rnaturcervix

That reminds me of the show My Strange Addiction. Has anyone seen it? Scary stuff out there!

Speaking of sex in the hospital....we have caught multiple couples having sex in post partum (totally nasty), but the one that takes the cake is the boyfriend performing oral sex on a freshly delivered mom! Almost lost my lunch with that one!!!

Let me clarify....I don't think they will use the report as the sole determining factor, but I am the one alerting them of the positive screen.

This brings up an interesting question. Is it considered illegal if Child Protective Services uses the report that I am required to file to take custody away from a mother? Never once, in my 15 yrs of L&D, has the issue of obtaining consent for a uds come up. Thoughts?

That would have to fall on the doctor's shoulders!

I've worked in Texas my whole career, and we've never needed consent. We are also required to file a report with CPS (child protective services) for all positive screens. As far as PTL and abruptions go, it's not something that is done routinely unless there is past history or a very strong suspicion. I have actually had a pt ask if her abruption could have been caused by the cocaine she used that day. Hmmmm.....

Unfortunately, the pt demographic where I work includes a lot of drug abusers. Some freely admit to using drugs, both before pregnancy and during. Our policy is to test any pt with prior use/abuse, as well as those with no prenatal care during their current pregnancy. The amount of positive screens blows my mind!

I have recently had a lot of positive UDS pts, and the excuses I hear as to why they are positive simply blow my mind! Anyone have any good stories? I'll start with my favorites..... + marijuana: I was trapped in a car with 10 other people smoking and the windows were broken +methamphetamine: I don't use it, I just cook it, and usually not at my own house +cocaine: I was asleep, and my boyfriend blew it up my nose. The 2 gay men that live next to me put cocaine in their air vents, and it must have got into my apartment. **my all-time favorite: well, of course my wife is positive for cocaine, you have no idea how many cokes she drinks everyday** Anyone else??? :)

Thanks for your reply. For the last 13 yrs, we've documented q 30 min for active labor and pit. 2nd stage has always been q 5min. Recently, a new manager changed our policy to q 15 for active/pit, and I feel like I can't stay caught up with my charting and be hands on with my pt. Of course it doesn't help that we're super busy due to neighboring hospitals closing down, and we've just started a new documentation system that I swear was invented by Satan himself!

How often do you document FHT'S and ctx info on your pts? Antepartum, labor, on pit, etc.

0 dollars AND a regular patient load (most of the time). Pretty generous, right?? :) Sent from my iPhone using allnurses

Don't you wish you could make administration work a few shifts in their "mandatory scrubs"? They might just change their minds!

In my hospital, we also have mandated colors. Royal blue for nurses too! Well, except for the ER. They were allowed to keep their black scrubs. When every other department protested the unfairness, we were told the reason was because they were learning a new computer charting system, and admin didn't want to add additional stress by changing scrub color! Does this make sense to anyone???? Sorry- got off topic! We are allowed to buy whatever brand we want. No prints, jackets must be white or royal, and undershirts white or royal as well. We were offered no money to purchase new scrubs. Seems like royal has become the "go to" color for nurses in many facilities these days. I wonder why???? Sent from my iPhone using allnurses

We use a roller device to move pts from OR tables back to hospital beds after C-sections. A night nurse once forgot to remove it after moving her pt. Back in the room, she pulled down the sheets to assess the pt's incision, and she discovered the roller! She calmly said, "ok, looks like your BP is good. We can remove this now"!!! Way to think on your feet! Sent from my iPhone using allnurses

That's exactly how our's is supposed to be. The only exception is those pts acting like they will deliver in the hallway before they get to L&D. In these cases, L&D runs to the ER to deliver the baby, and then we take mom and baby back with us. I have no problem running down there for precip deliveries. Questions have been raised as to why the ER docs don't deliver the baby, but the reality is that most of them are not comfortable in doing so. I get it.... I really do. My complaint is that because of one failed attempt at assessing cervical dilation(pretty big fail), ER staff are not allowed to bring pts to us. A L&D RN must go get every pt. I just wanted to get a feel for other facility protocols. Thanks for your response. Sent from my iPhone using allnurses