L&D/NICU hostility!!!! - page 3

Just wondering if this unfortunate situation is unique to the facility where i work or if it is everywhere! whenever the NICU gets very busy, the nurses become very hostile and rude to L&D nurses. ... Read More

  1. by   at your cervix
    WOW, what a huge response. I guess I feel a little better, and a little worse that it is the same everywhere. Thanks for the input!!!
  2. by   mother/babyRN
    The only areas in our facility that are staffed for the what ifs are the emergency room and ICU....WE are the ones who staff them and it is hilarious to me that they send us everywhere (since maternity in any facet is NOT a specialty area) but cannot function when a pregnant woman comes through the door. I have been called up to delivery to retrieve a fetone to go to the ER or ICU to do an FH because THEY either can't or won't do one....And if I get another call from some ER nurse or doc who actually cannot understand or refuses NOT to understand that I will more than likely NOT find an FH on their barely 5 weeks pregnant pt....Just blows my mind....
  3. by   at your cervix
    I think that is hilarious when they call us to er for a fhr when they are only 5 weeks. I have started asking when they call how far along the pt is because I went down to er one night for a fhr, I was unable to find one, I asked the pt how far along she was, she said that she didn't know, she thinks that she may have missed her last period. She was in the er for back pain!!! As professionally as I could, I suggested to the doctor that if wanted to find out if she was pregnant or not, a urine pregnancy test is much more reliable than calling L&D down to try to find fht's.
  4. by   shay
    Originally posted by at your cervix
    I think that is hilarious when they call us to er for a fhr when they are only 5 weeks. I have started asking when they call how far along the pt is because I went down to er one night for a fhr, I was unable to find one, I asked the pt how far along she was, she said that she didn't know, she thinks that she may have missed her last period. She was in the er for back pain!!! As professionally as I could, I suggested to the doctor that if wanted to find out if she was pregnant or not, a urine pregnancy test is much more reliable than calling L&D down to try to find fht's.
    :chuckle LOSER!! I would have paid good money to be a fly on the wall when you said that to that doc. :roll
  5. by   mark_LD_RN
    I like your post Mother/Baby, I often wonder why it is that dayshift is always slammed and night shift is supposed to be so slow. I have worked both and did not find days any busier personally in relation to the volume of work each nurse has to do. yes there is more activity on day shift but there are a lot more nurses also. just a few days ago I worked a night shift was the only labor nurses on had rn in nursery, and 2 LPN postpatum nurses that were not IV certified, one had no experience in LD,PP or nursery. we were relieved by a dayshift that consisted of 2 experienced LPN's one was IV certified, 7 RN's, 1 OB tech and the nurse manager. for the same number of patients. not to mention in the morning i had 4 patients to admit which consisted of 1 c/s patient and 3 inductions. had them all admitted and on 12 mu of pit by 7 am. the small crew i had to work with had time to complete everything including the nightly chore list. the 3 inductions all delivered before 1400 still when i got back none of the instuments were clean,2 observation beds were dirty. someone explain to me how 11 people could not handle that work load when 4 people did it at night. next night we had a full house Again I was only labor nurse and We had a rn for PP and an RN for nursery, saw 6 triage patients labor 2 patients and delivered one. again was relieved by staff of 6 people to do what 3 had done. I also wonder why people think patients and babies sleep at night! just recently had a dayshift employee suggest that night shift start doing discharge teaching on patients because dayshift just does not have time. I guess i will need to squeezze that in my "slow" night time schedule. Maybe i will just give up my night shift nap
  6. by   finallyRN
    We are lucky not to have any hostility between our NICU staff and L/D staff. We try to warn them when we have things brewing for them.

    Mark- we also have difficulty between our dayshift and nightshift. Dayshift doesn't think anything wrong with leaving a patient in their delivery bed for 4+ hours sometimes. "Mom and baby was bonding"(mom hasn't even held baby), "Baby was cold" (temp 99.0). "Moms legs were still numb" (she practicly runs to BR from full bladder). We here all the excuses, including we were too buzy.
    So today I went in on my day off to visit a friend who just had a baby. I got there about 4 o'clock. She delivered at 10 o'clock. They were just getting the baby out of the warmer and just moving her to her knew room. She had not even fed the baby yet. Now mind you this is SIX hours after she delivered. When I first walked in there were 4 nurses sitting at the desk. Now I feel embarressed because this is my place of work and my co-workers who did this to someone I know. This would not have happened on nightshift. We try not to let mom's stay in their delivery beds for more than 2 hours. And baby's our out and fed by 2 hours max (unless probs.)
  7. by   dawngloves
    I have no problems with L&D. We all work in a high stress enviroment and relate well. I think maybe the ding dongs in the first post do not handle their stress well?
    We do however butt heads with the newborn nursery. We often get babies that are "tachypenic and cyanotic" (RR 40 POX 100%)
    "Blood sugar 40 and will not feed" (On arrival to unit BS 70, took 30cc of formula PO) We do get legitamate admits, but sometimes.....
    And if you send a baby over there to finish out some antibiotics or bili light therapy.. Oh boy! You'd think you asked them to take all our vent patients! Sorry, we need the room! There are 2 24 weekers brewing downstaires and we NEVER close!

