A Medical/Legal caution to all:
When setting your Standards of Care, be sure it meets National Standards, as per AWHON, ACOG, & American Association of Pediatrics...for these are what a jury will judge you by, not by what staffing/budget allows for!!!
I must applaud & restate several comments by Ismo:
" A L&D RNs focus is on the mother, while an RN with Special Care Nursery skills is present to triage and perform an admission assessment on the baby at birth.... At the moment of birth even the most promising fetal strip and uneventful labor can become complicated and require immediate intervention.
Is it not in the best interest of our patients to place the most qualified staff at the bedside at this crucial moment? ... It is not adequate to rely on "calling for help" after problems arise. ... Time is of the essence and quality of life can be dramatically dimminished without proper care providers in place at the time of birth.
. . . we should work to ADVANCE the profession of nursing and standards
of nursing care....! I encourage you to require appropriate staffing no matter what resistance you meet and to be a part of advancing nursing practice standards and advocating for quality patient care!
another point: If one RN attends the delivery, and the baby "crumps" & the mom hemorrhages....would not the RN be guilty of patient abandonment if she left one pt to care for the other?? Hmmmmmmmmmmm!
On busy, low-staff, crazy days (we've ALL had them) the delivery team is an RN, an MD & a tech (paperwork, cleanup dude-ette) with a second RN at b/s briefly during moment of delivery and initial stabilization of infant (1st 10") ...if everything still OK, she's off to other tasks.
Hope this helps! Haze