Mrs.S

hello all. I'm looking for your thoughts on the current situation on my unit. here goes... I have worked at this hospital for about 18 months, and I was new to L&D when I started. I love the rest of the nursing staff on the unit and the physic...

The pt had an epidural, but it didn't do the trick. We don't have in-house anesthesia, and it took 20 minutes to get to the hospital. meanwhile there were heart tones in the toilet and the baby needed out, so...they just did it without him. no loc...

we do sugars on admission, at 1hr & 4hrs for babies

I teach NRP; it's a fun class. The algorithm is straightforward. If you read the book and do the practice quizzes at the ends of the chapters, you will be in good shape.

seriously??

LDRP...I love labor

oh my gosh I'm getting gray hairs just reading this thread...

yeah, I think we've all had a nurse taking care of us at one time or another who didn't seem to give a crap about taking care of us. I think they kinda suck.

Most of our docs will try for a vag delivery if baby A is vertex even if B isn't, and will attempt to flip baby B after A is delivered. But only a couple will deliver baby B breech, the rest will section the pt.

EXACTLY. that has happened to me more than once too, it's always a hair-raising experience.

why aren't you supposed to pull the wires apart?

I wish we could come down to the ER to monitor patients. it just seems like much less of a hassle, for everyone.

that's exactly how it goes at my hosp too

I should mention that our is an LDRP too...harder to keep labor patients 1:1 when all you have is labor patients, I suppose. And our hard copy of the strip still prints out in the room off the monitor itself.

One of the experinced labor nurses I work with (our labor guru) recently gave me a tip for working with those unmotivated moms. She said if you present it simply like this: "your baby needs you to______" (position change or whatever it is) that can...

no it's not really a big deal, it's just one of those things that get under my skin. like when people say sonnameters.

Sorta OT, but modified Sims' position works just awesome to turn an OP baby

I am in WI, and from what I hear that is the norm at the other hospitals in the area as well.

We have central monitoring, and anyone on continuous is still 1:1 unless there are extenuating circumstances, in which case we watch each other's strips. To be honest, I've always been curious what it is like to NOT have central monitoring

I don't know why but it drives me up a tree when I get report and the nurse says (of a twin mom) "she's a G2 P3 now..."

We had a pregnant lady not too long ago come up from ER who, when we started getting her OB history, was like, "Um, I just sprained my ankle..." Got a quick NST and sent her right back down to ER. Now really... Anybody pregnant comes up to L&D ...

As far as I know, AWHONN doesn't support continuous fetal monitoring in labor for women who are low risk. Policy for normal labor patients at my hospital includes neither continuous EFM nor saline lock. If it did, I would have no problem providing ...

My husband will be graduating this winter and has a few job opportunities we are considering. All of them involve moving a significant distance from where we live now. I would really like to find out more about the hospitals in each area because th...

I think you've done a fantastic job shedding some light on a procedure that some of us nurses (myself included) have absolutely no experience with, and providing information to dispel some of the misperceptions about D&X (or "partial birth aborti...

actually, the assignments where you work sound pretty much the same as the assignments where I work, except my unit is LDRP, and we do have central monitoring. Anyone in active labor, and/or on Pit, and/or with epidural, or anyone high risk is 1:1, ...