NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. The most ridiculous birth plans you've had the pleasure of reading

    NurseNora replied to PeepnBiscuitsRN's topic in Ob/Gyn

    When someone comes in with a birth plan, I usually get her. The odder the plan, the more likely I'll get the patient. "Nora, do we have a patient for you!" First, I go over it with the couple. The...

  2. L&D Textbook

    NurseNora replied to thefmgirl's topic in Ob/Gyn

    Go to the AWHONN website. First, you should join because it's always a good idea to belong to your professional organization. Also, you get discounts on books, webinars, classes, etc if you're a...

  3. Ob/gyn reading

    NurseNora replied to ccahill's topic in Ob/Gyn

    Read all the patient handouts in the office and any books recommended by your docs for their patients. As you continue in this job, you will find that there are certain questions that come up...

  4. Internal/External Os

    NurseNora replied to climbingeverest's topic in Ob/Gyn

    Rarely you will encounter a situation where the cervix seems to be dilated to 6 cm, but on further investigation, you find a 2cm opening posterior to what you first felt. That 2cm opening is usually...

  5. Postpartum Hemorrhage tool kit

    NurseNora replied to l/dmom's topic in Ob/Gyn

    The address for California's PPH Tool Kit is: cmqcc.org that site is a wonderful resource for many things

  6. B/P and Seizures

    NurseNora replied to knufflebunny's topic in Ob/Gyn

    A woman with pre eclampsia can seize at any blood pressure. With the kind of pressures your patient was running, I'd be worried about a stroke or an abruption. Labetolal drips usually require...

  7. Gestational Age vs. Age by Exam

    NurseNora replied to babaloo's topic in Ob/Gyn

    Gestational age figured by EDC is accurate to plus or minus two weeks. That assumes the woman has regular cycles, keeps track of her periods and remembers the date of her last period, and didn't miss...

  8. New grad in L&D with severe anxiety and stress

    NurseNora replied to Neohippy's topic in Ob/Gyn

    So happy to hear the good news. You'll do

  9. Postpartum Hemorrhage tool kit

    NurseNora replied to l/dmom's topic in Ob/Gyn

    Google PPH toolkit. California has developed something that you could use as a starting

  10. Please tell me they are not all like this...

    NurseNora replied to SwampCat's topic in Ob/Gyn

    When I worked in a Big City teaching hospital, one of my goals was to remind the interns and residents that birth is not an illness, but a normal part of a healthy woman's life. That's one way of...

  11. New grad in L&D with severe anxiety and stress

    NurseNora replied to Neohippy's topic in Ob/Gyn

    One question you could ask is how does your preceptor think you are doing. What are your specific weaknesses that you need to work on. What are her suggestions to improve in these areas. What are your...

  12. New rule- must call MD before doing anything. How about at your hospital.

    NurseNora replied to OBERrural's topic in Ob/Gyn

    Probably has something to do with doing away with standing orders. Make sure the docs know that they will be getting 3am calls requesting orders to take vital signs, check FHR, and evaluate for labor....

  13. Brand new in POSTPARTUM

    NurseNora replied to j0yegan's topic in Ob/Gyn

    You shouldn't be expected to "just know" any protocols or orders. They should be written down somewhere. Review the Protocol and Procedures manual. In my department, we have the hospital wide P&P...

  14. Sterile Vag Exams: HELP!

    NurseNora replied to diamond_girl's topic in Ob/Gyn

    Do lots of checks. Ask other nurses who have patients wth epidurals an intact membranes if you can check their patients. Look closely at the sagital section diagrams go women at different stages in...

  15. New Grad Nurse in L&D Orientation Needs Advice

    NurseNora replied to CammieFairfax's topic in Ob/Gyn

    Have your preceptor check first and then talk you thru the exam: "it's really posterior, you have to feel way back there." It's really thin and hard to feel" or whatever the situation is. This is...

  16. Presentation on Pain Management in Postpartum Woman with a Vaginal Delivery

    NurseNora replied to kriistaa16's topic in Ob/Gyn

  17. Do you scrub and/or circulate c-sections?

    NurseNora replied to cosmicmama's topic in Ob/Gyn

    I have scrubbed and circulated in the two large teaching hospitals where I have worked (one in Phoenix). Currently I work in a small rural hospital where I circulate for C/S. Ten years ago when I...

  18. Do not like L&D!!

    NurseNora replied to knufflebunny's topic in Ob/Gyn

    In the hospitals where I've worked, L&D recovers Mom and babe for the first 1-2 hours before sending to Post

  19. Do you turn off Pit when adequate labor is established??

    NurseNora replied to Bridget41040's topic in Ob/Gyn

    The half life of Pit is 10-15 min and it takes 3 half lives to reach a steady state blood concentration. That's why the AWHONN recommendation is to not increase more often than q30min. When we...

  20. Excessive pain during labor effects

    NurseNora replied to Kaysmom8's topic in Ob/Gyn

  21. How do you know if you suck? ;-)

    NurseNora replied to seemerun's topic in Ob/Gyn

    Last night, as my patient was pushing, I was having trouble keeping the baby on the monitor and the baby nurse took over adjusting the monitor from me and was able to get a much better recording than...

  22. IPad apps

    NurseNora replied to Saalbunch's topic in Ob/Gyn

    There are several Pregnancy Wheels on line for free or under a dollar. Some give a month by month list of fetal development. There are also apps such as BiliCalc with charts on age and bilirubin...

  23. OB nursing was the one thing I didn't want to do!

    NurseNora replied to SubSippi's topic in Ob/Gyn

    I don't like children and never wanted any of my own. I expected to hate OB and Peds. I did hate Peds, but when I saw my first delivery, I knew that was what I'd do for the rest of my life. I was...

  24. RN Struggling After Neonatal Death

    NurseNora replied to jndavis21's topic in Ob/Gyn

    Also, you only code for about 10 min without a heart rate. So, when the transport team arrived they wouldn't have worked on the baby longer than 10 without a rate. We recently hade a code with Apgars...

  25. RN Struggling After Neonatal Death

    NurseNora replied to jndavis21's topic in Ob/Gyn

    At one point in my career, I used to have to remind myself through the whole drive to work, every day, that who lives and who dies isn't up to me. I am not the Final Authority on that. I can do...