is labor and delivery and OB really a specialty? - page 3

i worked a different floor the other night and found it interesting that the nurses I worked with thought L&D/OB was not a specialty area at all. they said all we do is hold babies and play nurse.... Read More

  1. by   LCDEBBIE
    Dear Mark: Welcome to L/D--it is great that a male is providing care in our very special area of nursing. I would love to get your views on initiating breastfeeding. Oh, breastfeeding requires holding babies--tough for some to view this as an important part of nursing.
    Yours in lactation,
    Debbie
  2. by   OB4ME
    Originally posted by HazeK
    uh, you'll notice that here on allnurses.com that Labor & Delivery/OB nursing is NOT considered a Critical Care unit....whereas, Neonatal Nursing is!

    (sorry for grumbling...but I'm pretty adamant that L&D is very, very much a critical care area! ANYTHING can go wrong at ANY time....and often does! Critical thinking skills are essential to being a good L&D RN!)

    at least, thank goodness, the L&D staff get an "ICU salary differential"!

    Haze
    I think that it depends where you work. Yes, I agree that critical thinking skills are most definitely a major necessity in an L&D nurse. But as far as being considered a "critical care" area...At most of the hospitals I've worked at, we send our "critical" patients to ICU (those that are resp or circulatory unstable). I don't know how to work a vent or manage an art line anymore. I certainly wouldn't call myself a critical care RN, because I am not comfortable with the more advanced monitoring done on the typical ICU.

    In other hospitals, L&D actually keeps OB patients on vents and with art lines, etc. Then, you are a critical care RN, if you are trained to take care of them.

    Neonatal Nurses (unless specified as only level 1 trained), however, are considered ICU nurses, because they are trained on all of that ICU equipment.

    I think of myself more comparable to an ER nurse, working in L&D...except that I might care for my patients longer and more intensively than they typically do. :-)
  3. by   mark_LD_RN
    Originally posted by LCDEBBIE
    Dear Mark: Welcome to L/D--it is great that a male is providing care in our very special area of nursing. I would love to get your views on initiating breastfeeding. Oh, breastfeeding requires holding babies--tough for some to view this as an important part of nursing.
    Yours in lactation,
    Debbie
    thanks for the welcome debbie.

    it may be tough for some to view , but breastfeeding is an important part of nursing care.ispend a lot of time with new moms helping them breast feed and learn proper breast care, usually try to get them to nurse with in one hour of delivery.

    I love my job can't you tell

    hope every one does

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