need inservice ideas

[cassioo]

I need to present a few inservices for general floor nurses about OB/L&D what do you as a floor nurse (or ER or ICU nurse) need to know about an OB patient you might need to brush up on if you don't have OB patients often? Monitoring Fetal Heart? Palpating contractions? Come on give me some hints!!!!

[sbnursing]

Hmm where do I start. I know nothing about OB pts. I once had a young girl come in to the emergency room that was in labor. I had NO exp in deliveries, and to add neither did the doctor that was in the ER at the time. Luckily everything went well this was like her 6th child. But I don't know what we would have done if something would have went wrong. Monitoring fetal heart tones -- thats if you have the appropriate equipment, is there anything else you could use instead of a monitor? Palpating contractions? ok, I think you'd just be better off starting from the beginning. I'm sure there are some nurses out there that have at least some knowledge...good luck to you!!

[cassioo]

I don't want to do a whole OB course just get some points for an inservice.... you can use a doppler (that you'd use for pedal pulses) for FHT. I had a pt 8 weeks come in today that I was told they found heart tones on in ER ...at 70...mom was 70 real hard to hear FHT at 8 weeks unless you really have good equipment and better then that LUCK. She was a trial for ER also she came in because she thought she got hit by a car and had to lay on the side of the road for an hour before a city bus stopped to help her....how do you think you got hit by a car? oh no bruise or nothing on her either...too bad our psyc unit closed.