NurseNora

NurseNora BSN, RN

L&D

Member

  • Content

    572

  • Visitors

    10,937

  • Followers

    0

  • Likes

    15

All Content by NurseNora

  1. Urgent Csection

    NurseNora replied to Tink1987's topic in Ob/Gyn

    If the counts don't agree, you get an X Ray. That's all there is to it. Since you were doing it for bradycardia, the doc could have called it an emergency and done it without counts at all, and then...

  2. L/D RN learning to scrub for c/sec

    NurseNora replied to massbaby's topic in Ob/Gyn

    when I first was taught to scrub, I had to go to the OR to learn. I thinkOR technique is best taught in the OR. Since sections are done in L&D, the basic technique is done on routine abdominal...

  3. Overcrowding in L&D

    NurseNora replied to perfexion's topic in Ob/Gyn

    We've canceled elective inductions and scheduled repeat sections, sometimes even turned off the Pit and discharged inductions that have been started but not kicked into labor yet. I've also had women...

  4. Bedside report in labor and delivery

    NurseNora replied to massbaby's topic in Ob/Gyn

    Be careful about letting the patient sleep. Too many nurses in my unit used that as an excuse to not do report at the bedside, so now bedside report is done on everyone, awake or asleep. We just warn...

  5. Cremation services for fetuses (>20 EGA). I swear there's a question in here. : )

    NurseNora replied to ragingmomster's topic in Ob/Gyn

    We only offer free cremation for less than 20 weeks and the family doesn't get the remains

  6. Do you have an OB in the hospital 24/7?

    NurseNora replied to adpiRN's topic in Ob/Gyn

    I spent 30 years working in big city, high risk, teaching hospitals where the nurse had to fight her way thru the med students, interns, residents, and attending a to get to her patient. When I moved...

  7. totally missed vaginal exam

    NurseNora replied to motheringheart's topic in Ob/Gyn

    It happens to everyone. Practice is the only remedy. But from time to time you'll make mistakes once your seasoned too. I still

  8. Learning FHR interpretation

    NurseNora replied to JoyfulRN14's topic in Ob/Gyn

    I'd say 175 with decelerations. When you're not sure, it's safest to err on the safe side. Turn off or down the Pit since you have 5 contractions in about 8 min. Change position and give a fluid...

  9. Titrating Oxytocin

    NurseNora replied to SeattleRS24's topic in Ob/Gyn

    As the previous poster mentioned, it's more than 5 contractions in 10 min averaged over 30 min. So if you have a 10 min period with 6-8 contractions, look at the previous 20 min. If you have 15 or...

  10. Finding PMI for Continuous FHR Monitoring

    NurseNora replied to Nursero's topic in Ob/Gyn

    AWHONN has an Intermediate Fetal Monitoring course that includes practice doing Leopold's. It's suggested for nurses with 6 months L&D experience, so you're just ready for it. Go to AWHONN.org to...

  11. Estimating Lochia

    NurseNora replied to blossom856's topic in Ob/Gyn

    For "standardized" all I can think of us to weigh the pads before and after use. One gram is about one cc of blood. California has a very extensive program on preventing postpartum hemorrhage. Google...

  12. Run-in with a doctor

    NurseNora replied to Nurse_Gaby's topic in Ob/Gyn

    Learn the difference between assertion and aggression. It took me a long time to work that one out. No matter how rude or offensive a physicians behavior, he/she still deserves to be treated with...

  13. FINALLY LEAVING ER 😃😃 OB here I come

    NurseNora replied to Vyshness8699's topic in Ob/Gyn

    Be prepared to feel lost and stupid for a while. You're used to knowing what to do and feeling competent and moving to something so new is a real shock. You'll learn. No one expects you to know it...

  14. variable deceleration vs early ones

    NurseNora replied to tsm007's topic in Ob/Gyn

    The difference is that 30 seconds mentioned by the previous poster. A variable deceleration varies in shape, timing, length and depth. The main way of identifying a variable is by how long it takes to...

  15. OB dream job - only psych experience

    NurseNora replied to califoRNia.'s topic in Ob/Gyn

    AWHONN intermediate and advanced fetal monitoring classes are for nurses with six or one year of experience in fetal monitoring. There is an online Basic class available at their website. Don't spend...

  16. Understanding TOCO Monitor (Tocodynamometer): How to Monitor and Read Contractions

    NurseNora replied to Wendy Sutas's topic in Ob/Gyn

    Leopold's will help you picture where the fetal back is (where you want to place the US). Your unit should have a library that contains helpful books. Varney's Midwifery or the AWHONN P&P of Fetal...

  17. Hating L&D

    NurseNora replied to NeoPediRN's topic in Ob/Gyn

    Discuss your feelings with your preceptor and see if she can help you out. Three weeks is enough time to get terrified, bu not yet enough time to learn that there is a lot that you can do and to fell...

  18. Run-in with a doctor

    NurseNora replied to Nurse_Gaby's topic in Ob/Gyn

    No one has the right to publicly shame you. When the doc started in on you in the patient's room, you had the right to say, "Let's discuss this somewhere else" and leave the room. In front of your...

  19. unit "culture"

    NurseNora replied to cayenne06's topic in Ob/Gyn

    I spent a couple years refusing to take baby fron Mom to do measurments and weights. I really pushed for others to do skin to skin (just demonstrate a few times how much better the baby goes to...

  20. Newborn Baths

    NurseNora replied to leagrace18's topic in Nursing Student Assistance

    We bathe between two and twelve hours, depending on temp stability, breastfeeding, and parental

  21. unit "culture"

    NurseNora replied to cayenne06's topic in Ob/Gyn

    Currently I work in a small, 80 deliveries per month, rural hospital. We're not Baby Friendly, but are very supportive of breast feeding. We have 3 OBs, 1 Family Practice, and 1 CNM who deliver here....

  22. L&D/ NICU prep

    NurseNora replied to MQSN's topic in Ob/Gyn

    I'd recommend joining AWHONN (Association of Women's Health, Obstetric, and Neonatal Nursing). As a member, you will be eligible for some free materials and discounts on things from their bookstore...

  23. Anyone switch from L&D to MB?

    NurseNora replied to Calinurse4's topic in Ob/Gyn

    L&D isn't for everyone. You'll be able to use some of what you learned there in MB. L&D is stressful for everyone at times, but it should be better for you by now. There is no shame in...

  24. Designated delivery team

    NurseNora replied to kejRN88's topic in Ob/Gyn

    My hospital does about 80 deliveries a month. For low risk deliveries, whoever is least busy with her patients is catcher (we all have NRP). Usually baby goes skin to skin right away and stays there...

  25. Do you mix your own pit?

    NurseNora replied to perfexion's topic in Ob/Gyn

    Yes, 1ml/hr=1mU/min. That's why I like that concentration. No math to do at