Altalorraine replied to WorkofHeart8's topic in Ob/Gyn
You know, any information we have on this case is hearsay. We do not know for a fact that the hospital caused this woman's meningitis. Looking over the case there are things that could have/should...
We get that too. I don't think you can apply "normal" logic to their behavior (i.e., "If you don't want treatment, why are you here?") I just try to be omni-nurse and be therapeutic for their...
Altalorraine replied to tinyscrafts's topic in Ob/Gyn
East coast here. We do not do waterbirth, though we have a tub for labor. It's rarely used. It's a pain in the butt to clean and it takes forever to fill up and drain, it requires one-on-one...
I was 11 days past 40 weeks with my firstborn and did finally go into labor spontaneously. My baby was fine, but he had "old meconium"; the midwife said, "Yup, he's overcooked!" Where I work the docs...
The point of silent birth for Scientologists is their belief that an infant is a kind of blank slate and that things they hear during the birth and in the early days get "recorded" on their mental...
It's an interesting question. Where I work it would be presumptuous to assume that the mother and the father of the baby are in a romantic relationship. It has happened (more than once) that the...
Altalorraine replied to SuperFlyRN's topic in Ob/Gyn
our duramorph protocol includes narcan for itching (and nausea) 0.1 mg x 2 doses. i was told that's because itching is a side effect, not a reaction, to morphine. altalorraine ooops, i read this...
Altalorraine replied to Schmoo1022's topic in Ob/Gyn
Assessing postpartums for bleeding and fever, doing NSTs on the antenatals, hanging antibiotics, giving out meds, getting the post-sections up to walk and staying on top of their pain, teaching care...
Altalorraine replied to SmilingBluEyes's topic in Ob/Gyn
We use Cytotec 400-800 mcg per rectum for postpartum hemorrhage. For cervical ripening we use 25 mcg, applied to the cervix. It's contraindicated in women who've had a previous cesarean section....
When do you start giving your patients ice, sips, clear liquids after a csection? Our docs put in orders to "progress diet as tolerated", but that's a standard order that doesn't have much bearing on...
Altalorraine replied to filergirl95's topic in Ob/Gyn
Congratulations on your upcoming graduation and your new job. I have found that as an OB nurse you have to be flexible (assignments change all the time based on the needs of staffing and the patient...
Altalorraine replied to futureTMA's topic in Ob/Gyn
What I don't understand is the indignant attitutude people have towards nurses who "push" breastfeeding while formula companies who insidiously push bottlefeeding don't raise anyone's ire at all....
Here are some links on the topic: http://writ.news.findlaw.com/colb/20040316.html http://www.gentlebirth.org/archives/marloweCsec.html http://www.aclu.org/reproductiverights/gen/16529res19970930.html...
Altalorraine replied to capribry's topic in Ob/Gyn
My favorite thing is when, during the commotion of delivery or in the rush to the back for a section, when everyone is explaining and barking orders, my patient seeks out my eyes, grabs my hand, and...
Altalorraine replied to Jabramac's topic in Ob/Gyn
To be honest, I suspect you might be met with some hostility, at least initially. L&D nurses are overwhelmingly female and may not take kindly to a man (and one without OB experience) in a...
Altalorraine replied to RNLaborNurse4U's topic in Ob/Gyn
Yes, it should be clear, but it isn't always; hence, my post. No one debated VBAC; facts were presented to accompany the anecdotes. Threads tend to live or die based on whether people are...
Altalorraine replied to futureTMA's topic in Ob/Gyn
The *only* reason that the "service" of dispensing samples of formula exists is so that formula companies can sell more formula. It's not about "support" at all.
I had all four of mine without any anesthesia or analgesia. It was the most wonderful experience of my life- intense, painful at times, VERY hard work, and deeply satisfying. I chose my providers...
Altalorraine replied to RNLaborNurse4U's topic in Ob/Gyn
I agree; we have become desensitized for certain kinds of risks; that which is familiar and perceived to be controllable doesn't scare us as much (people who would never risk a VBAC will place their...
Altalorraine replied to RNLaborNurse4U's topic in Ob/Gyn
We are scrupulous about not giving out medical advice here, but a bunch of nurses telling their worst "ruptures I have seen" stories gives a frightening impression to a casual, uninformed reader of...
Altalorraine replied to RNLaborNurse4U's topic in Ob/Gyn
I'm glad to hear that you did your homework. Choosing a surgical birth, with it's attendant very serious risks, is too momentous a decision to have it be based on anxiety and scare stories....