RaeT,RN

RaeT,RN

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  1. Out of orientation now . . . (this is long)

    RaeT,RN posted a topic in Ob/Gyn

    Ok, so they've "cut the cord" from my preceptor (though she is still my resource person over the next several days, until I go to nights Mon after Thanksgiving.) I am scared out of my mind.:uhoh21:...

  2. Delayed cord clamping

    RaeT,RN posted a topic in Ob/Gyn

    The thread about the Lotus Birth got me thinking: When a pt requests that the MD delay cord clamping until after it has stopped pulsating, how do you respond? I'm sure there has been another thread...

  3. Pitocin titration

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

    I guess I should add that our Pitocin bags are mixed BY PHARMACY (10 units in 500cc D5LR) and stored in our Pyxis. We do not mix our own Pit for induction; following delivery is different. With a...

  4. Pitocin titration

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

    Our Pitocin protocols are either "Standard" (begin at 1mu and increase by 2mu q 30 min for a max of 20mu/min) or "San Antonio" (begin at 2mu and increase q 40 min as follows: to 4mu, 8mu, 12mu, 16mu,...

  5. Maternity/OB Clinical Specialist

    RaeT,RN replied to ER1010's topic in Clinical Nurse Specialists, CNS

    I'm bumping this thread because I'm wondering if anyone has some more info for me. I am currently an RN with my associate's degree. I have one year L&D experience. I have decided to go back to...

  6. Cerclage at 19wks

    RaeT,RN posted a topic in Ob/Gyn

    Ok, so I have a question. We have this new doc on our unit, fresh out of residency, who does some strange things. For instance, she puts "preeclamptic" pt's with 130/70 bp's, trace proteinuria,...

  7. Cerclage at 19wks

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

    That's why I was baffled too - I couldn't see why she would not give her some Terb at least to see if it would quit the cramping. She really seemed like she was writing the pt off to me, that's why I...

  8. VBAC with little to no interventions (super long)

    RaeT,RN posted a topic in Ob/Gyn

    Ok, so I've been missing from the forum for a while. . . just caught up in some things here and there. . . computer on the fritz for a while. . . forgive me for being MIA for so long, and I absolutely...

  9. VBAC with little to no interventions (super long)

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

    Thanks so much for all your input! I definately agree that it is a control thing; especially with ending up with a c/s the first time, not at all how she wanted things to go. . . not sure if they...

  10. VBAC with little to no interventions (super long)

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

    This is exactly where my anxiety about the whole situation stems from. Trying to do right by her, but in doing so potentially doing the wrong thing for the baby and paying for it later. I like the...

  11. VBAC with little to no interventions (super long)

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

    Yes, this doc WAS the pt's primary MD. She told me that she had been hoping she was not on call when the pt came in in labor. The pt had actually been referred to this MD by a midwife in a Birthing...

  12. Sta C/S

    RaeT,RN replied to imenid37's topic in Ob/Gyn

    We always have kits in the OR ready to open up for emergent cases. As part of our orientation in L&D we have a week of scrubbing . . . not that that means we are completely comfortable doing it...

  13. In the right place at the right time........

    RaeT,RN replied to jrring1019's topic in Ob/Gyn

    Wow, (to the OP) way to be right on the ball. I know that generally VBACs are perfectly safe, but they make me very nervous for this reason. The epidurals scare me the most with these pt's - will...

  14. LDRP new grad

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

    I am also a new grad. I have not had children yet, either, but I work with several women who have been doing this for many years and never given birth themselves, either and are incredible nurses....

  15. Why did YOU choose OB nursing?

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

    It was the sheer amazement of the whole process for me - and, to be a positive part of such a huge moment for women and their families. I absolutely LOVE my job and really believe that I am where I...

  16. Doula Thoughts on L&D (long)

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

    As always, Deb, well said. There has got to be a trusting relationship between the healthcare team and the pt. I don't have a lot of experience with doulas, but the whole feeling some have that the...

  17. Gift for Antepartum unit

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

    I can only imagine what you must be going through right now. Anything you do will be very much appreciated by every nurse that took care of you - whether it is a card or some other kind of gift. I'll...

  18. Novice RN asking if there are checklists for Delivery, Recovery, C-section?

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

    I definately agree: DON'T BE SO HARD ON YOURSELF. Give yourself time to learn. No one expects you to learn how to be an L&D nurse overnight. From what I can tell so far, there is no one model...

  19. Duties of OB nurses (and others) Please feel free to add!

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

    I thought of one: ADVOCATE FOR THE PATIENT. It is ultimately her

  20. New Grad Hired Into Ob

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

    I'm also a new grad; started in August. REMEMBER: always ask questions. Have patience with yourself. They tell me it takes a year to feel comfortable in L&D. Some days are better than others;...

  21. Conflicts in the delivery room

    RaeT,RN posted a topic in Ob/Gyn

    Had a very sad situation the other night: My pt was a G1P0 14YO girl that I assumed care of as she was complete. Her PGM had legal custody of her; her mother (who I really think was on drugs - very...

  22. "personal delivery experience" when being a L&D nurse

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

    I do feel at some disadvantage in caring for my pt's because I've yet to have a baby. BUT there are several nurses that I work with that are wonderful and have been doing this for years and they've...

  23. Soap Suds Enema in L&D - do you still use?

    RaeT,RN replied to StatRNNJ97's topic in Ob/Gyn

    We have one doctor that orders tap water enemas until clear (much more messy than a Fleets) for all his pt's. He also instructs them to take a laxative before they come in for induction. He is...

  24. My First Birth as a CNM: FINALLY!

    RaeT,RN replied to midwife2b's topic in Certified Nurse-Midwives, CNM

    Congratulations on realizing your

  25. Help me manage 2nd stage, please. New Gr

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

    I have to say that I have seen many hispanic pt's be very stoic, but I have also seen many that are borderline out of control. Ya just never know; I really hate not being able to speak fluent...