Medical patients on post-partum floor? - page 3

I have a question, are there any other hospitals that are sending medical patients up to post partum? We have brand new baby's down the same hall as an MRSA pt and we've had cocaine addicted pt's... Read More

  1. by   kimmicoobug
    Oh Jeez!!! Our OB department refuses pts all the time!!! And honestly, I don't feel that they should get med-surg if at all possible. But they do get mastectomies, and they do get gyn surgeries (routine patients for this dept). So, you should just hear them when there are no beds available on med-surg and a lap chole (that will be going home in 3 hours anyways) is sent their way. And this unit does not keep infected patients, moms or gyns are sent to ICU as med overflow or to the floor, the director and house supervisors are VERY good about that, thank God.
  2. by   phyrenrain
    I don't know about "way of the future," but our facility has recently changed from "faith based" to "for profit." Needless to say, we are seeing the same thing: med/surg pts. on the PP floor--anything to fill the beds:angryfire . I am not a PP nurse, but the stress can be felt all the way through the facility. Yes, we have training in other areas, but when your experience is in one area and admin wants to fill the beds with pts from another "specialty".....Bottomline, it's YOUR license, if you don't feel comfortable, you have 2 choices, request more "orientation," or move on and protect the license you worked so very hard for.













    Quote from tiliimnrn
    I have a question, are there any other hospitals that are sending medical patients up to post partum? We have brand new baby's down the same hall as an MRSA pt and we've had cocaine addicted pt's high on crack at the time down our peds hall. My nurse manager has told us that this is the way of the future, there aren't going to be specialized areas any more, if we have room, we're going to get whatever they send us. One of the newer nurses to the floor asked the NM if she could have a little more extensive orientation if she was to get med/surg pts and the NM told her that her RN degree covers all areas of nursing:angryfire so she should be able to handle ALL areas of nursing. YOU KNOW, JUST LIKE THE MD'S DON'T SPECIALIZE..........
  3. by   Darchild77
    The funny thing is that right in our hospital policy, it says that "all med-surg overflow will be sent out". That has never happened! Little while ago we had an ETOHer who was homeless and had HEp C next door to a 4yo girl who's mother wasn't staying with her-I did not agree with this placement at all.:angryfire
  4. by   tiliimnrn
    Quote from Darchild77
    The funny thing is that right in our hospital policy, it says that "all med-surg overflow will be sent out". That has never happened! Little while ago we had an ETOHer who was homeless and had HEp C next door to a 4yo girl who's mother wasn't staying with her-I did not agree with this placement at all.:angryfire

    Darchild77 I'm from Minnesota also:uhoh21: is it just in cities here that this is going on? Also, I work for Allina, do you? Please write to me privately if you don't want to answer here.
  5. by   SmilingBluEyes
    *scratching allina off the list of potential employer if/when i move to wisconsin/minn*

    i disagree vehemently with sending grossly infected patients to pp....and ETOH'ers...whatnot..what about SECURITY????

    your manager is bucking for approval from on-high. scary. and downright dangerous.

    i have NO issues with clean surgical patients going to ob/gyn. that makes great sense to me. and i have done it. It is doable....but "anything that rolls, crawls or is rolled in"--- :angryfire nope.
  6. by   rck213
    Check your state Dept of Health regulations
    In New York State you cannot have any patient with cancer or any infection, any diagnosis of "itis", on a Maternity floor.

    If the hospital has a dedicated Pediatric unit no patient under 14 can be put in the room with a patient older than 18 unless there is permission from both the patient's pediatrician and the patient's parents.
  7. by   suzanne4
    I only remember putting patients that had a DVT, on bedrest, and continuous heparin drip on post-partum. Or similar diagnosis. No temps, no signs of infection, etc. And definitely nothing contagious to mom or baby.
  8. by   Darchild77
    Quote from suzanne4
    I only remember putting patients that had a DVT, on bedrest, and continuous heparin drip on post-partum. Or similar diagnosis. No temps, no signs of infection, etc. And definitely nothing contagious to mom or baby.
    Wow, in our small town hospital, we all but lose our med-surg skills associated with G-tubes,heart probs and etc... I have on occasion told the other nurses that I'm uncomfortable taking a pt as you mentioned above. Usually, one of the other nurse will take them, but I feel even this isn't right because the last time anyone had a patient taking Labatolol or a Pt with DVT on our unit was years ago. It just seems that they are jeopordizing their license to me. Nobody on our unit would have the first clue as to hoe to use a heparin drip!!! of course nobody else in our hospital knows what to do for pp hemorhage.
  9. by   tiliimnrn
    Yes, we've had pt's that needed labaetolol every 1/2 hr and they refused to transfer the pt off of our floor. I used to work on a med/surg floor and a tele-stepdown unit. I transferred off for a reason.....I used to be the NG Queen, everyone would come to me to place them, but this last month we had a pt. who needed an NG placed and I tried 3 times (couldn't get it in) What made me feel a little better was that the CCRN and the Queen from my previous floor couldn't get it in either...she ended up going down to xray to have it placed.
    ANYWAY...We have had many different diagnoses on the floor, and I'm so afraid that nobodies listening. I know nobody is listening...cuz Allina doesn't care.
  10. by   MishlB
    It all boils down to $$..an empty bed is empty income. Our postpartum floor takes anything from lap/chole to rule out TIA. If a woman is also pregant, it doesn't matter what she has, they all come to postpartum...seems everyone else is afraid of a pregnant woman.
  11. by   webbiedebbie
    As far as hospital administration is concerned....A nurse is a nurse is a nurse. PP is now considered an overflow floor and YES, it is happening today! I have taken care of pt's with NG tubes, pneumonia, possible brain mass, torn ligaments, etc. We even had a MALE pt on the floor for platelet transfusion!
  12. by   dramaluvr
    Quote from tiliimnrn
    I have a question, are there any other hospitals that are sending medical patients up to post partum? We have brand new baby's down the same hall as an MRSA pt and we've had cocaine addicted pt's high on crack at the time down our peds hall. My nurse manager has told us that this is the way of the future, there aren't going to be specialized areas any more, if we have room, we're going to get whatever they send us. One of the newer nurses to the floor asked the NM if she could have a little more extensive orientation if she was to get med/surg pts and the NM told her that her RN degree covers all areas of nursing:angryfire so she should be able to handle ALL areas of nursing. YOU KNOW, JUST LIKE THE MD'S DON'T SPECIALIZE..........
    I am not a nurse yet, just a student. However, my daughter was just recently hospitalized and she is 14 months old. We were on the same floor as L&D, NICU and the Medical Floor. They combined everything into one. Only one of the nurses which took care of my daughter had ever done pediatrics before and my baby was miserable because they couldn't get the IV and after only two hours it infiltrated and they had to do another. I was pretty upset and will never go to this hospital again. I would rather travel the hour and a half to the next closest hospital than go back there. I thought it very inappropriate to have women delivering babies next to a room with elderly patients with pneumonia, including my daughter being there for pneumonia.
  13. by   tiliimnrn
    Dramaluvr, Did you complain to the Nurse Manager on that floor about your ordeal? I believe that if you don't compain about the care, the fact that your nurse probably didn't have any orientation to peds, I don't think anything will be done to take care of the problem. I tell any patient that complains about something to tell them when they do their, "after care" calls. Tell them the room was too cold, my nurse was soooooo busy that she couldn't come in my room right away when I needed my pain med, etc.... That's the only way anything will get done. I also tell them to complain about the male pt on the floor.

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