NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Integrative Medicine/CAM and OB

    NurseNora replied to zahryia's topic in Ob/Gyn

    I've never had to get an order for it. The last two places I've worked just kept it stocked. In addition to helping a patient void, it's also good to cover up bad smells in a room (feces, vomit,...

  2. Don't know if I'm going to make it as an OB nurse

    NurseNora replied to Calzonan RN's topic in Ob/Gyn

    I'm glad you found a place in L&D, you sound as though you belong there. Hope it works out for you. Don't worry about your loss of confidence, it will return as you find yourself doing a good job...

  3. Ibuprofen in pregnancy

    NurseNora replied to Michelle123's topic in Ob/Gyn

    We don't use it after 32 weeks because of the premature closure issue. I've never seen it happen, and I've seen many women who took Ibuprofen after 32 weeks. I don't believe that a prostaglandin...

  4. The baby that was born twice!

    NurseNora replied to LizzyL&DRN's topic in Ob/Gyn

    As I recall from 10 years ago when I worked at a big city medical center that did fetal surgeries, the uterus was sutured with a gadget that used absorbable staples. The incision is somewhere in the...

  5. Need Answer About Postpartum !!!

    NurseNora replied to Jan RN's topic in Ob/Gyn

    If you enjoy teaching, couplet care is a wonderful place. It can be busy and stressful, but most of the patients are young and healthy. PP hemmorhage is probably the most frequent life threatening...

  6. Pitocin admin via infusion pump

    NurseNora replied to CarrieRNC's topic in Ob/Gyn

    Measure how many ccs are in the line from the top port to the end. Figure how many mUs of pit would be in that line. We use a concentration of 30U in 500cc, that works out to 60mU/cc. If there is 1cc...

  7. Curious about PP Methergine use

    NurseNora replied to JaneyW's topic in Ob/Gyn

    A long time ago it was standard to give Methergine po q6h. I haven't seen it ordered that way in a long time for normal, low risk patients. I used to just give it with pain medication. Then I learned...

  8. Don't know if I'm going to make it as an OB nurse

    NurseNora replied to Calzonan RN's topic in Ob/Gyn

    I believe you can do it, so you'd better believe it too. It costs a lot to train a L&D nurse and if you're improving they aren't just going to toss you out even if you haven't quite reached their...

  9. Don't know if I'm going to make it as an OB nurse

    NurseNora replied to Calzonan RN's topic in Ob/Gyn

    Part of the pressure is that L&D doesn't have the luxury of saying We don't have any clean beds". The patients come in and we have to take them. I've had patients laboring on stretchers in the...

  10. Don't know if I'm going to make it as an OB nurse

    NurseNora replied to Calzonan RN's topic in Ob/Gyn

    Yes, read your departmental policy about that q5min thing. If you're doing intermitent ascultation, you do have to chart it q5min because there's no other record. AWHONN standards say FHT must be...

  11. Bicornuate Uterus

    NurseNora replied to RosesrReder's topic in Ob/Gyn

    There are many degrees of uterine doubling--from a bicornuate uterus that is heart shaped because it almost tried to be double, all the way to women with two separate uteri, cervixes, and lady partss....

  12. Scalp Stimulation - What's it good for?

    NurseNora replied to LittleLisaLawrence's topic in Ob/Gyn

    Scalp stim involves a mild stress that evokes a response from the sympathetic nervous system causing an acceleration in a nonacidotic infant. During a deceleration, the baby is already being stressed...

  13. Wanted- tips on bathing stillborns, etc....

    NurseNora replied to LDRN697's topic in Ob/Gyn

    Thanks, I'll look there. The last stillborn I cared for was so small and so macerated that there really wasn't anything to put in the memory box but footprints. For some reason, I asked the parents if...

  14. Patient reactions to L&D nurses who have never had children

    NurseNora replied to BarkowRN's topic in Ob/Gyn

    I have seen nurses who had "easy" labors pooh pooh a patient's pain experience because she knows that "it doesn't hurt that badly" as the above poster mentioned. I've also seen nurses who had...

  15. Phone calls

    NurseNora replied to magz53's topic in Ob/Gyn

    I will answer some questions over the phone. I'll go over the signs of labor, or infant dehydration symptoms for moms with breastfeeding problems. Every caller gets told that I can't tell what's going...

  16. Small community hospital with a Level 2 Nursery?

    NurseNora replied to mommy2boysaz's topic in Ob/Gyn

    Check with your state licensing agency to see if they have definitions of what can be done in a level 1 nursery. In my hospital, our level 1 nursery does IV's and O2. If a baby needs an umbilical...

  17. NS about to start OB rotation. Any advise?

    NurseNora replied to 3sodapop's topic in Ob/Gyn

    I vividly remember the student who, when I offered her the opportunity to put a cath in my patient, said "No thanks, I've done one." I didn't offer her anything else. Trust me, it's easier to do...

  18. LDRP opinions or advice?

    NurseNora replied to BlueRaiderBSN's topic in Ob/Gyn

    I worked just L&D until I moved to a small rural hospital about 5 years ago where LDR is practiced. I wasn't thrilled about being expected to do it all, but this is the only hospital in the...

  19. How long to wait?

    NurseNora replied to PCmom's topic in Ob/Gyn

    I've seen many women refuse intervention and go on to have happy, healthy babies. Remember, pregnancy and birth are normal, healthy events. Most of the time medical management is not needed. That...

  20. new to l&d...question???

    NurseNora replied to Fairy5's topic in Ob/Gyn

    Depends on the situation. A patient without an epidural who is in touch with her labor and her body, I'll often just tell her to listen to her body and do what it tells her to do. Just because someone...

  21. How long to wait?

    NurseNora replied to PCmom's topic in Ob/Gyn

    There are a lot of other variables (gestational age, cervical ripeness, time of day to name just three) but in a term pregnancy with everything being normal, most of our docs will wait 12 hours to...

  22. Legal & ethical issues

    NurseNora replied to AussieKylie's topic in Ob/Gyn

    Surrogate pregnancy and selective reduction of high order multiples are the first two to come to my

  23. Need Encouragement!

    NurseNora replied to jodyangel's topic in Ob/Gyn

    Just because your preceptor thinks you need more time, does not mean that you are a slow learner. Everyone has different strengths and you will probably pick up other things more quickly than average....

  24. Expected lab results for Pregnancy/Labor/Postpartum?

    NurseNora replied to BBQvegan's topic in Ob/Gyn

    The STABLE program has a section on neonatal lab work which explains that very well. The percentage of various types of white cells to the total means different things at different ages (hours from...

  25. When the mother is type O and the infant is type A blood.

    NurseNora replied to oramar's topic in Ob/Gyn

    In "the olden days" when I was a young nurse, we saw lots of Rh sensitized women. The babies were often induced early (before they died in utero) and required exchange transfusions after delivery. If...