NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. OB Emergencies

    It's sad that in our society, whenever there's a bad outcome people look to blame someone for it. What needs to be done if for people to sit down together and discuss what happened and why. How did...
  2. First, remember that you're being trained. You're not supposed to know the names of all the instruments right now, you're supposed to learn them. Handle them a lot. Once you're more familiar with...
  3. Needing some reassurance about returning to work, Please!!!

    I retired for 4 1/2 years and ran short of money and had to go back to work. I was terrified of how I would do. L&D is a lot like riding a bicycle, it does come back to you. Yes there have been...
  4. Why do nurese sign up with agencies?

    Another reason to work for an agency. When I need extra money, I can work extra shifts--there are usually plenty available. But I find I get burned out if I work too many shifts at my full time job....
  5. Interviewing potential staff nurses

    One question I was asked at my last interview was, "What should I know about you that we haven't covered
  6. Breastfeeding after c-section

    Last place I worked, mom & babe stayed together and were recovered together. Baby was usually ready to nurse about 1/2 hr after mom got to recovery. Where I work now, we do our C/S in the OR....
  7. It's a Hospital, Not a Hotel (Gripe)

    Don't we all have those days? I think it's good to be able to just get it off your chest like this from time to time. I often leave notes for my nurse manager when I've had some especially demanding,...
  8. How do I chart during Epidural procedure?

    Yes, check in your P&P manual for what is your hospital's requirement. Your preceptor should have had you do that. Ours is BP, P, O2 Sat or Resp q2m X5, Q5m X2, then Q15m until delivery. After...
  9. Commonly used drugs

    Ephedrine is used in OB because it is one of the few vasopressors that doesn't reduce uterine blood flow as it works. In our hospital, our standing anesthesia orders give the dose of Ephedrine to be...
  10. "Witch's Milk"

    Can occur in either male or female infants. The infant is exposed to high levels of female hormones while in utero which are suddenly withdrawn at delivery. That sudden withdrawal of hormones is what...
  11. Positive GBS culture but declined antibiotics

    The couple I had who refused antibiotics despite being beta strep+ came armed with information they had gotten on the internet about the dangers of using antibiotics in all GBS+ babies. It said there...
  12. Not sure how to word this - fingers in while pushing

    As with so many other posters here, it is a very individual issue. I've used sweeping motions and straight down pressure; everyone responds differently. I use either one rarely, but someone having...
  13. What do patients say that irks you?

    Our patients and their support persons are encouraged to help themselves in the patient snack kitchen. It is unusual for them to take that suggestion quite so literally. Not everyone requests or...
  14. What do patients say that irks you?

    Had a really irritating patient and family last week. She wasn't in labor, but the family made such a fuss when she was sent home, the doctor admitted and induced her. The family was present in large...
  15. distended bladder

    Cranberry juice helps keep bacteria from sticking to the lining of the bladder, thus decreasing UTI. Doesn't help with distended bladder. Try a little oil of peppermint in teh toilet. The fumes seem...
  16. Not quite understanding preeclampsia

    You have some major research to do, but here's a quick answer. The cause still isn't completely known, but some women develop a condition associated with high blood pressure, protein in the urine,...
  17. Britney demanding background checks for her L&D nurses..

    I did hear that she's been living in Scottsdale for some time. Many people in Arizonia refer to the town as "Snottsdale" since it's famous for it's rich and famous people. I once worked in a hospital...
  18. Women's Reactions to L&D Nurses Outside the Hospital

    When I was in my OB rotation in nursing school, an aunt told me in great detail about the birth of my cousin. This in a very up tight family where things like this were never discussed. I was very...
  19. When is the right time to push?

    Nurse Pamela, there are no hard and fast rules in OB. That is the only hard and fast rule you'll find. A multip with a really strong urge to push and a really elastic cervix may be able to start...
  20. Orientation

    I can't imagine anyone just being thrown onto the floor to sink or swim on their own on the first day. We even orient travelers with a preceptor for a couple of days. People new to OB get 12 weeks....
  21. Guess what happened to me the other night...

    Many, many years ago when the world was young and the ages dark and I was a new nurse, I was in a delivery where the doctor asked the nurse to give some fundal pressure (it was a really long time ago...
  22. Holding up the legs during delivery

    I'm a hands on person and prefer human contact to any equipment I've ever seen. Family members are great at saving the nurse's back. And good body mechanics is important. Remind the patient not to...
  23. need tips for fundal checks

    Having the bed very flat is the key. With a fluffy patient it is expecially important. And make sure she isn't holding her head up to watch what you are doing because that tenses the abdominal...
  24. Women who don't know they're pregnant

    Most of the Moms claiming they didn't know they were pregnant, I don't believe. So often they're teens who just refused to admit it. But there was one I believed. rea She was 38 years old and had had...
  25. How many deliveries a day?

    Currently work in a hospital that does about 75 deliveries a month. Some days there are no deliveries. We are all expected to do labor, post partum and nursery, but they make exceptions for old timers...