RNnL&D

RNnL&D

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  1. Britney demanding background checks for her L&D nurses..

    RNnL&D replied to Peachy720's topic in Ob/Gyn

    Maybe she should plan a homebirth. She'd have more control over who was allowed in for that.

  2. ? about uterine fibroid cyst

    RNnL&D replied to LeahJet's topic in Ob/Gyn

    Although I haven't actually been told that you'd measure bigger with a fibroid, it would make sense if the fibroid is very large. The biggest I've seen was grapefruit sized and blocked the cervical...

  3. availbility of overtime

    RNnL&D replied to meaton1421's topic in Travel

    We have two travelers working the night shift in L&D right now. They generally, don't get any OT. We do have extra shifts each month, but regular staff is required to pick them

  4. CPD question

    RNnL&D replied to mandykal's topic in Ob/Gyn

    I don't think there really is a definitive way to diagnose CPD, prior to labor. Some studies have been done using pelvimetry (Xrays of the pelvis). But, they have not shown to improve or effect...

  5. No fundal checks for post-op C-sections?

    RNnL&D replied to daisybaby's topic in Ob/Gyn

    What???? That is just nuts. Besides lochia, I would think fundal assessment is the most important assessment on a postpartum patient, regardless of mode of

  6. No fundal checks for post-op C-sections?

    RNnL&D replied to daisybaby's topic in Ob/Gyn

    I agree. Crazy info! Checking the P&P manual is a good idea. But what about a pathway? Do you follow clinical paths for vag and csection patients? It should be included there. Unless I was shown...

  7. When is the right time to push?

    RNnL&D replied to NursePamela's topic in Ob/Gyn

    That was for safety's sake. If a unit is extremely busy, it is unsafe to run Pitocin on patients, without the staff to adequately monitor

  8. Questions about moms in labor

    RNnL&D replied to lee1's topic in Ob/Gyn

    I had a patient come to triage c/o contractions for 1 hour. She was so stoic, I thought she was probably in early labor. When I got FHT way down, practically in her pubic hair, I said, Uh, I'm going...

  9. What do patients say that irks you?

    RNnL&D replied to NurseforPreggers's topic in Ob/Gyn

    I really wouldn't suggest continuing that practice. If you want to use the Dyna map yourself when I walk out of the room, so be it, but I'm not responsible for treating anyone other than my

  10. What do patients say that irks you?

    RNnL&D replied to NurseforPreggers's topic in Ob/Gyn

    No, not accurately. A late trimester US can be off by a pound or more. Which is some of these "large for dates" babies induced early come out 6 or 7 lbs. While there are medical indications for some...

  11. How Many is Too Many

    RNnL&D replied to Fiona59's topic in Ob/Gyn

    I'd be interested in viewing their website. There were some questions that weren't covered on the TV show. Personally, I don't agree with Ezzo parenting, and it's sad to think there are so many kids...

  12. We lost a mom

    RNnL&D replied to LauraLou's topic in Ob/Gyn

    I am so sorry you have had to deal with this. Hopefully, it's not something you'll have to go through again. We lost a Mom a year and half ago to an amniotic embolism about an hour after her water...

  13. Tell me what you like and dislike about nurse midwives

    RNnL&D replied to midwife2b's topic in Certified Nurse-Midwives, CNM

    That would be so cool. Unfortunately, in the US, homebirth only accounts for 1% of births. My youngest was born at home, unassisted actually. He wanted to come a little too fast.

  14. Tell me what you like and dislike about nurse midwives

    RNnL&D replied to midwife2b's topic in Certified Nurse-Midwives, CNM

    :chuckle That's funny. I read that, and thought, WOW, that's really high. I believe our epidural rate is about 65%. I was actually kind of surprised to discover that, because, for being a low...

  15. Holding up the legs during delivery

    RNnL&D replied to bfusco's topic in Ob/Gyn

    Are there not foot pedals and/or stirrups on your labor beds? I have seen something advertised that slip onto the feet so Mom can pull on them, basically the same idea of holding the legs up. It was...

  16. Questions from an aspiring CNM

    RNnL&D replied to SeekingNur's topic in Ob/Gyn

    My feelings exactly. I thought I would get through nursing school, then go right on to work on my MSN. Once I started working in L&D, I realized I didn't want the added responsibility of being a...

  17. need tips for fundal checks

    RNnL&D replied to snwflknurse's topic in Ob/Gyn

    I always start at the umbilicus and work up or down from there. For discomfort, you're just going to have to accept that it will be uncomfortable for some Moms. With Csection Moms, I try to have them...

  18. How Many is Too Many

    RNnL&D replied to Fiona59's topic in Ob/Gyn

    I assume they were talking about luxury items. They were all well clothed and the pantry was overflowing. These kids did seem to take turns getting some one on one mom and dad time. Now, I agree, 16...

  19. Questions from an aspiring CNM

    RNnL&D replied to SeekingNur's topic in Ob/Gyn

    You're right. :) I see my CNM for all of my Women's health needs, Paps, prenatals, labor, delivery, birth

  20. How Many is Too Many

    RNnL&D replied to Fiona59's topic in Ob/Gyn

    You make a good point. However, if this is the same family I have heard of, they don't have anyone "picking up the slack". Their philosophy is, if they don't have the money for it, they just don't...

  21. How Many is Too Many

    RNnL&D replied to Fiona59's topic in Ob/Gyn

    Was this the same family that was on TLC's 14 kids and pregnant again? When they showed them last, it was Christmas time and the 15th was about 6 or 7 months. I imagine they've had time since then to...

  22. Anyone in Dayton?

    RNnL&D replied to BigJeff's topic in Ohio Nursing

    I graduated from Kettering. :) Anthem hasn't affected us too much yet. L&D patients are supposed to be able to maintain their delivery plans up until July 1

  23. How many deliveries a day?

    RNnL&D replied to Marissa22's topic in Ob/Gyn

    14??? In the whole hospital? Wow, that is tiny. And I thought 35 was small.

  24. What do patients say that irks you?

    RNnL&D replied to NurseforPreggers's topic in Ob/Gyn

    I think it depends on the facility. Where I work, we don't give epidurals before 4 cm

  25. How many deliveries a day?

    RNnL&D replied to Marissa22's topic in Ob/Gyn

    What about infection control? I worked a small community 35 bed hospital, and it wasn't unusual for the "PP" unit to take overflow peds, ortho, etc. But we never took any patients with pneumonia, RSV,...