[kotys]

In a high risk center:
Have you used the LDRP concept? How is it working?
If you have changed back, how did you restructure your unit and personel?
Do you have a staffed nursery area other than an NICU?

[BETSRN]

Originally Posted by kotys

In a high risk center:
Have you used the LDRP concept? How is it working?
If you have changed back, how did you restructure your unit and personel?
Do you have a staffed nursery area other than an NICU?

The LDRP concept is very difficult to do in a large volume hospital. It's not really cost effective, either.

[RN4mommy's]

I agree with BETSRN, we used to be an LDRP and it was aweful in times of high census, we would have to wake moms up in the middle of the noc to move to an overflow unit. We used to have tons of pt complaints. We have switched back to an LDR. The mom's seem to complain much less because they are explained the POC when they are admitted that they will be moved to another room a few hours after they deliver. We have eliminated whisking them away in the middle of the noc We took our 20 bed LDRP and turned a 10 bed hall and designated it as LDR, took the other 10 beds and designated it as "Preterm alley" Then the old overflow unit is now all mother/baby. We do have a well baby holding nursery that is staffed with an LPN. Provides better continuity of care with less moving around of patients and better for assignment making as well from a nursing standpoint.