JAHJF

JAHJF

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All Content by JAHJF

  1. Does your facility do VBAC's?

    My hospital allows them, if the primary ob (or on call doc) is in house once active labor, and we have 24hr anesthesia coverage, we have ob residents in house 24hrs to assist and we have 3 or's on our unit. However, very few of the area doc's "allow"...
  2. Nurse ratios & comfort with high risk meds

    We do Labetalol gtt on L&D, we have one special room w/cardiac monitor available and if by chance two pt's need a gtt we have another portable monitor. vs are q5min during bolus and q15min while gtt runs. We try our hardest for these pt's to be 1...
  3. "Nurses are not professionals"

    My license reads Professional Nurse and that I have complied w/all things needed in order to practice as such
  4. PP mag patients-go to PP floor, or stay on L&D?

    We are 2 units combined LDR and HRPU (high risk perinatal unit) and we keep all Mag pts till it is finished then they go to MBU until discharge.
  5. montevideo units

    Most nights one pt on pitocin and another pt of some sort (pp mag/pre-e, ptl on mag, induction w/cervidil, svd or c/s-recovery, just depends), a good night just that one pit pt, a bad night, 2 pit pt's
  6. help about CABG

    Can't help w/# of drapes, but when I worked Step-down we always called the leg incisions - vasoviews?
  7. montevideo units

    I calculate like Envy's post describes. At my hospital 180-240 is adequate. As for charting, if pt is on pit they get an exam page done q15min (including fhr and iupc/mvu).
  8. C-section Personnel

    We have an RN and a RRT that are NRP trained (both work in NICU) and a NNP or Neonatologist at every c/s delivery, of course they all come to the high-risk births and an RN and RRT come to all other deliveries. Also-all of our L&D RN's are NRP tr...
  9. Where do you keep your nurses notes?

    We have computerized charting and then when a pt is transferred from L&D to the MBU all the notes, etc are printed out and placed on the chart.
  10. Soap Suds Enema in L&D - do you still use?

    We have one OB who orders a shave and enema prep on every pt of his that is admitted for labor or induction, many refuse but some who have had several babies with him over the years are actually ok w/it b/c it is what they are used to having happen w...
  11. Share Your Saying

    Courage is grace under pressure - Ernest Hemingway Within every adversity lies a slumbering possibility - Robert Schuller Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful exec...
  12. What do patients say that irks you?

    Hate to say it but my husband did go through labor and birth both times I did, he just didn't do the physical, but he was there at my side and emotionally (both of which can be exhausting d/t length of labor or emergency situations), I've never seen ...
  13. Post-op pain!

    Our CRNA's always remove the epidural catheters before leaving the OR and have "post epidural/spinal anesthesia orders" that they can check off, usually allowing for IV morphine, something for nausea, something for itching and toradol if the morphine...
  14. Age when you had your first child?

    #1 @ 20 #2 @ 24
  15. Consents for newborn procedures...

    I work in TN and the admission/registration papers cover labwork, vit K, eye ointment, hearing screen, once on the postpartum unit mom's sign a separate consent for HepB and circumcision.
  16. PROJECT on c-sections

    When I had my c/s my doc told me that
  17. ABG's

    ---------------------ACID-------NORMAL RANGE-------BASE pH____________________________7.35-7.45_____________ PCO2 (resp)______________________45-35______________ HCO3 (metabolic)__________________22-26______________ PO2_____________________________80...
  18. Toradol for PTL?

    Never seen toradol used but Indomethacin is an NSAID used b/c it inhibits protaglandin synthesis and can be given to premies to help close a PDA?
  19. LMP, not last mestral period

    Maybe Limited Metabolic Panel (like BMP)?
  20. Share Your Saying

    There are only two lasting bequests we can hope to give our children. One of these is roots; the other, wings. Hodding Carter We can do no great things - only small things with great love. Mother Teresa From small beginnings come great things. Pro...
  21. What's the weirdest baby name?

    Took care of a Espher last night.
  22. What's the weirdest baby name?

    Odd first names from the last 2 months: Latrina Zaida Teunna (Tuna?) Trewcci Duwane Jamaya Markaja Jace Saatris Jayvyan Journe Montserrat and Hracelx (Odd spellings, ethnic names????)
  23. Share Your Saying

    The Paradoxical Commandments People are illogical, unreasonable, and self-centered. Love them anyway. If you do good, people will accuse you of selfish ulterior motives. Do good anyway. If you are successful, you will win false friends and true enemi...
  24. How many deliveries do you have per month?

    New to my facility but it looks like about 200+/- a month not sure maybe more (only been here one month) without asking someone and I'm at home now. 4 triage rooms 3 ORs and a PACU Antepartum unit with 6 LDR possible rooms and 6 other rooms (1-2 of t...
  25. Nurses pulling CTs?

    Where I work the MDs have RN's that round with/for, write orders for, etc. and they or the doc pull all tubes/wires.