Mississippi_RN

At my hospital, the Pediatrician is automatically there for every cesarean section. So, the NBN RN that attends with them are the ones who go to the OR table to receive the baby. The towel is sterile that MIGHT come in contact with the OB handing off. However, if it is one of our OBs in particular, you are more concerned about CATCHING the baby then merely taking it in the proper manner.

You can put both through the same IV "site", however, where I work our Safety Standards require us to run them on seperate pumps.

Every infant receives the Hep B immunization 1 st dose (with mother's consent) but infants of Hep B positive mother's get the immunoglobin also.

Otherwise known as Procardia... LOL Docs at our L/D use it a lot. Its also a tocolytic and can be used for mild onset PTL (guess that is how it works with the blood pressure too...relaxes the blood vessels etc.) As for the PIH, I have never seen anyone come in past a week for that related to pregnancy.... Maybe she was just stressing over the baby! :uhoh21: Babies are a big thing, especially for an 18 yr old. I know I just about obsessed over mine and I was 21. However, to think about it, you are technically in your "postpartum" period for 6 weeks, right? (You know... no sex, no douche, no tampons for at least 6 weeks or until dr oks blah, blah, blah... ) So maybe it is possible.

We use OBIX, which allows for an electronice trace and computer charting, as well as a paper trace. Its a pretty good system, IMO, however, some of the forms, i.e. delivery summary, admits, need to be tweaked slightly. All in all though, you have to get the hang of it, but then you get hooked! It is entirely possible to go back and chart on a patient using the trace. I know a lot of times, when we are WILD, all I have time to do is chart the really, really important stuff, like ROM or complete dilatation, then go back and chart little stuff like routine checks on FHR and contraction pattern. I would like to NOT have to do that but sometimes it happens that way.

I have heard of bulging bag of water making the SVE seem one thing, and then when ROM occurs, SVE seeming to shrink somewhat. Not by much in the case I have had experience with (like 1-2 cm MAYBE)...but then, cervix dilated to complete in fairly short order.

LOL...you know, the next goal of mine is to learn how to speak Spanish fluently... which isnt easy, especially when most of the Spanish people down here anyway speak a lot of "slang". I work in OB mostly Labor/Delivery so I have gotten the most used phrases: - No empuje (Don't Push) -Empuje (Push) -examen lady partsl (lady partsl Exam) pronounced ex-a-meeen baaa-hi-nal lol -cuando es su cumpleaños (when is your birthday) -cómo lejos aparte están las contracciones (how far apart are the contractions) -usted necesita algo para el dolor (do you need something for pain) -respire (breath) -lleve a cabo su respiración y empuje (hold your breath and push) -cuántas veces le tienen sido embarazado (how many times have you been pregnant) -cuántos niños vivos usted tienen (how many living children do you have) -entiende inglés (understand English?) -entiende espanol (understand spanish) I could go on and on with the "bits and pieces" I have learned... (or rather been able to write on a note card and show to the patient). Although, I have found that, while note cards are all fine and good while they are still coherent in labor... once the pushing starts, they really dont care anymore!

On most procedures, it is AAT usually starting with ice chips, then sips of water, on to clear liquids, and so on... Depends on what they had done and how they handled the anesthesia though I guess. I know that, say, on a Lap Choley that is one of the deciding factors of exactly how soon you are discharged is when you can keep at least liquids down.

I was at work in a hospital billing department. I guess it was about break time for some of the people and they were in the break room watching TV. I remember walking in and looking at the TV the minute the second plane hit one of the Towers. I, too, remember thinking before seeing the second plane hit "how could someone be so stupid to hit a building that big?" Then, I slowly realized it wasnt an accident, but deliberate. Then, little by little, I heard about the Pentagon and the other flight that the passengers diverted. It took a while for everything to sink in for me. But, I remember, for a long time I was scared...I felt HORRIBLE for all the people in NYC (would have for ANYONE) but I couldnt help thinking "well...they picked NYC this time, but whats to say they couldnt hit here next time???" It is a day that will be in the history books... and I just wish to God it wasnt so...

