Yes, someone did suggest that. I was replying to MoshRN who stated that they get assigned to a pp mag pt plus 3 couplets (which is 7 pts). And yes, a PP mag can easily be taken care of on a PP floor if staffed appropriately and she's stable on mag. Just like any high alert drip like an insulin, narcan drip, heparin drip could technically be cared for in any IP unit, doesn't mean it's safe. When I worked a medical step down floor I would do insulin drips, heparin drips, argatroban drips, blood, high fall, postassium/mag runs, low alert chemo infusions, radiation tx on a normal day, but our 24 bed unit was always staffed with 8 RNS, and we were never given more than 3 pts, sometimes just 2 if the charge had to take 1 bc of acuity. Our PP unit is not staffed/budgeted for MB nurses to take 3 pts, doesn't make sense, we are staffed to take 3-4 couplets (which is 6-8 total pts). SO, if a mag pt comes up then someone will have to be called in or the charge will have to take the mag pt. Rarely, does this happen on our unit, and when it did, I refused to take a full load with a mag pt, told the charge she could either take the mag pt or take the other couplets. And, after she called the manager she took the mag pt. The intention in my original post is that if you are given an unsafe assignment, then don't take it, regardless of what anyone says, escalate it, it's not worth your license. We are generally staffed according to census, and per the hospital admin policy, high acuity pts are not allowed to be on floor and they define high acuity as a pt requiring VS/interventions/observations/assessments more frequently than q4h along with some other stipulations.
Most hospitals in GA are not LDRP, esp the larger ones. I've only seen the very small community hospitals have LDRP set here. Even Northside, which delivers 18,000 babies annually doesn't have LDRP.