LDRP vs L&D/Postpartum

Specialties Ob/Gyn

Published

I am a new grad in LDRP in a small rural hospital. I'm curious what the ratio between RNs to patients are in postpartum or L&D in larger hospitals.

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I work in a large hospital group and the typical patient assignment in L & D is 2 laboring moms to one nurse, and the ratio in post partum is 4 couplets to one nurse, sometimes less depending on acuity.

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Specializes in L&D/Maternity nursing.

I work on a LDRP unit and we average 100-120 births a month. We staff 1RN to active labors and 1RN to 3 couplets (sometimes 1:4 couplets if there are staffing issues). We always gave an on call RN and anywhere from 1-3 LNAs (depends on shift and/or acuity).

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I work on a LDRP unit and we average 100-120 births a month. We staff 1RN to active labors and 1RN to 3 couplets (sometimes 1:4 couplets if there are staffing issues). We always gave an on call RN and anywhere from 1-3 LNAs (depends on shift and/or acuity).

Sounds like a dream! We are an LDRP with 120 births/month. We are normally a 1:5/6 couplets. We only staff 6-7 RNs per night with maybe an on call. On calls are rarely utilized because of our "budget". Charge RNs are not to take patients, but I usually end up with at least 2 labors by the end of the night.

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Specializes in L&D/Maternity nursing.

Sounds like a dream! We are an LDRP with 120 births/month. We are normally a 1:5/6 couplets. We only staff 6-7 RNs per night with maybe an on call. On calls are rarely utilized because of our "budget". Charge RNs are not to take patients, but I usually end up with at least 2 labors by the end of the night.

It's rare, but if we are slammed a labor RN will take two inductions if mon really isn't doing a whole lot so that another RN is free to take an active momma. And sometimes our charge will take an induction for similar reasons (or triage for us). Typically on nights (what I work) we staff 8 and days staffs 8-9. This is not including our on call...each shift has an on call RN.

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I'm in CA, at a baby-friendly hospital. We average 100-110 births per month. Active labor, always 1:1. Mother baby always 1:3. Charge RN never takes patients. We are pretty well staff, which I'm grateful for.

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I think I need to work with you guys! Lol. Out of the 6/7 RNs we staff there are always 2 in the nursery which is why the other areas suffer from poor staff nurse ratios.

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My hospital does anywhere from 110-150 deliveries a month, L&D only. State law says 2:1 and active 1:1. We only ever have 2 nurses on, which means on a bad day we can be as high as 4:1 with possibly all 4 active and supervisors telling us to deal with it, push the pit, deliver the babies and your ratio will drop. Yes, needless to say I'm trying to get the heck out of there. On a good day we will have 3 nurses on, but if there are 4 or less patients one (nurse) is sent home--well, that still leaves us out of ratio if one is or becomes active, or a emergency walks in, which does happen, often. Additionally, it doesn't matter how crazy your night, if your charting is done you are NOT allowed to stay late and chart, you will be sent home and told to chart as "late entry" on your next day in. Again, I'm getting the heck out of dodge. Don't like L&D much anyway, had an interest and perhaps a better place would have sparked a love for me--I absolutely LOVE the majority of my patients! The horrible management, unsafe practices and overall not caring about safety has made me very leery.

Posting from my phone, ease forgive my fat thumbs! :)

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