It came across email today that awhonn is now saying that its safe practice for 5 m/b couplets. I am trying to find that information. Specifically as well what it says regarding pts on mag, antepartums, etc in relation to the 5 couplet recommendation. We are likely going to 5 couplets on an as-needed basis (budget issues being the cited reason). I need to be sure I am performing safe practice. I love my floor and my coworkers but politics are getting weird.
Why does budget have to affect patient ratios? Isn't it more expensive for a pt. to win a free trip to ICU from a complication, rather than have extra nurses on hand? I am sick to my stomach thinking about this change at work...our c-sects need hourly checks X12h, and mag patients are traditionaly just seen as one couplet out of four. Now they will be one out of five!
Anyway, looking for info about awhonn's guidelines. I looked on the site but couldn't find it. thanks.