NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Can OB's override hospital protocols?

    NurseNora replied to JentheRN2007's topic in Ob/Gyn

    Often we do all the steps of intrauterine resuscitation and they work. Once it's worked, you can stop doing the steps. If the baby has improved, lates gone, variability moderate, accelerations, you...

  2. I just saw the most amazing delivery

    NurseNora replied to eden's topic in Ob/Gyn

    Pt says she has to push, MD goes in to room to check her. He says she's only 6cm, not yet time to push. Turns around to snap his glove off and into the trash can and she delivers before he gets the...

  3. Anterior lips and future deliveries

    NurseNora replied to Chixie's topic in Ob/Gyn

    VBACs should be done in hospitals which can do an immediate C-Section in the event of a uterine rupture. Many smaller hospitals do not have 24/7 in house anesthesia, first assist and OR team, so they...

  4. postpartum

    NurseNora replied to texasbsn's topic in Ob/Gyn

    PP on night shift is quieter than day or evening shift because usually there aren't all those visitors. However, you get admissions and will do a few discharges. My hospital keeps patients for 24...

  5. Prolotherapy and Epidurals

    NurseNora replied to pirap's topic in Ob/Gyn

    I have no experience with this. I'd refer her to her OB and suggest an appointment with an anesthesiologist to discuss her situation in

  6. Dealing with nasty OB

    NurseNora replied to JentheRN2007's topic in Ob/Gyn

    In therapy I learned to use "I" messages. Avoid "always" and "never" and other generalizations. Speak to a specific incident. Say what you want/expect in future interactions. "I felt.......when...

  7. Speciality Pay

    NurseNora replied to mom2bnrs's topic in Ob/Gyn

    I've never worked in a hospital that offered speciality pay for L&D, but when I worked registry, I was given speciality pay for L&D. That's been some time ago, not sure if it's still

  8. cytotec question

    NurseNora replied to garfieldrn's topic in Ob/Gyn

    If the baby looks good, I'd hold off on the O2. It's uncomfortable, upsets and frightens the patient, and once it's started, it often remains on the rest of the labor. Of course, if the baby does not...

  9. Ugh! Delivered Baby On My Own The Other Day...

    NurseNora replied to jenrninmi's topic in Ob/Gyn

    Are you not allowed to call the attending directly if there's a resident involved? I'd probably have called the resident and told him to call the attending and come for the delivery. I don't mind if...

  10. Please jelp with "new mom" class

    NurseNora replied to babynursingrn's topic in Ob/Gyn

    In this class, you want to discuss pregnancy mostly, or so it sounds. Discuss pregnancy changes. Tell they why 9months X 4 weeks in a mont =36, but the doctor says pregnancy is 40 weeks long. Discuss...

  11. Situation at work...

    NurseNora replied to L&DRN2008's topic in Ob/Gyn

    I'll bet I know what happened. Wish I had a pen and paper so I could draw you a diagram, but I'll try to explain it to you. Sometimes the external os dilates and the internal os stays 1-2. When you do...

  12. Any help w/ station?

    NurseNora replied to mom2bnrs's topic in Ob/Gyn

    I'm sure your unit has a pelvis model somewhere. Look at it and feel the spines. They aren't really at 3 and 9 as you might imagine, but more like 4 and 8. On most women, the spines aren't prominent...

  13. Fundal Measurement - Postpartum

    NurseNora replied to Yayamaya's topic in Ob/Gyn

    The textbooks do say that the fundus rises a little in the fist 12 hours and then starts getting lower. Not sure I've found this to be consistently true in my practice. I've rarely seen a fundus as...

  14. Survey for my Sociology Paper!

    NurseNora replied to EMT_to_RN's topic in General Nursing

    [ here are the questions: 1. how long (years) have you been a nurse?40 years 2. what is your annual gross income?35-45 k 3. do you have an associate or bachelors degree?bsn 4. how long have you...

  15. Protocols for birthing tubs?

    NurseNora replied to crysobrn's topic in Ob/Gyn

    In my hospital patients are allowed to use the tub with ruptured membranes. If used in early labor, it sometimes slows things down, sometimes not. In active labor, it can be really helpful. Our policy...

  16. Cold Sore!

    NurseNora replied to crazylilkelly's topic in Ob/Gyn

    The Herpes virus can be fatal to a newborn because of it's immature immune system, so most OB units have a rule about not working with cold sores. Perhaps areas working with immunocompromized patients...

  17. Spanish translation

    NurseNora replied to newgrad2005's topic in Ob/Gyn

    I love the translation phones. The translators are certified in translating medical things so you know that when they translate your explanation of procedures or consent forms, they're saying the...

  18. How many L&D nurses rupture membranes or insert IUPC's?

    NurseNora replied to Salgal08's topic in Ob/Gyn

    There are a few states whose Nurse Practice Act allows RNs to perform AROM. I don't remember any of them. Check your state's NPA to see if it's allowed where you live. Become familiar with your state...

  19. Who assigns APGARs?

    NurseNora replied to ruralnurs's topic in Ob/Gyn

    As everyone else said, it is the person with the baby at one and five minutes who gives the Apgar. If it's a doc who holds the baby until the cord stops pulsating, then clamps it and hands it off,...

  20. A little nervous!

    NurseNora replied to cherokeesummer's topic in Ob/Gyn

    In teaching hospitals, the axiom for interns seems to be, "See one, do one, teach one." Teaching someone to do something is a good way to learn it better yourself. The questions they ask you are often...

  21. Yelled At During A C-Section (Among Other Things)

    NurseNora replied to RN1981's topic in Ob/Gyn

    In the OR people do tend to snap at you very sharply if you start to do something wrong. It takes less than a second to contaminate a sterile field. The patient's abdomen had been prepped, if you'd...

  22. What's changed in the last 10 yrs in L&D?

    NurseNora replied to Salgal08's topic in Ob/Gyn

    Where I am we don't seem to be doing more epidurals or inductions. We are doing more sections because 10 years ago we did VBACs. You'll find some JACHO driven changes in the documentation and...

  23. efm during an epidural placement ?

    NurseNora replied to maxienurse's topic in Ob/Gyn

    We have a specific consent for a labor epidural. Since guidelines for ascultation during labor for patients not on continuous monitoring is q15min in active labor, if all has been well, we can go for...

  24. Changes-for better or worse?

    NurseNora replied to L&Doldtimer's topic in Ob/Gyn

    I've seen a lot of good changes over the last 40 years. When I started L&D all labor patients got a soap suds enema and a full shave. Everyone got an episiotomy, and most had forceps. Everyone...

  25. After a few years of nursing, you don't care anymore?

    NurseNora replied to jenthehen828's topic in General Nursing

    I've been an OB nurse for longer than most of you have been alive. I've never lost the joy at being present at the miracle of birth. Although I no longer cry at all deliveries but I do still get...