RNnL&D

RNnL&D

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All Content by RNnL&D

  1. maternal transports

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

    We do not do our own transport. The maternal transport team from the tertiary center picks them up. For neonates requiring transfer, they are picked up by a NICU team and

  2. Clonus.....what Is This Test For??

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

    In the OB pt, you are assessing for hyperreflexia (DTR's) to determine neuromuscular involvement. Clonus is a sign of neuromuscular irritability generally indicative or worsening preeclampsia. Which...

  3. Formula Companies & Big Tobacco

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

    Who exactly are you disagreeing with? I'm pretty sure they aren't doing away with formula anytime soon, merely not marketing formula to new moms via free diaper bags. And technically, all women are...

  4. Formula Companies & Big Tobacco

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

    Exactly. I see this digressing into a breastfeeding versus bottle feeding post. This is all about marketing, not whether the choices moms make for feeding are right or

  5. Our Neighbors Lost Their Twins

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

    I am so sorry for your neighbor's loss, and for the pain that you feel for them. It is very hard to deal with the loss of a baby, and even more so when you are emotionally attached to the parents. I'm...

  6. What unit to you care for your HELLP patients?

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

    This is why we keep our HELLP pts in recovery (they are always stat csections), one to one nursing and continuous monitoring. The ones we send to ICU are those who aren't extubated out of the OR...

  7. Episiotomy vs. Spontaneous laceration?

    RNnL&D replied to becca.utns's topic in Ob/Gyn

    That's not uncommon. The pressure and stretching from the baby's head "numbs" the perineum. Well, if you've been crowning for awhile, anyway. We have a couple docs who don't always do them, but do...

  8. postpartum hemorrage PPH

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

    Yes, PP nurses are much "nicer" with fundal assessments. Practice with a L&D nurse and you won't feel bad about "hurting" the pt with a neccessary

  9. HELLP Sybdrome

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

    okay, so maybe we're not that busy.

  10. What unit to you care for your HELLP patients?

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

    HELLP patients are kept in L&D both antepartum and postpartum, unless they go into DIC. Then they are sent to ICU. PIH/Pre e pts can be sent to PP on Mag sulfate if they are

  11. Any one using glyburide in GDM instead of insulin?

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

    Almost all our GD pts that are not diet controlled, are on

  12. HELLP Sybdrome

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

    No run here. We are a fairly busy unit, averaging 100 deliveries/month. But, we still only see HELLP

  13. Pitocin

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

    :yeahthat: Fear is not conducive to good labor, IMO. You need to feel good about the decision to induce and understand the reasons, risks, and benefits. Good

  14. Interesting article

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

    If you notice, this case occured in 2000. Since then, I believe there have been more stringent protocols developed for the use of Cytotec. I don't know of any facility, in this area at least, that...

  15. ? About not breastfeeding

    RNnL&D replied to Schmoo1022's topic in Ob/Gyn

    While I would never tell anyone the "right" age to wean, I sure hope my three year old weans before

  16. Scrubs on LDRP

    RNnL&D replied to tammki5g's topic in Ob/Gyn

    We have one main access door that is unlocked during visiting hours. It is manned by a support tech and all visitors, pts, and hospital staff from other units must stop at the desk for a pass. The...

  17. Admission of mother & baby after delivery outside of hospital

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

    Yep! We've had them deliver on a gurney with ER staff running them back to L&D and in the elevator on the way up because ER wanted no chance of delivering down there. Just this morning we got a...

  18. Admission of mother & baby after delivery outside of hospital

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

    See, this is different in our hospital. All women's services staff, L&D, NSY, and PP are certified in NRP. Our ER staff is not required to be, since we do not have pediatrics at our facility.While...

  19. Admission of mother & baby after delivery outside of hospital

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

    All our Moms come to OB, unless less than 20 weeks. They are rarely evaluated in the ER beyond "There is a pg woman at the triage desk having contractions, water broke, etc., come get her". In an...

  20. Postpartum Self Medication Program

    RNnL&D replied to midwife2b's topic in Ob/Gyn

    We use self meds, including Motrin, Senokot, and Materna. They are kept at the pt's bedside, after the pt is educated about use and recording when the dose is taken. They are only given enough for two...

  21. IOM report & K. Rice Simpson article on Magnesium Sulfate & nursing care

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

    We use premixed bags supplied by the pharmacy. We are an LDRP unit but have PP for overflow. We do not have a high risk antepartum unit, we are it. :) We usually hang onto our Mag pts in L&D....

  22. EFM on pregnant women in hospital not on L&D

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

    Same here. A L&D nurse monitors the patient, and chart's the NST results on the pt' nursing

  23. Coaching women during childbirth has little impact

    RNnL&D replied to URO-RN's topic in Ob/Gyn

    :yeahthat: Some women benefit from coaching, some women do just fine on their own. If they don't seem to be pushing well, I ask if they think counting would be helpful. Otherwise, I don't do

  24. When do you move your pt to post-partum?

    RNnL&D replied to princess99's topic in Ob/Gyn

    After one hour PACU recovery for CS, 1-2 hours for vag deliveries. We do get them up to the BR, do peri care and dc the IV before transfer. So time wise, just depends on if they had and epidural, how...

  25. ? For those who do C-Sections often

    RNnL&D replied to kbclary4's topic in Ob/Gyn

    Most of the Dads who claim to have weak stomachs or faint at the site of blood, do just fine. It's usually the ones who don't give you any warning, that we lose to the