Does this seem unfair to you???? Please advise. - page 3

Hi, I'm new here and I certainly don't mean to gripe but...for the past month or so I've been coming home increasingly frustrated with work. Don't get me wrong- I love my job in L&D. I work in a... Read More

  1. by   layna
    The AWHONN standards (which are guidelines) state that an RN can care for up to 2 uncomplicated labor patients with or without Pitocin until they reach the second stage of labor which requires 1:1 care. This is the ideal. You may need your manger's help in determining what is or isn't a safe workload. It sounds like the others on this board have been doing a good job in educating you on how to stand up for yourself but the reality is that you are also standing up for your PATIENTS. If you willingly accept an unsafe workload when there is another RN available to take patients and you do not stand up for yourself or call your manager, then YOU may be liable if there is a bad outcome.

    Good luck!
  2. by   Burr
    Sounds like my life 7 years ago. New on L&D and had the following: 1 Mag, Pit, Epidural, +SROM; 1 Pit, +SROM, Abx, fever 103+; 1 Pit, intact; 1 New admit in LDR who delivered within 1 hour of arrival. There were 3 civilian L&D nurses working that night with me. One had an NST - went home. One had a labor, stable, not delivered until late morning on day shift. One with no one. After 10 hours of hell - I went to the dest and stated that this !!!! had to stop. It was unsafe for our patients. I was told that they were just waiting for me to tell them that I needed help. Shift charge of course was the nurse without a patient, talking with her husband on the phone all night and handing out the work. Things never got any better with that one, but I did gain the others confidence. Later that year, now shift charge - made the one who would not work at all - take patients. In the long run though we all had to cover for her - due to her phone calls. When you go up the chain - and you do not get help - that is when I was ready to give in the cloth.
    The last night I worked there - there were 6 labors when the night shift arrived - 12 delivered on us - and 6 were laboring when we left in the morning. Scrubs are charts in that type of setting. Write on the strip - make a checkerboard on your scrub pants and chart while going from room to room. At the end of the shift - it takes 2-3 hours of charting to cover what you did that night. I would change out of the scrubs - and chart from them. I am enjoying where I am now - 250-300 deliveries per year. Nice pace - but I can say that I existed for 3 years of the above insanity and no one on my watch died, or was hurt by my care.

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