TRINI_RN

I have never heard an OB say that, but I have had a patient or two say that. They were older women, closer to menopause with surprise unplanned pregnancies.

I figured as much.

Funnywoman, Hi. I tried to PM you, but your inbox is full. I have a few questions If that's alright?

These types of questions are not my favorite because coming up with one specific example is sometimes hard. I just googled KSA's as suggested up thread and found literally pages of behavioral questions on VT's website. I'm attaching the document to this post. Good luck everyone! behavioral_questions.doc

This seems like a wonderful alternative to the current methods of pain control available. I wonder how many hospitals are looking into bringing it back. I also wonder if the anesthesia community will try to block it.

Our protocol for scheduled c/s is to put the scd's on in Preop. The Docs want the scd's running at least a 1/2 hour before surgery starts. Had a fluffy lady the other day with hx of DVT and PE for indux, she'd taken her last lovenox the night before. Had to ask the MD if he'd like to add SCD's to the admit orders

I'm so sorry to hear that, I truly am. I also have PCOS, and I can tell you that for most women it is very manageable. Also, the fact that you found out so early on is good because now you know what the problem is and can work toward correcting it. There are many great resources available on the net. Check out soulcysters.com. Good luck to you.

I'm sorry but as soon as she said the dad was asleep with baby on his lap while she was asleep there should have been some intervention. What if he had moved and the baby would have fell on the floor? Obviously the couple was to exhausted to care for the baby at that time. I feel the Nurse could have asked mom if she would like to pump so that the baby could be fed and the couple could get some rest. Rooming in is wonderful, but it shouldn't be forced. What if mom was bleeding/ still on mag/ pca pump etc., what provisions do they have in that instance??? There must have been SOME way for the baby to be looked after for a period of time for them to get some rest.

LOL, was just going to say that. This tip works!:bowingpur

We have had 2 days of training in class, and now we have to practice at work when there is down time. The training was ok, but I think it would have been a lot better if it was department focused instead of just directed to medsurg. I, as well as nurses in other departments (ICU, BTU, Pacu) had a lot of questions about how to apply the program to our specific department.

Oh boy, epic is EXACTLY what we are going to. :bugeyes:

LOL, I just passed my megacode today! The class was 2 days for me and not bad at all. Study EPI, amiodarone, atropine, vasopressin, adenosine, and lidocaine. Know when you give them and at what dose. Also know the stroke protocol, which rhythms you defib for, which you pace, and which you cardiovert. If you study the AHA book and do the pretest you will be all good. Good luck!

My hospital is going to a completely paperless electronic medical records system in a month or so. Are there any other L&D nurses out there using this type of system? I love the advantages this system will bring (being able to look up all past visits/notes/H&P's with one click) but I'm more than a little wary of how this transition will affect our unit. We currently use QS, and I'm told we will still use it for monitoring just not for charting. Any advice out there?

I haven't seen one since I've been on my unit. I asked a nurse who's been there for almost 5 years and she said she can only remember one. I personally oppose elective primary sections, it is after all still major abdominal surgery.

1 hour, and It's so hard to get everything done in that time. Pt cleaned up, 4 fundal assesments and vital signs, all charting done and batch printed, orders in etc. Meanwhile, I usually have another patient that I'm responsible for. I try to get rolling as soon as I can because where I work once you're past your 1 hour you're up for the next screener.