RNnL&D

RNnL&D

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  1. Doula Thoughts on L&D (long)

    Exactly!
  2. Cervidil

    I'm surprised by that. I have seen more than one Cervidil pt hyperstim. Our protocol requires cont. EFM for Cervidil. I thought that was pretty
  3. How many pregnancies are too many?

    I agree. If you want a big family, have one. We currently have 4 (out of 8 pregnancies), and are planning at least one
  4. precip delivery

    If you did call him when she started pushing, she'd still be pushing. We like to think we know when babies are coming, but they like to surprise us sometimes. Sometimes that's alot faster than we...
  5. New L/D Nurse wanting quick guide

    I have this too. Love it. It is a very quick and easy reference. It is pretty beat up and has no front cover now, but...... Check out
  6. Epidurals

    Talking to her OB is a good idea, but she could also talk with the anesthesia dept where she will be delivering. We don't generally turn off, or even turn down epidurals unless Mom is so numb she...
  7. Regional differences in OB terminology ....

    We ask everyone on admission if they are married, single, divorced, seperated. It helps understand the family dynamic, IMO, and has little to do with paternity when we ask it. I've had married pts...
  8. Pregnancy and Gential Herpes

    :yeahthat: No automatic Csection without an active
  9. smallest gauge for a depo-testadiol?

    We use a 1 1/2 in for all IM injections. And we must be evil because we use a 19
  10. Gyn Surgery vs. OB for new RN?

    Oh, and yes, Mom/Baby is couplet care. During the day, our nurses take 4 couplets, at night, 5. And yes, there is training for breastfeeding, fetal loss,
  11. Gyn Surgery vs. OB for new RN?

    I agree with SBE. With your experience, GYN surgery might be an easier transition, but it is not really related to L&D. I would definitely try for the Mom/Baby position to get your foot in the...
  12. What is this called? (stupid question)

    We still have them and everyone seems to love them. I've heard on more than one occasion, "Ahhh, this is
  13. Doula

    Yes, doulas are helpful. Yes, it seems more women are hiring doulas (depending on the area). And yes, I was a doula before I was a L&D nurse. :) We see a doula every couple months. We have about...
  14. What is this called? (stupid question)

    Yep, I think she means the surgigator, too. The sitz is a little different as you sit in the water while it sprays up. Whereas the surgigator is just a hand held wand bottom
  15. Home Birth: Is it safe where you live?

    We had an unassisted HB last year. It was simple to go downtown and fill out the birth certificate form, then. If that legislation passes, we would have to jump through hoops to get a
  16. Home Birth: Is it safe where you live?

    It's "underground" here in Ohio, although the DEM's do usually have discreet physician back up. Ohio is actually working to make it much harder for women to choose HB. If they want a birth...
  17. Oldest and youngest mothers?

    13 to
  18. Weird L&D story..

    Unfortunately, have seen this before. We've tried complete bed rest in trendelenberg but it never works for very long. The worst case we had was a 24 weeker with hour glassing membranes who ended up...
  19. drug screens on admission???

    There's also the cost factor to consider. I don't know how much a drug screen is, but since most insurance carriers pay a standard reimbursement rate for a vag delivery, I wonder who would eat the...
  20. Water filled IUPCs

    We use INTRANS and have just started using Koalas. We have a couple docs who seem to place them on most of their pts, but most of our docs don't use them very often. We are a fairly low intervention...
  21. Regional differences in OB terminology ....

    It's complete here in southern Ohio. We also use NCB for natural childbirth. And when talking about Miso (meeso), we just call it
  22. drug screens on admission???

    We don't get permission for a drug screen either, which may be part of the reason I don't think it should be done routinely. It just seems sneaky and deceptive. I suppose if it was part of the...
  23. Vaginal breech

    We have a couple docs who feel comfortable and will attend a breech vag delivery. They are usually twin b in a breech or transverse presentation situations. Although we have had a few singleton breech...
  24. drug screens on admission???

    We don't do routine drug screens on admission. They are done for pts presenting with no prenatal care, positive history of drug use, placental abruptions, and sometimes, preterm labor. Personally, I...
  25. What gestational age comes to your unit?

    We are SUPPOSED to get those over 20 weeks with a pregnancy related issue. I have learned that there will always be issues between OB and ER regardless of what policies are in place. We'll always...