I'm wondering how it is like for those who work on L&D unit who do not have a physician in-house?
I'm a little afraid of that because I'm looking at job and that's how it will be. At my old unit, we always had a physician on call. It was nice to have a physician who was always available to us because especially night you never know what can walk through.
I am nervous to accept a job like this because I don't feel as confident taking care of my patient from labor to pushing, then having my doctor just pop in and catch the baby. Is it like that everywhere? My old unit, doctors would come by and check in time to time.
What if I can't get a good examine on vag exam? Will my fellow co workers mind if I need to ask someone to double check after my exam???
Any thoughts? Input?
May 11, '12
Quote from NurseNora
Birth is not a disease process, it's a normal natural physiological event that goes very well most of the time
When a problem does develop, most of the time it develops gradually and there is time to get someone there. Yes, there are rare occasions when not having a provider in house results in a bad outcome.
But I practice in a rural area. If we closed because we don't have 24/7 in house coverage, the nearest hospital that does OB would be 3 1/2 hours away. This would open the door for even more possibilities of bad outcome. That's how we " get away" with not having someone in house at all times.
Most of the time? - What about the times it does not go well and could have had a better outcome had the provider been in-house. I know things happen but this should not be because of inadequate staff. We are talking about two lives here.
You say Yes, there are rare occasions when not having a provider in house results in a bad outcome.
- Again why is this okay with anyone?
I understand your dilemma about the rural area - other areas do this as well but It is not the responsibility of the nurses to staff physicians and this is a practice that should not be acceptable. It puts all of the nurses licenses in jeopardy. Each time I'm on a delivery I hold my breath waiting on the provider when mom has a contraction because I never know if this one will be the one that goes bad. I can deliver that baby but rather the doctor did, that provider went through many hours and years of training and it wasn't for nothing.
Please don't take this the wrong way, not trying to be harsh but we should be speaking up for each other about unsafe practices labor is a litigious area and we should not be stacking the deck against safe practice. If something went wrong because the doc was an hour away and the nurse caught the baby the RN would be hung out to dry. It's really not a lot to ask to expect the provider to be at the delivery and we should stop thinking that it is.
Last edit by passionflower on May 11, '12
: Reason: because