    And having had 36 weekers I know that they are NOT term! And somone needs to tell pg women and some of these OBs that!I have also butt heads with preemie moms about this. It's not 26 weeks, but it is still not term!
  8. by   ERNurse752
    Originally posted by at your cervix
    I think that is hilarious when they call us to er for a fhr when they are only 5 weeks. I have started asking when they call how far along the pt is because I went down to er one night for a fhr, I was unable to find one, I asked the pt how far along she was, she said that she didn't know, she thinks that she may have missed her last period. She was in the er for back pain!!! As professionally as I could, I suggested to the doctor that if wanted to find out if she was pregnant or not, a urine pregnancy test is much more reliable than calling L&D down to try to find fht's.


    Oh geez...they can't get their own FHTs? And then they try to get someone else to find them on someone who may not even be pregnant? :imbar
  9. by   shay
    And having had 36 weekers I know that they are NOT term! And somone needs to tell pg women and some of these OBs that!I have also butt heads with preemie moms about this. It's not 26 weeks, but it is still not term!
    OH, DAWN....I THINK I LOVE YOU!!!!!

    I totally agree!! It grates my nerves to the n'th degree to see these women who are so "tired of being pregnant" and their stupid OB's who oblige and do stupid stuff like STRIP THEIR MEMBRANES or worse, BREAK THEIR WATER!!!

    I want to scream, 'HELOOOOOOOOO???!!! GET A CLUE!!!! LUNG DEVELOPMENT, ANYONE?????" I had a pt. last week who was 36 weeks pregnant with her first baby and TOOK CASTOR OIL!!! She of course came in contracting q2-3 minutes, but thank God was only a fingertip dilated. I told her, "I know you're tired of being pregnant, but your baby still needs time to grow! Those little lungs aren't working yet!!!" I begged her to please not do that again and let nature decide when it's time for her baby to come out. Then reassured her that pregnancy does not last forever.

    WHAT IS WRONG WITH THESE PEOPLE??????
  10. by   mother/babyRN
    The day, night shift thing amazes me..AND, they seem to have some pull with the nursing supervisors.. Not too long ago, I was on pp and received a gyn pt who was bleeding vaginally. All night long. I took her off bathroom privileges and put a commode at bedside ( hello, do you think that was something people should have thought of considering she was symptomatic AND had blood running. They had, as they more often than not do, floated my LPN. The 2 delivery people were busy with patients and nursery had only one RN, so there was no one to help or intervene if something went wrong. Doc didn't want to be bothered overnight so this lady was going to have a d&c in the morning..I was the only pp nurse and giving blood....2 units overall...THEN, they bring me a c/s and of course she is high risk and has frequent vs..Not to mention a whole host of other things that kept me busy throughout the night. Morning comes. Anesthesia calls and tells me they want the pt brought to the OR suite asap...I tell them that would be a neat trick but that I am not certified in teletransportation and if they want this pt, they are going to have to come get her themselves. They do.....(Wicked surprise to me, by the way.) Lady was in the OR by 7. Dayshift comes on. One nurse with a backup on call. Now that my lady is downstairs, she really will only have 3 other pts and 2 of them will be discharges, whom I have already done discharge teaching with. ( of course, the myth is that no teaching of any sort whatsoever gets done on nights). She is asking me about the blood policy and I just cannot get through to her that the pt is gone and isn't coming back to us. In fact, she will probably go home from pacu..
    Didn't she not get right on the phone and demand one of the day delivery nurses to come over and listen to report...I couldn't believe it.. My pet peeve is floating and having them leave the night shift super short and then see them adding help to the day shift. And THEY have a secretary so they don't have to kill themselves doing pt care and running for the phone every minute...And why the hell do I have to do dayshift paperwork and put forms they use in the chart just "in case" THEY are busy....
    I love those girls ( sorry Mark , we have no male nurses) , but on the odd occasion they are floated to our shift, they are amazed at our speed and ability to merge. No one complains what area we are in, we just pitch in and do it. They could argue about things like that for 10 minutes and I have actually had to call them over so I could go home...like the night shift has nothing better to do than hang around while they get situated...
    And, how about that " You don't mind doing this or that before you leave, do you?" Yes, I DO mind......Hmmmm, apparently, I needed to vent......
  11. by   rdhdnrs
    We don't have a problem in our teaching hospital between nursing units; it's more with the residents. My chief called the neo resident today to tell her to expect a 26 weeker who was 4-5 cm and the neo said " Hon, why don't you call us just a little closer to time for delivery" Well, needless to say, that PROM went back for a stat section and peds was like, "What???" I don't know the solution to this; we have monthly conferences between peds and OB to try to get "on the same page". I hope it will help.
  12. by   OB/GYN NP
    Although when people say ignorant things like what those NICU nurses said , it is VERY frustrating and offensive, but also realize that at the heart of the issue was ignorance. One solution to this problem would be to cure the NICU nurses' ignorance! Try giving mini-inservices between L&D nurses and NICU nurses at staff meetings where you (or a nurse who likes to teach, if you don't) discuss frequent L&D and NICU problems (PTL, PIH, etc) and discuss the treatment of them. Might help a little? Good luck!
    Jennyp
  13. by   mark_LD_RN
    mother baby i now how you feel with the short staffing on night shift and the over staffing on days. prime example is about a week ago Iwas only labor nurses on, had fairly experienced rn nusery nurse and a rn orientee new to post partum and a telemetry lpn who was not certified this made up my whole shift for the night. get this the dayshift consisted of 8 rns 2 lpns 1 ob tech and the nurse manager. to handle the same pt load except for one c/s pt that i had preped at 6 am. gee and when i got back the next night the place was a mess.instuments were dirty,rooms not stocked,no blankets in warmers and so on. this just gets mygoat at times.

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