NurseNora

NurseNora BSN, RN

L&D

Member

  • Content

    572

  • Visitors

    10,938

  • Followers

    0

  • Likes

    15

All Content by NurseNora

  1. Chorio s/s

    NurseNora replied to MKS8806's topic in Ob/Gyn

    What was her contraction pattern like? Often you see spontaneous tachysystole, as you might see in an abruption. The infection irritates the uterine muscle. Or the body knows it needs to empty the...

  2. Shoulder dystocia

    NurseNora replied to mormor's topic in Ob/Gyn

    If you Google shoulder dystocia most of what you find will be from lawyers looking for business--interesting, some of them. There is at least one very good video on U Tube (You Tube?) showing just...

  3. Fundal check

    NurseNora replied to Mary C's topic in Ob/Gyn

    Where was her fundus for the first 2 hours post partum? Was this a change or had she been high all the time? Some women just have a big uterus. I've seen it most often with a grand multip or after...

  4. Shoulder dystocia

    NurseNora replied to mormor's topic in Ob/Gyn

    Always be ready for a shoulder dystocia; most women with risk factors deliver without dystocia, while some women without risk factors do develop dystocia. Before each delivery be sure the standing...

  5. FHR monitoring

    NurseNora replied to MandaRN94's topic in Ob/Gyn

    Anytime you take a damaged infant in front of a jury, they want to throw money at the parents because it's so sad. Even if no one was at fault, they figure the money comes from the big insurance...

  6. Beta Strep

    NurseNora replied to TLSpaz's topic in Ob/Gyn

    Remember that most babies, even from GBS + moms who aren't treated will be negative. No, I do 't have the reference on that, I'll leave it to you to look up. The most importa t thing is to watch the...

  7. L&D Nurses: What's in your pockets?

    NurseNora replied to ischialspines's topic in Ob/Gyn

    A pair of hemostats hangs from the top edge of the pocket with a small roll of tape centered over them. In the pocket are 1-5 pens depending on how far into the shift I am and whether it's a pen...

  8. L&D nurses: Advice please!

    NurseNora replied to magn1jes's topic in Ob/Gyn

    As others have said,stay upright, move around, have good supportive people around you, talk with your provider in advance. If your hospital offers a tour, take it and ask about their policies and...

  9. What are your Doses for Mag Sulfate and Pitocin at your facility?

    NurseNora replied to live&love&heal's topic in Ob/Gyn

    Mg is 6 gm bolus for preterm labor, 4 gm for preeclampsia. Pit is started at one mU/min, then increased by 1-2 mU/min q30min. There other protocals, some starting as high as 6 mU/min. ACOG is OK with...

  10. Postpartum pericare

    NurseNora replied to rn4babies63's topic in Ob/Gyn

    Warm water in the peri bottle, pat dry (remind them front to back). No special antibacterial stuff added. We don't use Sitz baths enough. Sometimes you have to push to get a patient with a sore bottom...

  11. Aminioinfusion

    NurseNora replied to winter_green's topic in Ob/Gyn

    AWHONN is OK with or without a pump (see Principals and Practice of Fetal Monitoring). Some people think a pump could force too much fluid into the uterus and cause it to rupture. But the pumps we use...

  12. I cry after I see a baby born-can you give me some advice

    NurseNora replied to JerseyBSN's topic in Ob/Gyn

    After over forty years in L&D, I still cry at some deliveries. No biggie. If you don't try so hard to fight it, the emotions you feel may not be quite so overwhelming. Just keep doing what needs...

  13. Cleaning fetal monitor equipment

    NurseNora replied to clo883RNC's topic in Ob/Gyn

    Remember that no one puts dirty equipment away because she is bad or wants to harm someone. We're all human and have a tendency to become lazy and or careless from time to time. That said, what...

  14. Charting MVU's

    NurseNora replied to VagabondRN's topic in Ob/Gyn

    That's a really high resting tone. Did her uterus palpate soft betwitioneen contractions? If not, was she abrupting? That's always my first thought when I get a high resting tone. Document what you...

  15. Tips and tricks of Postpartum Nursing

    NurseNora replied to Florence NightinFAIL's topic in Ob/Gyn

    Tell your moms to void according to the clock for the first coupld of days rather than waiting to feel the need. After passing a baby down there, they don't get the signal as clearly for a while. Go...

  16. Supporting a woman in labor...

    NurseNora replied to winter_green's topic in Ob/Gyn

    AWHONN has a booklet on managing the second stage of labor. You can get it from their website, even if you're not a member (you'll just not get the member discount). There is a lot of good information...

  17. Charting MVU's

    NurseNora replied to VagabondRN's topic in Ob/Gyn

    Studies show that an IUPC does not increase the infection rate in lady partsl deliveries, just in sections. AWHONN does not have a standard as to how often to calculate MVUs. In fact, not everyone...

  18. Have you CYA if you make a "note" that a patient won't follow policy?

    NurseNora replied to peeweedelivery's topic in Ob/Gyn

    I probably would have let the father carry the baby out and documented that he refused to follow our policy after explanations as to the risk involved in not following out policy. I tend to let...

  19. Unethical or just plain dumb or am I missing something???

    NurseNora replied to L&DRN03's topic in Ob/Gyn

    If this pregnancy was the result of IVF, the parents might be willing to take any chance at all of getting a baby. If she was given full information as to the risks to her, the chances of getting a...

  20. Do you have techs?

    NurseNora replied to KatieL&D's topic in Ob/Gyn

    In the rural hospital where I work, we have a tech and a secretary in L&D unless the census is low, when they will send the secretary home and the tech does her work as well as her own. In the PP...

  21. On call pay for OB nurses

    NurseNora replied to cebuana_nurse's topic in Ob/Gyn

    I get $2/hr on call pay and time & a half if I'm called in. Since I live more than 30 min from the hospital, I take call in house (as you well know, you can spend only so much time shopping...

  22. Does working in L&D affect your sex drive?

    NurseNora replied to adpiRN's topic in Ob/Gyn

    It's never affected my sex drive; just made me even more careful with birth control (in the old days when that was still an issue). But I don't leave work entirely separate from my home life. When we...

  23. what's the most deliveries you've done in a 12 hour shift?

    NurseNora replied to adpiRN's topic in Ob/Gyn

    Once in the old days when I was a young nurse, before fetal monitors, I had 8 deliveries and 6 admissions in an 8 hour shift with 2 nurses and a tech. One of us ran up and down the halls checking FHTs...

  24. Floating

    NurseNora replied to JenRN99's topic in Ob/Gyn

    I always advise people to go to risk management with these kind of problems and tell them what AWHONN standards are and how your are deviating from these standards. Remind them that OB malpractice...

  25. fundus checks

    NurseNora replied to zacarias's topic in Ob/Gyn

    When you have trouble feeling a fundus, make sure the head of the bed is completely flat. For some women, especially the fluffy ones, having it up even a little bit can make it harder to find the...