Question about using cervidil

We usually start Pitocin an hour after Cervidil is out. Never run Pit and have Cervidil in together! Cervidil is in for 12 hours and we can repeat if necessary. I prefer this if there isn't much cervical change instead of starting Pit. I have used Cervidil with ROM at a few facilities.

I know it has probably been asked, but I will ask anyway. I haven't used cervidil too much, but what is the protocol for using the cervidil then starting pitocin? I thought you could leave the cervidil in for about to 12hrs (it can be repeated, right?), but before you can start the pitocin induction/augumentation the cervidil had to be out for so many hours ( 1hr?)? I started a new assignment last night and one of the nurses was telling me that her patient had the cervidil in and had pitocin going and was a multip. I thought this was a no-no.

Also I thought cervidil and cytotec couldn't be placed with ROM.

I just need some clarification since I am traveling and different facilities and physicians are telling me different things.

thank you.

Sounds like some training is needed ASAP. Running pitocin drips, while there is active cervical ripening going, is a no-no! You risk serious uterine hyperstimulation as well as fetal distress, when doing this---! An experienced nurse is doing this?

Thanks for the info on the cervidil, I thought it was a big no-no, but since I had such limited experience with it I wasn't 100% sure, most of my experience is with Cytotec, which I hate. I have been on this assignment only a week so I am not sure how much experience this nurse has, but I have a really bad feeling about the whole unit in general and pray every night I go in that I get out with my license intact. It is going to be a loooonnnggg assignment.

Be sure and check their policies/procedures manuals whenever encountering anything new. That is your best bet. If this is not addressed there, ask the manager about this!