Question: Neonatal nurses & deliveries - page 2

hey everyone i wanted to know whether NNPs or Neonatal Nurses are in the delivery room? or are they only in the delivery room for high risk deliveries? i would really like to witness/assist a... Read More

  1. by   cindylouwho
    Quote from SteveRN21
    If we know a smaller preemie is coming, eg a <32 weeker, multiples, or if we have a transport. I work nights, so we don't have an MD on all the time. They usually come in to write orders, or will have us call them at home when mom dilates to 8cm. On days, they're always there, and will attend when they feel the need to, especially with the really small ones. Once the kid is born, the admitting nurse starts the standard order protocol based on weight, age, etc, other RN's assist with weighing, assessing, documenting, coding... resource nurses put in umbilical lines, the RT's set up vents and settings, give infasurf, so the MD pretty much just has to decide if they want to actually see the pt then, or give phone orders and see them in the am. We have a great team that works together really well, as you can see...
    It takes a lot of trust for the MD's to let the nurses handle all this, which we've earned over the years.........
    Steve...where do you work in S.C.?...Is Leigh your supervisor?
  2. by   sunnysideup09
    I have to admit I'm surprised. None of the nurses feel liable at anytime especially if something goes wrong that a MD didn't show up? I'm surprised that a MD wouldn't want to come in during the night. We have a NNP on 24 hours a day so she can call him and let him know what's going on. I'm not sure I'd want to be the nurse to make the decision that an infant should be extubated vs staying on the ventilator. But if you had specific standing orders, I could see that as an option.

    Christine

    Quote from SteveRN21
    If we know a smaller preemie is coming, eg a <32 weeker, multiples, or if we have a transport. I work nights, so we don't have an MD on all the time. They usually come in to write orders, or will have us call them at home when mom dilates to 8cm. On days, they're always there, and will attend when they feel the need to, especially with the really small ones. Once the kid is born, the admitting nurse starts the standard order protocol based on weight, age, etc, other RN's assist with weighing, assessing, documenting, coding... resource nurses put in umbilical lines, the RT's set up vents and settings, give infasurf, so the MD pretty much just has to decide if they want to actually see the pt then, or give phone orders and see them in the am. We have a great team that works together really well, as you can see...
    It takes a lot of trust for the MD's to let the nurses handle all this, which we've earned over the years.........

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