OB in the ED - page 2

Alright this is just a quick question for the ER nurses here. Last night I had a really busy shift on OB, which is where I normally work. At the hospital I work at patients can only come in through... Read More

  1. by   lovemyjob
    in an ob room, the tools are in the drawer next to you. i cant imagine every er room/triage room is set up with a vacuum, forceps, a precip kit, a baby warmer (that is on and warming,) a bag/mask for a neonate, all neonate resus tools, or any other tool that could become a necessity pretty quickly.

    It just seems like the OP's question is trying to say that ER doesnt know what they are doing. An ICU nurse wouldnt go on an OB forum and ask why the OB's are freaking out about a post amniotic embolism who was coded and is totally unresponsive and going into DIC.
  2. by   RunnerRN
    Why am I okay with a 2 day old septic neonate but not a mom whose water has just broken? I KNOW how to do septic neonates. I have no idea what I'm supposed to do if mom's laboring too fast and all of a sudden there's a leg hanging out where the head is supposed to be. Maybe I would be okay if all I really had to do was "catch" the baby - assuming a totally normal birth here - but most ER nurses don't want to find out. Besides that, most ER nurses are not certified in NRP.....that in itself makes me nervous.
    And I probably couldn't figure out a 1 min Apgar any easier than an OB nurse could figure out a RTS or how to work the rapid infuser.

    It is all about different skill sets and what you're comfortable with. Most of us just aren't comfortable with the different issues that can arise when laboring someone.
  3. by   Altra
    I would echo what many other posters have said - it's just a different skill set.

    The only other thing that comes to my mind is ... as an ER nurse we're all familiar with that dreaded trip in the elevator in which a seemingly stable patient becomes unstable. That may play into the anxiety you feel from the ER nurses ... people can and do code in elevators, and we'd rather not have a birth in the elevator.

    I suspect the OB nurse would most likely be nervous with a sudden chest pain or respiratory distress patient too. We all have our role.
  4. by   nuangel1
    i have never seen an er nurse freak with an ob pt .in my er if ob comes in strictly to give birth they are sent to maternity .if ob pt comesin for other complaint we triage and assess them.by we i mean pa/md .then the womans ob is called and pt is d/c from er and sent to ob for monitoring if that is what ob wants .of course we have done u/s if need be and fhr .
  5. by   imenid37
    Quote from ChayaN
    I did not have to go through the ED when I gave birth. We were told to use the ER entrance if we were coming in middle of the night but to go straight up to OB. Wouldn't it be simpler to direct women in labor straight to the OB floor rather than tying up ER nurses?
    Ha Ha. We had a lady years ago who told them..take me up to ob now. The baby is coming. She was 50+ years old and not even pregnant.
  6. by   traumaRUs
    I should clarify that I was being sarcastic when I said that I didn't want to be birthin' no babies. Of course, I can assist with deliveries. However, in a precipitous delivery, there is no equipment, no oxygen, no nasal suction, no towels, nada. It does not scare me except for the fact that as an ER RN, I want to be prepared for the worst and if I know the woman is pregnant, I gather the emergency delivery pack prior to entering the room.
  7. by   grammyr
    Our ED is our OB unit. We have no OB facilities at our place. I don't freak out, but I get upset that these women know we don't have OB and yet decide to come to me to deliver. Can you imagine a DR, 2-3 nurses, RT, warmer, 2 crash carts(room is normally trauma/cardiac room) and the patient in a room about 12X12? Nearest facility with OB is about 30 miles away.. I usually start muttering somethint that only I can understand
  8. by   HappyNurse2005
    Unlike the floors are department is never full.
    well, ob technically isn't full either. we can't just send away the laboring women b/c of a lack of beds. we can and have labored them in the OB pacu before.

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