[mom2michael]

Originally Posted by luv2laborRN

Thanks. The info is great. We do bout 200 deliveries a month. Currently we also do LDR and then transfer to PP, however, newborn transitions in nsy and goes out to mom after bout 2hrs obs. Who transitions ur babies? Do u do 1st meds for NB in LDR when doing recovery with mom? Who takes care of ur other pt if ur do delivery and recovery?
Thanks, ur response is greatly appreciated.

We staff a nursery RN who is the baby's nurse, she is there at delivery and gets the baby stable enough to stay with mom for an hour or 2. Mom is recovered by her L&D nurse and transitioned over to PP. When mom is ready to transition to PP, baby goes to the nursery for meds, bath and 1-2 hours obs and as long as they are warm, toasty and having no distress they are bundled up and sent back out to mom for their duration.

If for some reason the nursery RN is busy and unable to attend a birth, another RN on the unit serves as the baby nurse at delivery.

Meds are done in the nursery when we bring them back (around 2 hours post vag delivery).

We *usually* only have 1 delivery at a time going on, so we have 1 RN laboring the patient, 1 being the baby RN and the other RN is watching the rest of the patients on the unit. If we get to hopping, we call in another person.

[Sandwitch883]

When I started in L&D out of nursing school I worked in a hospital where everything was very seperate. L&D, PP and nursery each had their own staff and did seperate scheduling. The hospital was fairly large and had about 200+ deliveries per month. Each dept. staffed 4-6 RN's per shift and several CNA's and a unit sec. on days. L&D additionally had scrub techs each shift. I've recently gotten a job in a very small rural hospital that is set up much like what had been described with 3 RN's that rotate through a small inclusive unit. I think it's going to take some getting used to but from what i've read on this thread it seems to work well. I'm looking forward to the diversity of doing all three roles! I'm also looking forward to cross training as a "nursery nurse". Even though I have NRP i've only done immediate assessment than shipped baby to nursery. Now I have the opportunity to learn more about nursery care.

[mommy2boysaz]

We usually keep babies with moms at all times. Unless, of course, there are any problems, but if baby is healthy, no need to "transition" in another room -separate from mom.
Babies are assessed in mom's room, weighed, measured, given meds, bathed, rewarmed, and placed back in mom's arms. She does have the option of having any of the above done in the nursery, but most moms like having it all done in front of them.
Nurses who have come to work at our facility after working in larger hospitals with separate nursery, postpartum, and L&D units have a real adjustment period, but usually end up admitting that it does work well and really is more mom and baby-friendly.