[LOVINL&DRN]

"[quote=rnrnrn12;2910270]Soooo..........I have a real serious problem that I need some guidance on......it seems our labor and delivery unit has decided to leave the floor with one RN and one technician when we have no patients on the floor. The second RN is put on-call and to respond within 30 minutes. Isn't there a guidance that states the need for "two trained RN's staffed on unit at all times" for a labor and delivery unit? I thought I remembered reading this somewhere?

WOW do I fear the safety of the patients that show up in emergent situations!! Scary!!

What do you think? Can someone point me in the right direction for some AWHONN/ACOG/AAP guidelines or requirements?"


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Boy - do I feel your pain. We are a small unit and always go down to one nurse if we are empty - with no tech! I have worked L&D for several years in bigger hospitals, but never by myself until I came here. I have had several close calls in the 4 years I've been here, but by the grace of God, everything worked out each time. We can't even get our administration to let us keep a tech with us when we're empty. I too, hope that someone posts the answer to your question about guidelines mandating 2 RN's at all times. Good luck!

[denija2000]

i work on a pp complications floor..so we get anything from pt's still on mag to pts with psych issues. we also take babies in our assignment. the awhhon guideline seem like heaven to me as my average assignment is about 5 moms and three babies. EVERY mom has a complication so it's not a breeze. my assignment could consist of a mag pt, a chorio mom and baby (both on antibiotics), HIV, and whatever else happens to come since we are steadily admitting new pts. we also take pp readmit wound infections, mastitis, or other post D/C complications....we rotate charge nurse but charge nurse gets an assignment!! staffing is always an issue unless we are slow which then we are forced to be canceled which is a whole other can of worms!! LOL

[Baby1nurse]

It's good (not really "good") to hear that other units have the same problems all over the country. What I don't understand, however, is why you have to take the post D/C patients on your floor. At our hospital they are considered med/surg patients once they are readmitted. How large is your unit? How many deliveries do you have and what are your staffing ratios?

[SmilingBluEyes]

stress on A yes.

A-won