NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. confused on 0-10 w.prepidil and events last nite

    NurseNora replied to greenykilt's topic in Ob/Gyn

    When you have central monitoring, you are watching it all the time you are not in your patient's room. BUT you need to be in your patient's room frequently. If you don't have internal monitoring, the...

  2. Post c/section diet

    NurseNora replied to Elvish's topic in Ob/Gyn

    How do you know they're tolerating clears if they're NPO? I remember patients being on tea and tap water for the first 3 days. Boy have things

  3. confused on 0-10 w.prepidil and events last nite

    NurseNora replied to greenykilt's topic in Ob/Gyn

    Of course, not having been there, I can't tell you what happened, only make some guesses. It's not uncommon for women to go into labor from the ripening agent. Especially multips, which this woman...

  4. Post c/section diet

    NurseNora replied to Elvish's topic in Ob/Gyn

    Our orders are to advance as tolerated. Some will insist on a burger and fries first thing, and some do tolerate it. I haven't seen an ileus since they improved post operative pain management....

  5. What do you start IVs with in your OB unit?

    NurseNora replied to LNDRN2's topic in Ob/Gyn

    If you ever need to push blood products in under pressure, you'll be very glad for that 18ga. I believe that is standard for OB. We only put in a 20 ga if it's impossible to put in a larger one. When...

  6. How to Do Sterile Vaginal Exams

    NurseNora replied to jennymaths's topic in Ob/Gyn

    Let your preceptor check the patient first. Then when you follow her tell her what you are or are not feeling and she can sometimes guide you to the cervix. Look at the illustrations in textbooks and...

  7. Circulating c-sections

    NurseNora replied to shebbie's topic in Ob/Gyn

    When I worked in the big city Level 3 busy L&D, all nurses were trained to circulate, many chose to learn to scrub as well. There was a wonderful old scrub tech who trained everyone. Medical...

  8. Using Narcan to help Pts to Void Post C/S

    NurseNora replied to Hyrita's topic in Ob/Gyn

    We don't have orders to use Narcan for inability to void, but our post Duramorph anesthesia orders do say to notify anesthesia if patient is unable to void (in the first 24hrs after Duramorph...

  9. how do you deal with difficult physician/surgeons

    NurseNora replied to meriposa's topic in Ob/Gyn

    If these docs are impossible to please, accept that fact and work to please yourself. They're not going to change, so just do your best so that you feel happy about your work. Do you have a detailed...

  10. jacuzzi use during labor

    NurseNora replied to shebbie's topic in Ob/Gyn

    My hospital doesn't have a specific protocol about the temperature of the water, but many places do. I think the waterbirth website mentioned earlier may give you some information on that. As women...

  11. First night off orientation- feeling overwhelmed

    NurseNora replied to ibambamama's topic in Ob/Gyn

    This forum has worked for you exactly the way it is supposed to work. You had a chance to vent and in doing so gained a new insight into your situation. That's why I love this place so much. Sounds...

  12. Is it ok to work in different specialties of nursing?

    NurseNora replied to LeLeeFNP's topic in General Nursing

    I've worked L&D for 40 years. I retired once, missed it and came back part time. It (birth) never bores me; I get to participate in miracles every day at work. On the other hand, if you don't have...

  13. Postpartum Nursing Question

    NurseNora replied to Hozgur's topic in Ob/Gyn

    Check with your local community colleges, many of them offer a two year ADN program. You could also check with your state Board of Nursing to see what nursing schools are available in your area....

  14. how long before u get to do stuff?

    NurseNora replied to reddellrn's topic in Ob/Gyn

    There are lots of things you can do in L&D without taking a fetal monitoring class. Whoever is working with you should be teaching you the basics of how to look at a strip. You could be doing...

  15. Is Right Wrong?

    NurseNora replied to silverbelle's topic in Ob/Gyn

    Either side is OK. If a pregnant woman is lying on her back, the weight of the large gravid uterus compresses the aorta and vena cava, reducing cardiac output and thus reducing uterine perfusion and...

  16. V.O.R.B

    NurseNora replied to HeartsOpenWide's topic in General Nursing

    In a delivery, there's no way he's going to break scrub and write the order for you. Many situations in OB can be considered "Emergent" and a verbal order is is acceptable. No doc is going to give you...

  17. Finding a lucrative niche in a warm weather state.

    NurseNora replied to flg8tr's topic in General Nursing

    You could try the Indian Health Service. The pay isn't that wonderful, but in some places housing is included and I think a 2 year commitment will cancel out most of your student loans. There are...

  18. help me figure out what went wrong with this pt's labor!

    NurseNora replied to adpiRN's topic in Ob/Gyn

    When the BP drops, one of the body's compensatory mechanisms if to vasoconstrict all the unnecessary organs. Unfortunately for us, the uterus is not considered necessary to the body. This mechanism...

  19. Postpartum Nursing Question

    NurseNora replied to Hozgur's topic in Ob/Gyn

    If money will be an issue, try a 2 year ADN (Associate Degree Nursing) program where you can take the LPN liscening exam after one year. My hospital hires LPNs for Post Partum if they plan to complete...

  20. RhoGAM and Coombs

    NurseNora replied to NeuroNP's topic in Ob/Gyn

    Blood type O has no antigen in it to cause a reaction in a recipeint, that is why O is the universal donor. Type A has A antigens and type B has B antigens and type AB has both A and B antigens....

  21. Help with suctioning neonate after delivery please!

    NurseNora replied to PEDSOBRN's topic in Ob/Gyn

    Remember that around the world, there are more babies born (and surviving) with no suction at all. It's not often a baby needs more than the bulb syringe. Positioning and encouraging crying is usually...

  22. ob meds and calculations

    NurseNora replied to reddellrn's topic in Ob/Gyn

    Milliunits/min is never in the calculation book. If you put 3 amps (30 Units) in 500cc it works out to 1mU/min=1ml/hr on the pump. If your hospital isn't using that dilution, try to get them to...

  23. Circumcision at change of shift?

    NurseNora replied to Rhee's topic in Ob/Gyn

    When I was a young nurse the OB used to do the circs in the delivery room. I'm glad things have changed. In the hospital where I now work, the Ped providers all do them in their office and not in the...

  24. Case Presentation Help

    NurseNora replied to CollaborateRN's topic in Ob/Gyn

    Don't know if you need any teaching resources, but my two favorite sites for free downloadable breastfeeding information, available in both English and Spanish, are the Mass. Breastfeeding Coalition...

  25. New RN L&D advice

    NurseNora replied to clb6885's topic in Ob/Gyn

    Don't worry about what you don't know yet, that's why they have orientation--to teach you what you need to know. Be patient with yourself and remember you're not expected to know everything right off...