Any Antepartum nurses?

  1. Hi all,

    I am a nurse on an antepartum floor. I have read that some of the L&D floors do both delivery, antepartum and postpartum. At my hospital L&D and Antepartum are sister units but completely seperated by closed sections and post partum is located on a completely different floor. (not for as long though, entire new building will be done in august to house all womens health) anyways.. sorry for rambling.. wanted to know more about some of your antepartum floors. we do both antepartum and GYN surgicals. Antepartum however overrules surgicals and they will get booted if a demise or pretermer comes over from L&D. One thing I am bothered by on our floor is we are not able to do Mag pts anymore. I am a new grad this year, so this is all I know. But i heard it was because a couple of the newer nurses cried because mag was so scary. Just curious about your opnions. I would love the chance to have a mag pt. New drug, new experience, but I dont get to. Seems they are taking away many of our opportunities. even if we were to float to Post partum... we no longer get to do the nursery babies only the moms. hmmm

    Talk to me!
    Nik
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  2. 17 Comments

  3. by   MIKelly
    I'm not a nurse, yet, but I was a mag patient with my first pregnancy (it was dreadful but did the job!). I don't understand how an antepartum floor can NOT have mag patients? Antepartum is all your high risk pregnancies, those with low fluids, ruptured sacs, high order multiples, etc., right? I'm curious what dept handles patients on mag at your hospital now?
  4. by   ABQLNDRN
    Hi Nik--

    I work on a antepartum/postpartum unit. We take care of Mag pts. and GYNs on my floor. Yes, Mag pts. can be scary, but that's just part of the territory. We are separate from L&D. We are going to be moving into a newly-built hospital next month. At that point, antepartum and Mag pts. will be on a separate unit. We'll see how it goes. As with any change, there are some that are excited about that and some that think it's not a good idea. I am open to change and see it as a new opportunity to grow, so I'm excited!
  5. by   NikRN
    Quote from MIKelly
    I'm not a nurse, yet, but I was a mag patient with my first pregnancy (it was dreadful but did the job!). I don't understand how an antepartum floor can NOT have mag patients? Antepartum is all your high risk pregnancies, those with low fluids, ruptured sacs, high order multiples, etc., right? I'm curious what dept handles patients on mag at your hospital now?

    To explain that, we have mag pts on our floor, however the L&D nurse has to be on our floor to care for them. Other than that the mag pts take up beds over in L&D, until they are needed then transferred to us. then we get care transfered to us after they come off mag. Either way, its frustrating because I dont get to learn everything about antepartum nursing. Its putting a damper on my chance at new knowledge.
    nik
  6. by   judyblueeyes
    .....
    Last edit by judyblueeyes on Mar 27, '07 : Reason: typo
  7. by   judyblueeyes
    We are strictly antepartum and do mag all the time. We have about 28 beds. I don't know how we could run our APU if we had to have an L&D nurse for every mag pt! Might as well be an L&D unit. GYN Surg is a different floor/unit, as is PPU and nursery.
  8. by   Almabella
    Hey everyone!
    I'm interviewing for a position on an ante/gyn unit next week. They don't take PP patients although I could be cross trained to float there.

    I've worked a lot with pregnant pts in the community (as a PHN and in a clinic) and also have experience with breast/cervical cancer case mgmnt. Just wondering: what types of things to you see/do on this type of unit?

    I think I have a pretty good idea, but I'd like to hear what someone who actually works there has to say!

    Also, are you happy with your job? I'm just wondering what nurse/pt ratios are like.

    Thanks much!
    Alma
  9. by   crysobrn
    What a headache. As a patient I can't imagine being moved all over the place!!

    At our hospital we are small so we do everything in the same unit. L&D, antepartum, PP, nursery, intermediate care nursery, demises, overflow surgicals occasionally. There are nurses that are not too comfortable with one or two of these things so we are very supportive of one another and we do have to do a lot of teaching. I'm not sure that removing the responsibility of the mag pt is going to help you learn much. Seems like it makes more sense to know what is going on so that if you go to L& D that you'd have that background.
  10. by   SmilingBluEyes
    Have never heard of an AP floor that did not care for Mag patients. This is news to me.
  11. by   ElvishDNP
    Where I am, we do mother/baby, nsy, high-risk AP, some GYN. L/D is not physically separated from us but as a unit they are under different mgmt (don't ask, I don't know why) & do their own scheduling, staff mtgs etc. They also do maggers, be the ante-, intra-, or postpartum. We don't touch mag pts; I personally wouldn't mind being trained for it, but I don't think tptb will change anything any time soon.
  12. by   HappyNurse2005
    Quote from Almabella
    Hey everyone!
    I'm interviewing for a position on an ante/gyn unit next week. They don't take PP patients although I could be cross trained to float there.

    I've worked a lot with pregnant pts in the community (as a PHN and in a clinic) and also have experience with breast/cervical cancer case mgmnt. Just wondering: what types of things to you see/do on this type of unit?

    I think I have a pretty good idea, but I'd like to hear what someone who actually works there has to say!

    Also, are you happy with your job? I'm just wondering what nurse/pt ratios are like.

    Thanks much!
    Alma
    my unit is LDR (not PP unless on mag or highly unstable) and ante as well, physically on same unit with slight separation, same mgmt, nurses, etc (which i agree with for a multitude of reasons)

    our ante has the usual-pprom, abruptions, previas, ptl, pyelo, and medical problems as well-pneumonia, appendicitis, asthma, uncontrolled dm, kidney stones, etc.

    staffing? depends on the patients. 1:1 if necessary, no more than 1:4.
  13. by   DEB52
    Mag pts are very routine on our AP unit. I've been taking care of mag pts for so long that it's not scary at all. Where are the pts going ? Are there special high risk rooms in L&D. We have those rooms but they are for critical pts.(more one on one pts).:caduceus:
  14. by   eandgsma
    I'm a nurse extern on a Antepartum floor (we call it PSCU - Perinatal Special Care Unit). We do all the Mag pts, ante and postpartum. I don't find them scary at all. I've had shifts where 2 out of 3 of my patients are on Mag. We assess q4h. Yeah, its yucky for them but we try to be on top of things as much as possible. I'm loving my externship and was offered to stay til the end of the year (graduation). I'm interviewing for the L&D externship but if I don't get it I'll stay on PSCU. Sorry sidetracked...Anyway, our pt ratio is 1:3 or 1:4 depending on how full we are. We share a floor with a woman's surgical unit but they get bumped often for our pts. I guess when all you take care of is high risk moms it doesn't seem SO scary...until something goes wrong but I think that is the case no matter what floor you are on. Just my newbie opinion!

    - N

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