I took the FM course from AWHONN that they came to my hospital and offered (director set it up... one of the few things constructive she has done... ) Anyway, it really really cleared up a lot of things for me as far as reading the strips and interventions. I would recommend it to anyone interested. I also have entertained the idea of joining AWHONN and was taken back by the price.

LOL... I would rather have my Unit Clerk (Floor Secretary called here) and my CNA than I would another nurse! Having someone at the desk to put in orders, answer the phone, and basically just keep things organized is invaluable when you are having to run up and down the hall all day. I would never, ever say that my Floor Secretary is useless... or even less than priceless!

I don't know that this is the correct forum to post this in...but I suppose it will do. I have a question regarding the legality of something. You hear all about those websites that you can get prescription medicine through. I'm not talking about the pharmacies from Canada or Mexico that they were talking about people getting sugar pills from...but a pharmacy from in the USA (where, I suppose, you have just as much of a chance of getting sugar pills... ). Well, I, as well as my director, two other nursing directors, and the DON (come to find out later) went through this website where you complete a health questionnaire, it is sent to a AMA Board Certified physician...and they write you a prescription for the medication (in our case Adipex for weight loss). Then, the prescription is forwarded to a pharmacy where you are able to purchase the medication. The medicine is not ALL that much cheaper than in a regular pharmacy. You don't get a copy of the paper prescription, however, the medicine bottle has a pharmacy name, address, phone number, name of med, strength, "take as directed" directions, and the doctor's name. It ALSO comes with a handout (just like from the real pharmacy) telling you all about the Side Effects, possible Adverse Reactions, what to stop taking med for, things to report to Dr etc papers. Everything is EXACTLY the same as getting it from a personal Dr...except you never have to physically lay eyes on the Dr... (or pay for the office visit). My questions is this: I am have searched and searched and searched ALL over the internet trying to find something that lays my mind at ease that this is legal. I do NOT want to do anything illegal and risk loosing my license. I am worried that, if I am drug tested, I know the Adipex with show up as Amphetamines...I want to know if me showing the prescription bottle will be sufficient evidence to support me not being a drug abuser. I take this medicine AS directed...IF not less. However, if it will risk me loosing my license in any way...I would stop in a heartbeat. I didn't know all the other directors and even the DON did this until my director and I were talking one day and she told me. They ordered it from the DON's house. That eased my mind SOME...but not much. "the higher they are, the farther they fall" Also, when I went to my DR for the first time as a new visit...I even listed the Adipex on my home med list and I told her how I got it. She didn't have a problem with it. I'm not trying to hide it in the least. I just wanted to get all of your opinions/help with this matter. Thanks, MS RN

I always have a hard time with the patients who have had any loss... but I still take the time to acknowledge how they are feeling as well as how they are feeling (emotionally). I remeber there was a firl who m/c at 19 weeks. The mementoe boxes were for 20 weeks or older, and the night shift nurse had already but the fetus in Formulin (long story). I got the baby band with all the information on it and the foots prints they did take (thankfully) and made two little cards (one for mom and one for dad) and decorated it with the baby band on each one (there were two-- one was to be for her and one for baby). She was so happy to get that....I couldn't do anything but hand it to her cause I was crying so hard. Gets me now even... One of the hardest things I do at work...is I feel too much about my patients. I mean, most every nurse cares...but I have always been sensitive to sad stuff. (why I can't watch a LifeTime movie now...) Every time we will have a DNR patient on our unit that passes away...especially if they have been there for a while...it is SO hard for me to go back in there... and to see the family cause they have been up there with us soooo long.

I think there are a lot of LPN's who are more knowledgeable than any RN I know. When I was oreintating to my floor, the LPN that worked there taught me just as much as the RN did... every person has different experiences to offer you. A different perspective of sorts. And...to tell you the truth...in our NBN there is a CNA (I have never thought of her this way) that has worked there for almost 30 years...back when that is all there were in the Nursery. She said they would push a red button on the wall to call a nurse out of Labor Room if they needed them. Otherwise, it was just them. She can tell you more about a bad baby, or a good baby that is showing signs of going bad, than most of the RNs. Experience is worth more than any amount of education in the world. I know the NBN will be lost without her :loveya: whenever she retires.

:uhoh21: ...no way. He didn't. [bANANA]LOL[/bANANA]