High Risk OB

[megan.]

Hi, so I'm graduating in May and I am currently looking for nursing residency programs and OB jobs to apply to. I know I have a slight chance of working on an OB floor right after graduating, but I would like to apply just in case. I am currently precepting on a high risk labor and delivery floor and I love it. I was just wondering what other hospitals have high risk maternity units or OB ICU, another term I've discovered in my research. I've tried to google it, but have not been very successful. Thank you !

[klone, MSN, RN]

Any hospital that has a designated antepartum unit will likely also have high risk OB. I've never personally encountered the term "OB ICU" before.

Lots of hospitals have high risk OB - you really want us to list them?

[RunBabyRN]

Look into OB-CCRN.

There are a zillion truly high risk units. You need to look at high level NICUs, and those will tell you the units that have high risk OB. There are too many to list here.

Look at the major cities near you, and research their OB units. For example, I work for a major hospital system, and we have 4 campuses in the city where I work. Only two of them have L&D units, and ours is the high risk one. We have two rooms that can be OB-ICU rooms if needed, including our recovery room. There is one other hospital in the city with a higher acuity NICU than us (level IV), but it's very rare for us to send anyone there. Most stuff gets sent to us from other hospitals. We don't have full-time ICU unless absolutely necessary. Most ICU-type stuff gets stabilized with us with our OB-CCRNs, then transported to an ICU (as we're a children's and OB hospital only). Moms and babies are, sadly, separated when that happens, but they transport Mom back to us when she's stable enough. I imagine the hospital with the higher acuity care probably doesn't have to do that, but they have everything in one place that just opened last year.

[BittyBabyGrower, MSN, RN]

We have moms in our MICUs and SICUs, OB sends a nurse to those units to care for mom along side the ICU nurse. We even do a C/S in the room if need be, so we go set up warmers and such.

[klone, MSN, RN]

We have moms in our MICUs and SICUs, OB sends a nurse to those units to care for mom along side the ICU nurse. We even do a C/S in the room if need be, so we go set up warmers and such.

Yep, when I worked at the hospital here that had the sickest of the sick pregnant women (women were typically sent here from all over the region), the sickest would go to the ICU, would not stay in the antepartum unit.