Mrs.S

Mrs.S

postpartum, nursery, high risk L&D

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All Content by Mrs.S

  1. I've been doing L&D for a little over a year and I'm just within the past few months feeling pretty comfortable with it. A couple weeks ago, though, I had a multip without an epidural who went...
  2. Video cameras banned in L&D

    the other day I was wondering out loud to a dad how many people's home movies I must be in by now. the only thing we don't allow where I work is videocameras in the OR. we get a lot of dads filming...
  3. Positive or unknown GBS

    or how about this...we have a ped who will order labs on babies born to GBS unknown moms by scheduled c/section. tell me the rationale for
  4. HELLP syndrome patient today

    Speaking of HELLP patients that go south quickly...today I had a mom who had come in a few days ago at 29+ weeks with some transient abdominal pain, but otherwise asymptomatic for PIH, pressures WNL,...
  5. opinions about epidurals

    today we were having a discussion about epidurals at work. one of the MD's was talking about how much she loved epidurals, and she said (not jokingly), "I actually almost would like to force my...
  6. Pitocin titration

    our standing orders state titrate up to 28 mu/min but per MD order I've seen it as high as 42. we recently had some of our RNs attend a conference where they discussed what a previous poster...
  7. HELLP syndrome patient today

    I had a HELLP patient a month or so ago that was scary like that. She was an antepartum pt around 30 weeks about to go home that very day on bedrest and procardia, when she started c/o shortness of...
  8. OB TraceVue and Meditech

    I think that's what we used at the hospital I worked at as a new grad. the horrible colors! it really hurt my eyes to look at it for any length of time, and once when I was studying some labs in...
  9. Breech Position

    one of the MD's I work with told us about a case during her residency where the baby turned from vertex to breech during labor. she said, no one would have believed them that the baby really had been...
  10. How long is orientation for new grads on your unit?

    2 weeks newborn nursery, 2 weeks mom/baby, 8 weeks labor. not enough for new grads if you ask me!! but it seems to have worked well for them in the past. when I started last year at this hospital I...
  11. Newborn Nursery!

    how is the hair any dirtier than the rest of the baby? more
  12. knee-chest

    I've seen pts put into trendelenburg instead of knee-chest. that would seem a little quicker and simpler I
  13. Newborn Nursery!

    everybody has their own way of doing the bath. I usually do the hair first, while they are still swaddled, using football hold over the sink or basin/tub. you could give that a try, it might seem...
  14. Labor Nurses regulating epidurals

    Thanks!!
  15. Labor Nurses regulating epidurals

    OK this conversation has got me nervous. can anyone direct me to AWHONN's statement/position on epidurals? the BON in my state doesn't seem to have anything to say about epidurals specifically (that...
  16. Deadly Epidural

    Wow, CREEPY....I just had a patient in labor a week or two ago who had recently moved to our area from D.C. They somehow knew this family and were telling the anesthesiologist all about it as he was...
  17. Labor Nurses regulating epidurals

    labor nurses at both the hospital where I work now and the one I worked in previously have these responsibilities as well; I've never even heard anyone question
  18. Placenta Accreta...

    When I was orienting to L&D last summer we had a patient who had a complete previa & percreta. we had her for awhile antenatally then she had a scheduled section/hyster at ??34 or 35 weeks (I...
  19. do you HAVE to assist with circs?

    Where I used to work we had a family practice doctor who did them without anesthesia :angryfire . I refused to help with those. nobody made a stink about
  20. I think as new nurses we get really task-oriented. I loved making lists when I was just off orientation; simply thinking the processes through and writing them down helped tremendously. it's easy to...
  21. "personal delivery experience" when being a L&D nurse

    I think it's relevant. It helps you realize the impact you can potentially have on your patients, being involved in this intense part of their life. It was the birth of my first child that made me...
  22. Pt refused to leave!

    :icon_hug:
  23. Pt refused to leave!

    I have to say when I started my first RN job I was shocked at how prevalent this sort of judgemental attitude is among nurses! I have been on the flip side of the coin as well; when I was in nursing...
  24. Staffing & Pt Assignments

    I've read a couple posts recently that made reference to one nurse caring for six or seven couplets (OUCH!!) and I am really curious now about what the "norm" is at other hospitals as far as staffing...
  25. Magnesium Sulfate Policy in your hospital

    we do vitals including SpO2, reflexes, auscultate lung sounds, & I/O q2h, and continuous EFM. usually Mag level after 12h and prn if