[califrn]

Am looking for information-how many L&D units out there only have one RN present at deliveries-for both vaginal deliveries and C/S--that means this one RN is responsible for both mom and baby--trying to find a standard of care here. I feel that baby should have its own nurse and mom should have hers too-at least until both are stabilized. Our busy unit currently has no guidelines so that one nurse does all! Can be very scary if mom hemorrhages and you are resuscitating baby

[luv l&d]

In a c/s, we have one nurse for the baby (NNP) and one circulator for the the mom. If it is a normal vag birth (ie no mec or risk factors) one nurse for both. We don't do mom/baby so the transistion nursery come in in about 20-30" to do the initial ass. on the baby. Always can call for assistance if needed.

[Jolie]

We have 2 RNs at every delivery and/or C-section, one for mom and one for baby. To do otherwise is asking for trouble, in my opinion, as we have all had things go south in a heartbeat.

It's been awhile since I've renewed my NRP, but it seems to me that their standards call for 2 certified providers in every delivery, so that may give you with the justification you need to insist on a second RN. In these lawsuit-happy times, I would be sure to stick to their stated standard of care.

[ShandyLynnRN]

in our hospital, we always have 2 RN's in vag deliveries, and if there has been fetal distress or mec we also call RT in, just in case, and then if everything is OK, RT leaves. Then one RN cares for mom's recovery, vitals, fundal checks, etc, and the other cares for baby, assessment, meds, vitals, etc, until they are ready to be moved to their postpartum room. Then, one RN usually takes over both mom and babe.

If it is really hectic, we still have 2 RN's for delivery and for the first few minutes until we know that babe is stable, and just "warming up" and the OBT takes over for vitals on baby, while the RN recovers mom and keeps an eye on babe.

In C/S, only one of our RN's go, and RT ALWAYS goes, so there ARE two NRP certified personell there... the anesthetist is there to monitor mom, and circulator too, and then they go to recovery where the recovery room nurse cares for mom until transfer to our unit.

[imenid37]

2 rn's for svd. one for mom, 1 for baby. 1 rn for baby at c/s for baby. or team does the or stuff. ped physician also present for c/s.

just took nrp yesterday. the standard is at least one provider whose sole responsibility is the baby ..or something to that effect.

[HazeK]

Absolutely, Always two for c/s.....

90% of the time, two for vaginal deliveries.

On occasion, is RN & tech for vaginal deliveries "when the bus has unloaded"!

haze

[fieryrn]

always two...(well at least 98% of the time) for a vag del.

[NurseyNursey]

Our hospital bites on this. There is very frequently only one nurse in the room during a delivery and often it is an LPN. I am not comfortable with this and have made it known. I don't think that it is safe or appropriate care.

[ShandyLynnRN]

I think that there should ALWAYS be two nurses at delivery. There are too many "what if's" that could happen too quickly to call for assistance. With one nurse in delivery, what happens when the baby crashes and mom seizes or starts hemorrhaging???

[NurseyNursey]

Exactly, ITA!