I just wanted to know a little about high risk OB. It seems that at my hospital the manager described it as the "feeder unit" to L&D. She said that once a position becomes available in L&D the High Risk OB RNs get first choice. I wondered what kind of things might be seen and what everyone thinks about going from High Risk OB to L&D? What is the usual patient ratio and pace? If this is the way into the unit do you all think I should go for it? Any advice would be appreciated
Your hospital set up is obviously different than ours, but no two hospitals are going to be the same.
We do have a "high riskOB" unit, but we call it antepartum. Our antepartum and l&d is the same large unit, but each has its own "half" of the unit (with the OR in the middle). Same nurses, though, you don't have some AP patients and some labor pt's. One night you might have labor, next it might be AP.
I wondered what kind of things might be seen and what everyone thinks about going from High Risk OB to L&D?
We have anything you could think of practically. From OB problems like PPROM, PIH, PTL, previa to non OB things like pneumonia, headaches, gastroenteritis, cholecystectomies, asthma, sickle cell crisis, suicide attempt, seizure disorders, once we had diabetes insipidus. All of the pts are over 20 weeks preg, though. Under that and they go to another floor. Plus, we keep our pt's on mag, so if they are post vag delivery or post c/s and on mag we keep them for the extra 12 or 24 hours.
Yes, it can help with l&d in some senses. you'll learn about complications of pregnancy, normal and abnormal lab values, about how to read a strip well which will all be useful. Plus, the high risk pt's do eventually have babies, so if you are there first you'll be more comfortable when they are in labor.
What is the usual patient ratio and pace?
The ratio depends on many things: the acuity of the patients, whether or not they are on continuous monitoring, how needy they are, etc. 2-4 moms per nurse though. Pace can be achingly slow, if they are very stable, or can be hectic. People who are in pain, going into labor, new admissions, babies having decels, etc. Its usually steady to busy.
If there is no way to get straight into labor and delivery, then this is definitely a way in, and a good learning experience as well. YOu might end up enjoying it and not just using it as a stepstone.