AWHONN GUIDELINES

  1. 0
    Can anyone quote the AWHONN guidelines for staffing in the Perinatal Unit?
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  5. 0
    Are you refering to an Ante Partum ie: PTL, PIH, bleeding, etc. patients? Our unit staffs three pts to one RN if stable, and I know we follow the guidelines pretty closely here--these include those on MgSo4 and/or BID monitoring--
  6. 0
    Originally posted by lawilk99:
    Can anyone quote the AWHONN guidelines for staffing in the Perinatal Unit?
    I know mother baby is 3-4 stable couplets.
  7. 0
    Originally posted by lawilk99:
    Can anyone quote the AWHONN guidelines for staffing in the Perinatal Unit?
  8. 0
    Originally posted by lawilk99:
    Can anyone quote the AWHONN guidelines for staffing in the Perinatal Unit?
    Here are the Amerrican Acamdemy of Pediactrics and ACOG guidelines. Hope this helps.

    nurse/patient ratio care provided

    Intrapartum
    1:2 pt. in labor

    1:1 pt. in 2nd stage
    of labor

    1:1 pt. with medical
    or obstectrical
    complication

    1:2 pt on pitocin

    1:1 coverage for
    initating epidural

    1:1 circulation for cs

    antepartum\postpartum
    1:6 ante&post pt.without
    complication

    1:2 pt. in recovery

    1:3 ante$post pt. with
    complication but
    stable

    1:4 recently born infant
    & those requiring
    close care

    newborns
    1:6-8* newborn with routine
    care only

    1:3-4 normal couplet care

    1:3-4 newborn req. contin-
    uing care

    1:2-3 intermed. care

    1:1 multisystem care

    1:1 or greater unstable critcal care


  9. 0
    All alone is right on. Do you have the AWOHHN site? There are some information available through their fax program (or was--have not visited there recently)

    Good luck

    ------------------
    Sheryl
    If you enjoy word puzzles come visit me at www.CrosswordsForNurses.com
  10. 0
    antepartum\postpartum
    1:6 ante&post pt.without
    complication

    hello!
    antepartum is a complication
    the other guideline was 1:3 antepartum with complications but stable?
    what do these mean exactly?
    is there an awhonn book or site that can spell it out or offer some kind of print out?
  11. 0
    So much for "guidelines".... we are at 5 couplets every night and alot of nights we are going to 6 each with the charge nurse taking at least 3 to 5 couplets also. We try to have a RN in the nursery but have had to pull her out on the floor also and leave a PCA in there. We have had any where from 5 to 15 babies staying the night in the nursery "so mom can sleep".

    Can we say burnout?
  12. 0
    Quote from TCRNCOB61
    So much for "guidelines".... we are at 5 couplets every night and alot of nights we are going to 6 each with the charge nurse taking at least 3 to 5 couplets also. We try to have a RN in the nursery but have had to pull her out on the floor also and leave a PCA in there. We have had any where from 5 to 15 babies staying the night in the nursery "so mom can sleep".

    Can we say burnout?
    That is unsafe, period. Is your NM aware of the guidelines???

    We usually have 3-4 couplets and one (relatively) stable antepartum pt. Usually pretty manageable, but I've had 4 couplets & a mom BFing twins and that is REALLY hard. So far complaints fall on semi-deaf ears.
  13. 0
    Make sure your hospital's legal department is aware of the guidelines and that your department is routinely way over them. OB is tends to have the highest awards in malpractice cases. If there is a problem that occurs on a night that you were seriously understaffed and that problem can be even tentatively traced to that, your hospital has no legal leg to stand on. Every time you are out of the guidelines, be sure your directior, house supervisor, administrator, and legal department are aware of it. No one (except your patients and coworkers) will appreciate this, so don't expect to make any friends by being the squeeky wheel. But it's the only way things every get changed.


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