AWHONN GUIDELINES | allnurses

AWHONN GUIDELINES

  1. 0 Can anyone quote the AWHONN guidelines for staffing in the Perinatal Unit?
  2. Visit  lawilk99 profile page

    About lawilk99

    lawilk99 has '13' year(s) of experience and specializes in 'L&D, OB/GYN, Peds, Home Health'. From 'Louisiana'; Joined Apr '00; Posts: 12.

    11 Comments so far...

  3. Visit  timonrn profile page
    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--
  4. Visit  syranurse profile page
    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.
  5. Visit  all alone profile page
    0
    Originally posted by lawilk99:
    Can anyone quote the AWHONN guidelines for staffing in the Perinatal Unit?
  6. Visit  all alone profile page
    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


  7. Visit  puzzler profile page
    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
  8. Visit  HelloAgain profile page
    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?
  9. Visit  TCRNCOB61 profile page
    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?
  10. Visit  Elvish profile page
    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.
  11. Visit  NurseNora profile page
    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.
  12. Visit  crissrn27 profile page
    0
    I have a question along these lines. The hospital I work at (the same one as Arwen, actually) has a separate L and D and triage areas. As far as I can tell at this point, the L and D staffing is good, meets guidelines, and C-section is a little hectic with one nurse responsible for mom/baby circulating, but doable.

    I am a little nervous about the triage area though. The staffing there is 2 nurses for up to 8 pts. I doubt this happens much, but I am worried about it. I haven't been in this area but a couple of times so far, so I'm not comfortable with the paperwork, or the routine there yet, but when the day comes that I have to take 4 pts, I think I will freak out!! What do you guys do for triage?
  13. Visit  daisysn2001 profile page
    0
    We are also at 5 couplets on nights here in St. Louis. It is crazy! I had to giggle a bit the other night when I read a post asking about med/surg ratios. I believe the ratio was in question was 6 patients with one tech for 4 nurses. I am seriously considering going back to med/surg for those ratios. I have technically 10 patients and no tech. I can't get anything done! I feel like my patients are neglected. And I am so tired of visitors saying, "it must be nice to play with the babies all night." What playing? I don't even hold a baby except to get it to the scale and back. :angryfire Sorry, this thread struck a raw nerve. What do we have to do to get back to sane ratios again?


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