Re: CNM asking questions for the OBs

From: Kaycnm@aol.com
Thu Apr 13 19:09:44 2006


In a message dated 4/13/2006 6:56:28 P.M. Eastern Daylight Time, Babycatchers@aol.com writes:

I knew the lit said OK, but they wanted to see if it was a 'midwife thing' or if the OBs were using it too.

I started using ibuprofen at U-T Houston when Creasy was chief. The standing orders were for 1200 mg. po q 6 hrs. No prn, offered every 6 hours. We rarely had anyone ask for narcotics after a vag delivery when they took the ibuprofen as ordered. . If they did, I would sometimes come in to make sure there wasn't a hematoma or something weird going on.

I've never been able to order 1200 mg since leaving Hermann Hospital. Even so, if women are given 800 mg. in the delivery room, they rarely ask for narcotics. It's a hassle now, with all the meds in a Pixis machine and no access for an hour or so, unless they've been ordered on admission.

********************************************* Kay Johnson, CNM Duluth, GA "Life is too important to be taken seriously" Oscar Wilde ***********************************

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In a message dated 4/13/2006 6:56:28 P.M. Eastern Daylight Time, Babycatchers@aol.com writes:
I knew the lit said OK, but they wanted to see if it was a 'midwife thing' or if the OBs were using it too.
I started using ibuprofen at U-T Houston when Creasy was chief.  The standing orders were for 1200  mg. po q 6 hrs.  No prn, offered every 6 hours.  We rarely had anyone ask for narcotics after a vag delivery when they took the ibuprofen as ordered. .  If they did, I would sometimes come in to make sure there wasn't a hematoma or something weird going on. 
 
I've never been able to order 1200 mg since leaving Hermann Hospital.  Even so, if women are given 800 mg. in the delivery room, they rarely ask for narcotics.  It's a hassle now, with all the meds in a Pixis machine and no access for an hour or so, unless they've been ordered on admission.
 
 
*********************************************
Kay Johnson, CNM
Duluth, GA

"Life is too important to be taken seriously"
Os= car=20 Wilde
***********************************




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