Labor and Delivery staffing - page 2
What are your views on having 1 staffed for midnights on a closed L+D unit. Do you think that a nurse should ever be alone on L+D. Keep in mind at our hospital, Anesthesia are not in house and... Read More
Mar 13, '04We have a small hospital with about 150 deliveries a year. Frequently we have 1 RN in OB with the supervisor as back up. I've been the OB nurse during an emergency, and worked it as a team leader of several RN's. The code team comes over and they do what they are directed to- meds, IV, blood, record keeping, the supervisor runs for supplies, and the OB nurse did team leading and any strictly OB stuff like SVE's and FHT's. Emergency measures can be handled for as long as it takes to get the second RN in- the doc communicates to the OB nurse, and she does the assessing, prioritizing, and then directs the team. You need a good group and a L&D nurse that is clear headed and knows the skills of her team though. That would be difficult in a larger hospital when you might not work with each other regularly.
I agree that it would be great to have someone else around all the time, but it's just not going to happen, so we developed a plan to get us through emergencies, and it has proven effective whenever we've needed it.