Ob/Gyn

    Four weeks is not enough for you to be a competent labor nurse, but other things being equal, you should be able to do that admission in 1 hour by now. Does your preceptor have any suggestions for how...

  20. An OB's Birth Plan

    NurseNora replied to Poppy_Petal's topic in Ob/Gyn

    I give the guy props for being honest with you, it's just a shame he doesn't hand this out at the first prenatal visit. He's probably not quite as bad as his "plan" makes him sound, but I'm glad...

  21. Gravida question

    NurseNora replied to lmt2000's topic in Ob/Gyn

    So probably G2/P2. Is your husband a second

  22. L&D Charge Nurses

    NurseNora replied to Drakebrn's topic in Ob/Gyn

    It also depends on the shift you are working. In general, night shift has the newest nurses and it's not uncommon for someone to get thrown into charge responsibilities early because there's no one...

  23. Vistaril in labor induction

    NurseNora replied to SewHeather's topic in Ob/Gyn

    Same here: usually use Vistaril for early latent phase and Ambien for overnight cervical ripening. Labor is difficult enough when it starts in a well rested woman. For a woman who has had no sleep...

  24. Precipitous birth

    NurseNora replied to teensmom's topic in Ob/Gyn

    I also question where your preceptor was (was she gone for over an hour while all this occured?) or why she didn't ask someone else to keep an eye on you. I probably wouldn't have gotten her up to...

  25. Laboring down

    NurseNora replied to nurse79's topic in Ob/Gyn

    My favorite deliveries are the ones where I never encourage the patient to push. I just tell her to listen to her body and do whatever it tells her to do. When they start to push, it's often just...