RaeT,RN

RaeT,RN

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All Content by RaeT,RN

  1. Frequency of vaginal exams during labor

    RaeT,RN replied to BETSRN's topic in Ob/Gyn

    First of all -THANK YOU. I try to minimize my SVE's at all costs, and have miffed at least one doc in doing so. (Now, part of that may be that I am not completely confident in doing vag exams yet,...

  2. We lost a mom to HELLP!!!

    RaeT,RN replied to LizzyL&DRN's topic in Ob/Gyn

    Only more proof that YOU JUST NEVER KNOW. Wow. That is all I can

  3. Precipitous deliveries

    RaeT,RN posted a topic in Ob/Gyn

    I came very, very close today to delivering my pt myself (a primip who had stalled all day and then suddenly said, "It feels like something is coming out", and um, it was . . .) and I was just...

  4. Please - what is the diff between non-separation and rooming-in?

    RaeT,RN posted a topic in Ob/Gyn

    What is the difference in these two plans? I ask all moms in my admission assessments if they have specific plans including these two, and if asked, I would like to be able to tell them how they are...

  5. Test for ROM

    RaeT,RN posted a topic in Ob/Gyn

    Anyone heard of this Indigo Carmine test for ROM? A blue dye is injected with NACL into the sac via amnioinfusion, and the pt is to wear a pad and report any blue discharge. How long with no blue is...

  6. Test for ROM

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    She still has yet to leak any blue and it has been a week, so I am guessing that test was negative. She returned to her OB on Mon, and on ultrasound everything "looked good"; the fluid they had put in...

  7. Test for ROM

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    Amnioinfusion via amniocentesis (although I don't think you can call it an amniocentesis because they did not aspirate any

  8. Test for ROM

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    That is good news, I think. She had the amnioinfusion on Wed, and here it is Sat and still no blue dishcharge, just the normal pregnancy stuff. As a further update, before the amnioinfusion she got...

  9. IUPC Insertion - Epidural Settings

    RaeT,RN replied to k_cole21's topic in Ob/Gyn

    At my institution, priming, touching, whatever the epidural pump is a NO-NO. Anesthesiologist only. Likewise, IUPC insertion may only be done by an MD. FSE, on the other hand, you can do with (I...

  10. Documentation question

    RaeT,RN posted a topic in Ob/Gyn

    Ok, so I have a question: Let's say you're the nurse in a delivery, 16 YO G1P0, and the baby is OP. You observe the MD apply the bell kiwi vaccuum and pull once (pops off), twice (pops off), and...

  11. Documentation question

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    Thanks, Deb. I'll definately check those

  12. Documentation question

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    I'm sorry, Deb, I guess I should have been more specific. We use the QS computer documentation system, and in QS is the nurses' delivery record. The physicians have a paper delivery record, with...

  13. Newborn with frothy sputum, please advise.

    RaeT,RN replied to epiphany's topic in Ob/Gyn

    Babies born via C/S (especially those that had no labor) do not get thier bodies and lungs squeezed like they do in lady partsl deliveries. They often have respiratory difficulties for this

  14. "VIP"s in labor

    RaeT,RN posted a topic in Ob/Gyn

    I just want to vent about something that really burns me. Recently we had an orthopedic surgeon's wife as a pt (I think about 2 months ago). Someone from admitting and marketing was up to the floor...

  15. Volunteers in the mother and baby unit?

    RaeT,RN replied to Ariel70113's topic in Ob/Gyn

    LOVE, LOVE, LOVE the quote from

  16. Very sad update on the twins

    RaeT,RN posted a topic in Ob/Gyn

    She went for her ultrasound today with the perinatologist. Baby A, a girl, is perfectly normal. She was a previa 4 weeks ago, but the placenta seems to have moved. Baby B also had perfect anatomy...

  17. Twin-Twin Transfusion Syndrome

    RaeT,RN posted a topic in Ob/Gyn

    My dear best friend is pregnant with dichorionic/diamniotic twins. She is 15 weeks. I went with her today for her u/s appt. Baby A is 5 oz, Baby B is 4 oz, with low fluid. She is to follow up with...

  18. Very sad update on the twins

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    Thank you all so much for your responses. Here's what's happening: She said she has had increased discharge, but just thought it was because she had twins. Never really noticed a gush or trickle....

  19. How do you remember everything

    RaeT,RN replied to mugwump's topic in Ob/Gyn

    I felt the same way - I had to write EVERYTHING down in the beginning of orientation, and my preceptor never wrote anything! One piece of paper is enough. I usually put it in my breast pocket with...

  20. How much Fentanyl??

    RaeT,RN replied to JaneyW's topic in Ob/Gyn

    We never use Fentanyl except in epidurals; we very commonly use 10 mg Nubain and 25 mg Phenergan for pain relief. I think there is one doc that orders Demerol and

  21. question

    RaeT,RN replied to newnurse.rs's topic in Ob/Gyn

    As someone who is nearing the end of my orientation in L&D, I am going to throw in my 2 cents. On my unit, new grads are given a 12 week orientation. Experienced nurses are given 6 weeks. We are...

  22. Prolonged ROM and chorio

    RaeT,RN posted a topic in Ob/Gyn

    I had a pt today that I just cannot get out of my head. She was 34+2 weeks and had been ruptured for 6 days. Our High Risk Antepartum unit had been her home. Late last night around 0300 she spiked...

  23. Prolonged ROM and chorio

    RaeT,RN replied to RaeT,RN's topic in Ob/Gyn

    Mom was allergic to PCN, so she was getting Gent and Clinda IV, which the doc continued until 24 hr after del. The Neonatologist came to see mom and said baby would be on abx for several days. Not...

  24. OBTV -vs- GE QS system

    RaeT,RN replied to obosoon's topic in Ob/Gyn

    We use the GE QS system at our facility. I like it, but I cannot compare it to the other. I am still learning all the ins and outs of it, but I like that you have the opportunity to chart the same...

  25. Interesting article

    RaeT,RN replied to Rohan's topic in Ob/Gyn

    Thanks for sharing this article. A very sad outcome. I am intrigued by the FHR pattern. Our CNS says that most sentinel evens can be traced back to one critical decision. I wonder what that...