NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Patient's preferences during birth

    NurseNora replied to TTE7's topic in Ob/Gyn

    Any time a baby is born dead or damaged, you can bet there will be a lawsuit. It really doesn't matter if there is a basis for it or not. Show a damaged or orphaned baby to a jury and no matter the...

  2. New to OB setting

    NurseNora replied to musicfae's topic in Ob/Gyn

    It won't be all that different, except that physically it may be easier on you. Most of the patients are fully mobile and mentally coherent. Gyn is pretty much like M/S except that there are no men....

  3. Patient's preferences during birth

    NurseNora replied to TTE7's topic in Ob/Gyn

    I think you'll be happier at the second hospital. It sounds like they would be more willing to go along with what you want. That said, I've noticed that women who have to travel far to reach the...

  4. Spanish for OB?

    NurseNora replied to queenjean's topic in Ob/Gyn

    You're lucky you have some tourist Spanish. My only Spanish is OB related. When I go shopping in Nogalas, it is no help that I can ask if your water is broken (rompa su bolsa de agua) or if you've had...

  5. Do you allow patients to take home their placentas if desired? more

    NurseNora replied to mitchsmom's topic in Ob/Gyn

    Many of our Native American patients choose to take the placenta home. We just put it in the plastic container with a lid and then in a red bag. If the family doesn't take it right home, we label it...

  6. Spinoff : What We Do, What We Used to Do

    NurseNora replied to NursingAgainstdaOdds's topic in General Nursing

    More OB memories: Mouth suction DeLee catheters for suctioning nasopharnax and stomach, especially when there was meconium staining. If the baby had been drinking a lot of the fluid just before...

  7. Spinoff : What We Do, What We Used to Do

    NurseNora replied to NursingAgainstdaOdds's topic in General Nursing

    I remember every woman in labor getting a soap suds enema (4H), a full shave prep, a spinal for delivery and forceps. Pain medication was Demerol 50mg & Largon 20 mg IV q3h. Some of the docs still...

  8. Precipitous Second Stage Question

    NurseNora replied to TarheelRN's topic in Ob/Gyn

    Once I saw a doc check his patient, say, "You're only 7cm and it's not time to push yet", turn around to throw his glove in the trash and she delivered before he got the glove all the way off. He was...

  9. amniotic fluid embolism

    NurseNora replied to Almabella's topic in Ob/Gyn

    I've taken care of 2 patients with Amniotic Fluid Emblolism, they both died. The first one complained after delivery of feeling faint and mildly SOB. She went to the recovery room after delivery where...

  10. L&D ladies who work nights...

    NurseNora replied to allthingsbright's topic in Ob/Gyn

    I do choose to sleep at night on my days off. I take a nap from 12-4 PM on the first day I work, then sleep all the next day (I almost always work two days in a row), go to work, stay up till noon or...

  11. Postpartum admission criteria

    NurseNora replied to l.d.jae's topic in Ob/Gyn

    Once a woman has been sent home, she is readmitted to Med Surg, not OB. We occasionally take some GYN patients if M/S is full, so it wouldn't be unheard of for us to take an ectopic pregnancy, but it...

  12. STABLE exam

    NurseNora replied to Ponder's topic in Ob/Gyn

    I hear you Ponder. I'm very fond of fetuses, not so much babies. I am now working in a small rural hospital and have to do PP as well as L&D. I don't mind couplets, but I've said that if there is...

  13. twin delivery...vaginal or c-section???

    NurseNora replied to samsmom95's topic in Ob/Gyn

    If the first baby is vertex, most of the docs I work with will go for lady partsl. We do all breech deliveries in the OR just in case the second twin has to be sectioned. The second twin tends to have...

  14. Please Help Persuade!! :)

    NurseNora replied to Angela Hancock's topic in Ob/Gyn

    WHAT IS THE IMPORTANCE OF ATTITUDE? Well, that depends on just what attitude you're talking about. It's very important in many different ways. If you go into work expecting a bad day, you'll probably...

  15. are VBAC's pretty safe?

    NurseNora replied to JulieRN07's topic in Ob/Gyn

    In order to safely do a VBAC, your hospital has to be able to do a C/S very quickly. In the rural hospital where I now work we do not do VBAC's on purpose because we do not have our own OB OR, and we...

  16. OB's that push epidurals on patients

    NurseNora replied to HappyNurse2005's topic in Ob/Gyn

    I once had a very good anestheseologist ask me why a woman would ever consider natural childbirth when epidurals were so easy and successful (his were--he was really good). I knew him well enough to...

  17. Fundal pressure

    NurseNora replied to Kristin_collegemom's topic in Ob/Gyn

    When I used to work in the big city medical center, I was sometimes asked to give gentle fundal pressure for AROM. This was usually on someone who was going to have her baby that day one way or...

  18. Input on crazy situation...

    NurseNora replied to MalgaBSN's topic in Ob/Gyn

    Initiate your chain of command immediatly in this type of situation!!! If you didn't have a charge nurse on duty (shudder) call the House Superviser &/or the L&D head nurse (you do have her...

  19. Somalian patients

    NurseNora replied to Zhlake's topic in Ob/Gyn

    Many of the women who have had this done do not consider themselves to be mutilated and consider the term mutilation to be offensive. We are supposed to be culturally sensitive and nonjudgmental to...

  20. mag sulfate

    NurseNora replied to crissrn27's topic in Ob/Gyn

  21. Funny OB things people say

    NurseNora replied to at your cervix's topic in Ob/Gyn

  22. Funny OB things people say

    NurseNora replied to at your cervix's topic in Ob/Gyn

    Some patients pass blood clogs (clots) or tell you they're going to fall out (faint). I once had a patient come in with the complaint "My little man in the boat hurts." It was the first time I'd...

  23. Quality improvement in L/D question

    NurseNora replied to mslema's topic in Ob/Gyn

    How about getting the baby to breast in the first hour after delivery? In my hospital, the labor nurse does the

  24. going to work in post-partum

    NurseNora replied to bailey10's topic in Ob/Gyn

    Two other reasons for not being able to feel uterus: 1. She's sitting up to high. It's easiest to palpate the fundus if the patient is lying flat. The "fluffier" the patient, the more important it is...

  25. Delivery meds

    NurseNora replied to magz53's topic in Ob/Gyn

    We only pull Methergine and Hemabate before delivery for someone at high risk for PPH, grand multip, really large baby, extra long labor with high doses of Pit. When we do pull it early, we set the...