NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Refusing "Hospital Protocal"

    NurseNora replied to HeartsOpenWide's topic in Ob/Gyn

    Just the other night I had a patient who refused an IV and to have labs drawn on admission. She had some concern that her doctor would refuse to care for her because of her refusal. Since she agreed...

  2. Group B strep & pit concentration

    NurseNora replied to PattonD's topic in Ob/Gyn

  3. Third stage management in the US?

    NurseNora replied to OzMW's topic in Ob/Gyn

    Most do. If we have someone who really wants to not have one, the provider usually wants us to at least put in a saline lock to have immediate IV access in case of emergency. We tend to be over...

  4. Health care on the reservation truly shocking

    NurseNora replied to Bridey's topic in General Nursing

    The Navajo reservation is the largest in AZ. I don't think the Hopi have a large hospital. The Apache have at least one hospital and some of the other tribes may as well. If you want to work with...

  5. Third stage management in the US?

    NurseNora replied to OzMW's topic in Ob/Gyn

    When the world was young and the ages dark and I was a young nurse, we used to give 10U of Pitocin with the delivery of the head or the anterior shoulder. Then it was decided that straight IV push Pit...

  6. NSVD with a vulvar hematoma

    NurseNora replied to californianclextaker's topic in Ob/Gyn

    Above poster is right--they can come on quickly and be severe. If you have a patient who exhibits unusual amounts of perineal or vulvar pain that is unrelieved by the usual pain medications, suspect a...

  7. Do nurses do it all?

    NurseNora replied to babyjen's topic in Ob/Gyn

    My director and I both agreed to that

  8. OB foreign language

    NurseNora replied to HeartsOpenWide's topic in Ob/Gyn

    The first thing to do when you have a FLK is to look at the father. Often that explains

  9. Do nurses do it all?

    NurseNora replied to babyjen's topic in Ob/Gyn

    Small hospital with no in-house docs & I work nights. Every once in a while I have to deliver one, but I'm usually able to get the doc here on time. There's only one who is upset every time he...

  10. Christian Scientists in LDR/PP

    NurseNora replied to pirap's topic in Ob/Gyn

    Allowing for one thing for mom led to her having a section. Perhaps in looking back over her pregnancy and labor she believes she'd have been better off not to have started on the road that led to the...

  11. 02 sat and duramorph

    NurseNora replied to lmc512's topic in Ob/Gyn

    In my hospital, anesthesia standing orders call for O2 sat and respiration to be done hourly for 24 hours. After spinal or epidural narcotics, the patient is at risk for respiratory depression for...

  12. Pitocin induction

    NurseNora replied to californianclextaker's topic in Ob/Gyn

    You ran the Pit appropriatly. Since you were inducing for a non reactive strip, there's no reason to wait for an acceleration to restart the Pit. If this baby had been having accelerations, you...

  13. What would you do?

    NurseNora replied to scattycarrot's topic in Ob/Gyn

    Does your pelivic injury place you at risk for problems carrying the baby or just with delivery? What advice does your current OB have? If you are not at risk for preterm labor or other problems, I'd...

  14. Threatened preterm labor

    NurseNora replied to rnWinn's topic in Ob/Gyn

    Our first treatment is usually SQ Terbutaline, followed by PO Nifedipine or Terbulatine. We only use MgSO4 for tocolysis on the patients we transport, because that's what the Perinatologists we...

  15. Oxytocin Protocols

    NurseNora replied to rnWinn's topic in Ob/Gyn

    In my hospital we mix 30Units in 500 cc NSS which equals 1ml/hr=1mU/min as I've mentioned in the other Pitocin use thread. It makes the dose calculations so much easier and safer. Anyway, each doc...

  16. Evidence-Based practice re: Pitocin Inductions

    NurseNora replied to HazeKomp's topic in Ob/Gyn

    The docs don't read nursing literature. If you want to "prove" anything to a doctor, you have to use literature produced by physicians. ACOG has guidelines that the docs follow. There is a very wide...

  17. Evidence-Based practice re: Pitocin Inductions

    NurseNora replied to HazeKomp's topic in Ob/Gyn

    That's why my hospital moved to 30 Units in 500cc. This dose does go well for those who need fluid restriction, and you always have the same concentration to work with. Calculation errors increase...

  18. How Did You Decide On L&d?? Please Help!!

    NurseNora replied to ashtabella's topic in Ob/Gyn

    I never wanted to be anything but a nurse from the time I was a young child, but I didn't have any idea what type of nursing I would want. My mother used to say "I don't know why you think you want to...

  19. Evidence-Based practice re: Pitocin Inductions

    NurseNora replied to HazeKomp's topic in Ob/Gyn

    In my hospital we use 30 units of Pit in 500cc on normal saline. Yes, it's very concentrated, but it works out to 1ml/hr=1mU/min, so it is less likely to make a dosing error because of a...

  20. AWHONN GUIDELINES

    NurseNora replied to lawilk99's topic in Ob/Gyn

    Make sure your hospital's legal department is aware of the guidelines and that your department is routinely way over them. OB is tends to have the highest awards in malpractice cases. If there is a...

  21. Are all day shift nurse burnt out and crabby

    NurseNora replied to Nursesuzi's topic in Ob/Gyn

    When I was a new graduate working nights, I decided that all 3-11 shift nurses were dumb and all 7-3 nurses were b***hes. When I transferred to 3-11, I was surprized to discover that these nurses...

  22. Am I crazy to leave Postpartum for Cardiac?

    NurseNora replied to RosalindRN's topic in Ob/Gyn

    It's never a mistake to try something new. You may or may not like cardiac, but you won't know until you try it. Even if you don't like it and return to OB, it will not have been a mistake as you will...

  23. post c-section pain control

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

    For the first 24hours after spinal narcotics, all analgesia is handled by anesthesia orders. Each provider is different. Most get Toradol q6h X6 doses starting in PACU, with Percocet available for...

  24. How many RNs in a delivery?

    NurseNora replied to Montessori Mommy's topic in Ob/Gyn

    We have a second NRP qualified RN present at all lady partsl deliveries. Most times she will stay for weights and measures and do eyes and thighs. I send her out as soon as we know the babe is OK...

  25. Dads holding Moms during epidural placement?!?!

    NurseNora replied to miloisstinky's topic in Ob/Gyn

    The father is usually not holding the patient in position, he is just giving her support. The important thing is to keep an eye on him. If he starts looking pale, get to him before he falls over. I...