Quote from Elvish
I'm excited about blogging from the trenches of mother/baby. "Why 'trenches?'" you might ask. From the outside it seems as though mother/baby nurses have a cake job and in comparison to some jobs, we just might. But this is nowhere near 'easy.' Spending twelve hours caring for new families, getting/keeping breastfeeding going well, showing new, tired, overwhelmed parents how to care for their baby, making sure said new baby stays well, and any host of other issues are par for the course.
I also work with stable antepartum patients as well as in the newborn nursery. Each of these patient groups brings a set of challenges that is unique. With antepartums, the question is not generally 'if', but 'when' they will 'break.' Getting to know these patients is generally joy but their situations are often heartbreaking as they face a pregnancy with unexpected complications and did not plan on spending weeks on end in the hospital unable to get up except to the bathroom.
When I'm in charge in the newborn nursery, I may not see all 35 babies I'm responsible for but I'm responsible for them nonetheless. Most babies, very fortunately, have no problems and go home as expected. But on the occasion when things don't go as planned, it's my job to catch those things, which may be a subtle as 'this baby doesn't look right' and have to convince a pediatrician of that, or as blatant as having to resuscitate a baby who's quit breathing.
I'm hoping in this blog to convey some issues that nurses in the above fields face, shed some light on common (or not-so-common) patient conditions we face, and questions that we ask ourselves on a daily basis.
Come along for the ride!
Hello! I applaud you for diving into this subject topic. I am primarily an Antepartum RN, however, I frequently
get pulled to women's health (med/surg for women), full term nursery, & post-partum care. Currently, our new mother's & their babies each have their own nurses. But, like you said, each specialty comes with it's own unique situations & challenges.
Currently, I am struggling with what the justification & rationale is for being able to pile on 7-8+ postpartum patients onto each nurse per shift. I was told that it's ACOG's standard of care nationally that this can happen. But, I question if the number & rate of c-sections, which are considered surgical procedures like any other surgery, was taken into account whenever this "standard" was written & passed. Times have changed & c-sections are on the rampage!
I am particularly concerned with our facility's outrageous c-section rate & the postpartum care protocol that follows this procedure. I was told that our facility has a c-section rate of around 70-75% (if not higher). I was just wondering if this rate is as common in other places or just ours?
Please know that I have absolutely nothing against having a c-section. I've had one myself. In fact, it's what probably saved my son's life. But, I say use everything in moderation. Anyway, if there's anyone out there that can direct me to ACOG's printed standard of care for the postpartum nurse (specifically regarding they're patient assignments...etc) I'd greatly appreciate it!
Thank you & God bless all of you hard working nurses!