RNnL&D

RNnL&D

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All Content by RNnL&D

  1. Help me decompress

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

    Unfortunately, that is true. I have had a couple "pregnant" pts show up in L&D who are not even pg. One woman went on and on about her symptoms, the contractions, yada, yada. During her admission...

  2. opinions about epidurals

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

    I think that is a large part of it, for me at least. I've had 4 babies, 4 different experiences. The first, I labored unmedicated for most of it. 14 hours in, I opted for pain meds but didn't like how...

  3. L&D nights just as busy as days?

    RNnL&D replied to HappyNurse2005's topic in Ob/Gyn

    Yep, it can be. And if days was really busy, it usually carries over into night shift. I love working nights. For a couple reasons, more autonomy on nights as the docs aren't "right there", and a more...

  4. Walking during labor...please bear with me

    RNnL&D replied to 2curlygirls's topic in Ob/Gyn

    Yes. It seems to help more in early labor than active labor. Although, depending on who you ask, it doesn't help at all. IMO, movement is what helps, both for optimal positioning and for maternal...

  5. Time outs for C sections

    RNnL&D replied to Suebee6's topic in Ob/Gyn

    Yes, we do Time outs for Csections (and circs, and epidurals). We didn't always, only the last year or so, after a JCAHO survery said they were required. The docs generally do them with no complaints....

  6. Epidural placement as a "spectator sport"

    RNnL&D replied to Suebee6's topic in Ob/Gyn

    We use to allow one support person in during the epidural, until the case where the Dad passed out, bumped his head, and died. So now, the CRNA's don't allow anyone in. Although, some of the...

  7. L&D as a separate unit.

    RNnL&D replied to Bibi-OBRN's topic in Ob/Gyn

    We have 12 beds in LDRP/Antepartum. And 14 beds in PP/GYN. Plus a SCN. We circulate and recover our CS's. Nurses are generally assigned to one area. Everyone is cross trained for PP pts because we do...

  8. Does it ever get old?

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

    I wouldn't say that it gets "old", but some births seem to be more routine than amazing. I am still moved at many deliveries, but with the pts I don't quite click with, the pts who are downright mean,...

  9. Cerclage at 19wks

    RNnL&D replied to RaeT,RN's topic in Ob/Gyn

    You could monitor with the toco at least, at 19 weeks, unless Mom is "fluffy". I could see her removing the cerclage if her cervix was starting to change even with it, or if the membranes were coming...

  10. What Are Your Vital Sign Requirements For A Normal Newborn?

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

    We do VS at birth, 30 minutes, 60 minutes, then hourly x3, q 2hrs x 1, then q

  11. Post C/S patient care

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

    We are using Duramoprh for most of our CS now, so our protocol has changed a bit. In RR, we do VS, O2 sat and fundal/lochial checks q 15 minutes. (Generally, about 1 hour). For PP with Duramoprh:...

  12. VBAC with little to no interventions (super long)

    RNnL&D replied to RaeT,RN's topic in Ob/Gyn

    I've discovered that while docs may discuss the reasons, risks, benefits of induction, CS, etc., the don't generally inform pts about the nursing care involved. As in, the scheduled inductions coming...

  13. VBAC with little to no interventions (super long)

    RNnL&D replied to RaeT,RN's topic in Ob/Gyn

    I agree with everyone else. The patient should have been informed ahead of time of what is involved with a VBAC as far as hospital protocol. I'm glad you were able to empower the pt and allow her to...

  14. Specialty Pay for Ob Nurses

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

    None here in SW Ohio

  15. buretrol for magnesium?

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

    We use premixed 500 ml bags and an infusion pump. We don't use seperate bolus bags, just change the IV volume and rate on the pump according to the bolus dose

  16. Complete patient and breech

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

    I've been lucky and haven't been surprised by a breech presentation, but we've had them while I've been at work. Because of that I make it a point to feel fetal head, no matter how uncomfortable it...

  17. Nurse Delivery

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

    I agree with texas rn fnp. Even though it is technically "not our job", well, it sort of is, if there is not a doc around. We have an attending doc in house, but even then, if he/she is in the OR or...

  18. When circ's go bad...

    RNnL&D replied to newgrad2005's topic in Ob/Gyn

    We have a couple docs who are not very adept at circ's. Some require sutures. Almost all require silver nitrate sticks to control the bleeding. Unfortunately, parents don't know it's not normal for...

  19. EFM question

    RNnL&D replied to jaka1's topic in Ob/Gyn

    It would be good to have a policy in place for these instances. Our ER has to consult with the OB attending for all OB pts. They are not able to write EFM orders as they are not qualified to interpret...

  20. How about a thread for baby names you liked?

    RNnL&D replied to Marie_LPN, RN's topic in Ob/Gyn

    I had never heard Daylen until this month, then all of sudden I had two of them. Recently, I had a pt who named her baby girl Nora Elaine. I thought that was very classic and elegant. Personally, mine...

  21. VRE and MRSA screening

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

    Infection can be a cause of PPROM or PTL, but I've never heard of assuming it is VRE/MRSA. No policy like that

  22. Legal issues regaurding pitocin augmentation

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

    I'm still a little confused. So the docs get consent for blood products and for anesthetic? Our OB consent states condition: pregnancy, procedure: delivery and care of baby. That can be any type of...

  23. EFM question

    RNnL&D replied to jaka1's topic in Ob/Gyn

    Who wrote the order? In our facility, ER docs can't write fetal monitoring orders, only the OB's. And I can't imagine any OB using anything but Doppler on a 14 weeker. ER uses Doppler

  24. Legal issues regaurding pitocin augmentation

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

    What do you mean consent the pt over the phone? Does your admission consent not cover all obstetric interventions? And yes, we do take verbal and phone orders for Pitocin. Are you talking about pts...

  25. Why do they bother coming in anyway??

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

    Normally, I have very few pts who just annoy me, but we had one who took the cake the other night. 20 yo primip came in early morning 2 cm with SROM. All day, she annoyed the day shift nurses refusing...