I WORK AT A LEVEL II NICU STAFFED WITH 2 NEOS AND 6 NNP'S 24/7. STAFFED WITH ALL RN'S AND RCPS 24/7. WE HAVE FEEDER GROWERS OCCASSIONAL CHRONIC LONG TERM INFANTS AND SOME CPAP AND VENT. BABIES. OUR CENSUS FLUCUATES. WE HAVE NO MEDICAL STUDENTS. WE ARE A FAMILY CARE CENTER ABOUT 1100 DELVERIES A YEAR. WE ALSO ACCEPT TRANSFERS BACK TO US OR FROM SURROUNDING AREAS. WE WORK ALOT WITH FAMILIES.
MY QUESTION IS "WHO ATTENDS THE C-SECTIONS" "DO YOU HAVE GUIDELINES ABOUT NICU STAFF ATTENDING C-SECTIONS?" AT PRESENT THE RCP AND NNP ATTEND. THE GAME PLAN IS FOR NICU TO ATTEND ELECTIVE ROUTINE C-SECTIONS. "what is a routine c-section". " what is an elective c-section" HOW WOULD YOU STAFF TO CARE FOR YOUR PATIENTS?.
WHAT ABOUT L&D, PP NURSES ATTENDING THE C-SECTIONS AND NOT TAKING NICU NURSES AWAY FROM THE "ICU".
PLEASE HELP OUR UNIT WITH RESPONSES. THANKS NEOMEMA
Mar 2, '04
IN the case of routine csections during which NO problems are expected, only the nursery nurse and RN who circulates attend.
ALL nursing staff are NRP certified, including the circulator. we do our own csections.
Now, PEDS do come when a problem is anticipated or in high risk situations.
Mar 2, '04
I work in a level III NICU....During the weekdays, we have an NNP who attends all c-sections, meconium, and forceps deliveries with either a resident or another nurse....
On the weekends and nights, it's a resident or NNP from the NICU, with one RN from the NICU (usually the charge nurse)..The charge nurse carries a pager with her in case of problems in the nicu while she is gone......our charge nurses are supposed to have no assignment or a light assignment to be able to help other nurses with their babies, go to deliveries, and work on staffing .....(YIKES!!)
Mar 3, '04
I work in a level II, we have an in-house hospitalist ped, 24/7. Before the advent of the hosp. program, we attended all c/s with an RT. Now we go with the ped, or occasionally an RT. We also attend all high-risk deliveries, pretermers, mec, decels, etc. etc. This means the other nurses have to watch over your patients, as long as you are gone. If the babe comes back with us for obs or as an admit, we add that to the collection. Once in a while someone else will take it over, but most often we do the baby....and someone else does the next delivery or c/s. We have 350-400 deliveries a month. If we are taking care of a very sick baby, we don't go to deliveries.
There are times we dread that phone call...we have caller ID, and always suspect trouble!
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