RaeT,RN

RaeT,RN

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All Content by RaeT,RN

  1. Night Nurses: Why Do You Work Nights?

    RaeT,RN posted a topic in Ob/Gyn

    Please note that I am a new grad, and all of this information will apply beginning the week after Thanksgiving. Hope this doesn't scew your

  2. Hyperemesis Help Me!

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

    I have also heard that burnt toast, as gross as it sounds, helps - something to do with the carbon or something . . . peppermint is also supposed to help with nausea. If it has been more than 3 days,...

  3. Epidural-induced Hypotension

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

    Ok, now I understand. I had to dig out the cobwebs of A&P and remember about the sympathetic nervous system and vasal tone. THANK YOU for your

  4. Epidural-induced Hypotension

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

    Our policy is to hydrate with 500-1000cc bolus prior to placement. We also have a standing order (or now I think the correct term is, "it is in our order set") for 5mg Ephedrine IVP for SBP I ended...

  5. hypertension during pregnancy

    RaeT,RN replied to athomas91's topic in Ob/Gyn

    I agree - RUQ pain is a LATE sign - please don't wait until you seize to go to the

  6. hypertension during pregnancy

    RaeT,RN replied to athomas91's topic in Ob/Gyn

    If I am not mistaken, a pt can still be preeclamptic without having the complete package, so to speak, of all the symptoms . . . what did your healthcare provider tell you? (Edited to say: I think...

  7. Position for taking BP in preecclamptics

    RaeT,RN replied to babynurse2001's topic in Ob/Gyn

    I actually can contribute on this one! I am currently in the AWHONN sponsored Perinatal Orientation program at my hospital and we talked about hypertensive disorders of pregnancy today. The current...

  8. Orientation almost over ...

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

    I too am nearing the end of my orientation . . . I have 4 weeks left (I squeezed another week out of them because we are in internship classes 8 hours a week and I am losing those floor hours.) Of...

  9. Ob Icu

    RaeT,RN replied to obnurse2004's topic in Ob/Gyn

    I think at my institution in L&D we would be considered the OB ICU, though I've never heard us called that. Our High Risk Antepartum gets our high risk pts after they have been stabilized, but we...

  10. Hypokalemia in pregnancy

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

    I wondered about the hyperemesis in her first preg as well, but its onsest was late in her pregnancy, around 20 weeks, which I felt was odd. She also had PIH, or what they called such, with that...

  11. Hypokalemia in pregnancy

    RaeT,RN posted a topic in Ob/Gyn

    What happens to a baby at 34 weeks when mom's K+ gets down to 1.6? I had a pt with pancreatitis the other day whose K+ dropped that low and I wondered what kind of effect that would have on the baby....

  12. Hypokalemia in pregnancy

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

    I just called the floor (I am off today) to check on this pt because I had this nauseating moment when I realized that mom was tachycardic at 130-140 and I remembered baby running about the same....

  13. Hypokalemia in pregnancy

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

    She had had like 4 or 5 loose stools the day before, but not severe diarrhea, and some vomiting. I have never seen K+ that low, not even in The Units when I was in nursing school. We are not equiped...

  14. Risk Postpartum Depression Diagonosis Please!!!

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

    In the most recent issue of JOGNN (Sept/Oct 2005, Vol 34, Number 5) there are several articles on PPD. There is a huge emphasis on fatigue being one of the mitigating factors - how about teaching her...

  15. I really need to talk about this! (long)

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

    Why is it, exactly, that some MD's think a nurse cannot read a monitor strip,

  16. I really need to talk about this! (long)

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

    Absolutely, you DID YOUR JOB. It doesn't matter if the pt is a pain in the @$$ or not, she still must be cared for, and based on your nursing judgement, the doc needed to evaluate her. I hope you...

  17. Dangerous lessons learned in your first year of nursing

    RaeT,RN posted a topic in Ob/Gyn

    In the pitocin thread, a suggestion was made about starting a thread about dangerous first year lessons learned. Personally, I shudder at the fact that there is no way I can know everything before I...

  18. Student! Help!

    RaeT,RN replied to almost a nurse's topic in Nursing Student Assistance

    Here's an idea: Group Beta Strep is a bacteria that some women have colonized in the birth canal. If mom has a lady partsl delivery, they receive treatment with IV antibiotics because if the baby...

  19. This doc makes me very uncomfortable . . .

    RaeT,RN posted a topic in Ob/Gyn

    We have this one doc with the group that gets all the unassigned pts and he does this in ALL of his deliveries: When he comes to deliver the baby, he puts a sterile drape on the mom's tummy, puts...

  20. How many deliveries do you have per month?

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

    Your facility sounds very similar to mine - we are just not a teaching hospital. Our "competitor" in the city is the teaching hospital, though I don't know how many babies they have a

  21. How many deliveries do you have per month?

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

    We try to one-on-one with active labor, but you usually will not have more than one active laborer at a time. They may give you a High Risk and an active, or a post partum and an active. You just...

  22. Dangerous lessons learned in your first year of nursing

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

    I thought of a good one with that last post - I learned this as a CNA on Antepartum High Risk: NEVER put a pretermer on the commode because she says she has to have a BM. You experienced nurses are...

  23. Precipitous Labor

    RaeT,RN posted a topic in Ob/Gyn

    One of my pts today, being induced for hx of precip. labor, went from 4 to delivered in 15 minutes. With no meds, not even local. I seriously walked out the door, got some meds for an epidural, went...

  24. Transverse presentation - not vertex!

    RaeT,RN posted a topic in Ob/Gyn

    So we were inducing this pt today for macrosomia, and I knew something was off when I first put her on the monitor. Now, I'm no expert, but I knew that I should not be having so much trouble tracing...

  25. Transverse presentation - not vertex!

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

    Why, yes it does. Yet another thing I did not think about at the time. How do you tell a doctor with her fingers in the pt's lady parts that maybe she should not break the pt's water just