number of nurses in delivery room - page 2

Am looking for information-how many L&D units out there only have one RN present at deliveries-for both vaginal deliveries and C/S--that means this one RN is responsible for both mom and baby--trying... Read More

  1. by   mark_LD_RN
    we always have 2 nurses in c/s and delivery.would never be only nurse in delivery. really do not think and lpn can or should be the only nurse present. I think awohnn guidelines state 2 nurses per delivery unless it changed since last i looked.
  2. by   RMH
    We always have 2 RN's for C/S, 1 for OR stuff and 1 for BABY. WE use to have resp. involved but found that the RN was better trained for NR. For vaginal deliveries, it is nice to have 2 nurses in the room, and we do if there if obvious problems, otherwise 1 RN in the room..If problems come up help, from the house supervisor, is a page away. We are lucky that the majority of our MD's(all are Family practice) stay in the room,( and even help clean up) until the baby is stable.
  3. by   ShandyLynnRN
    They help you clean up??? WOW!!!
  4. by   AlaskaKat
    We always have two RNs for vag & CS deliveries. When it is really busy, the second RN may only stay until all is clear and leave after 10-15 minutes.
  5. by   anitame
    We always have 2 RNs for vaginal deliveries as per the NRP guidelines. The 2nd RN stays until things are stable and the primary RN is able to assume care of both mom and babe. For C/S the OR crew is there for mom and one of the LDRP nurses and the ped are there for the baby.
  6. by   labornurse
    Our unit has always had 2 nurses at vag delivery. Baby's nurse may be an LPN. One RN or LPN and one RT at C/S I agree that staffing less than this is very risky especially in such a litigation ridden area. Our unit follows awohnn and nrp guidelines.
  7. by   Cheerio
    Normally, there supposed to be two, but usually when I am in with a client, only one RN comes in.
  8. by   NurseyNursey
    Originally posted by Jolie
    NurseyNursey,

    Do I understand correctly that a single LPN attends to both mother and baby at deliveries in your hospital? I hope I'm not stepping on any toes here. It is not my intention to degrade the knowledge or abilities of any LPN, but I don't understand, from a practical perspective, how that could be.

    I know laws vary from state to state, and policies vary widely from one hospital to the next, but in my experience, LPNs are usually not allowed to start IVs, hang new IV fluids, program IV pumps, give IV push meds, take verbal orders from physicians, complete nursing assessments of patients, etc. How in the world are they able to independently care for laboring patients and newly-delivered infants?

    I can only assume that they are "teamed up" with an RN who must be "over-seeing" the care of a whole bunch of patients. How scary! Please tell me I've got it all wrong!
    Yes, very often a single LPN will be the only nursing attendant in the room. Our "normal" scheduling has one RN and one LPN on per shift. Our LPNs are able to do everything in your second paragraph except give IV push medications. I am at a very small rural community hospital. We did just over 300 deliveries last year.

    I wish that you had gotten it wrong. Our OB nurse manger is very good, but the DON rarely steps into our unit and is essentially useless to us.
  9. by   ShandyLynnRN
    That is definitely scary! Not that you are an LPN alone at delivery, but a nurse alone at delivery!!! I still stand on my belief, and with the current OB standards, that two NRP certified people need to be present at delivery! Even if, as previous posters have mentioned, the second nurse only stays for a few minutes to be sure baby is stable, there still need to be two.
  10. by   mark_LD_RN
    no way would i be the only nurse in a delivery. it is below standard of car. and would never fly if you had to go to court
  11. by   kids
    L & D is not my thing (I like my kiddos after they are clean and dry) but I have had a *few* babies of my own and attended a couple more deliveries (all vag)...always 2 nurses going back to '80 when my daughter was born and as recent as January. One Nurse for the Mommy and a Nursery Nurse for the baby (I can't begin to imagine my grandson's outcome if there hadn't been 2 nurses).

    Wow...if me or mine were having a baby at a hospital that only staffed 1 nurse at the delivery I think I would kind of insist on being there for the blessed event...I may not know NRP but I at least know infant CPR, how to suction and how to work the equipment. At the very least I could work at calming the parents down so the nurse could work on the baby (we had to hold my daughter down in the bed for the Doc to finish the delivery & repair while the 2 nurses resusitated my grandson 3 feet from her).
    Last edit by kids on Oct 6, '04
  12. by   pirap
    Funny how you posted this as my friend and I were discussing this yesterday. She is L&D and I am on Mother-Baby. We both agree that the L&D RN's should focus on the mom and the Mother-Baby(Nursery)RN's should focus on the baby in a vaginal birth. At our hospital a the neonatal Docs and RN's are present for ALL Sections. When I gave birth at the hospital that I work 6 months ago there was only 1 RN present and she had been working there for 5 months and I was a VBAC(#3 child). Everything was fine with me but my daughters lungs were pretty full of "junk" and she had to be suctioned a long time and the NICU was called to evaluate her. After 30 minutes of suctioning she was OK.
  13. by   Spidey's mom
    Quote from ShandyLynnRN
    That is definitely scary! Not that you are an LPN alone at delivery, but a nurse alone at delivery!!! I still stand on my belief, and with the current OB standards, that two NRP certified people need to be present at delivery! Even if, as previous posters have mentioned, the second nurse only stays for a few minutes to be sure baby is stable, there still need to be two.
    The second NRP certified person is the doctor.

    I work in a rural hospital and there is one RN at delivery. We do low risk deliveries but ya never know. I can call on another nurse at any point - our hospital is so small that a nurse is just a few steps away. Also, our ER staff can help out in a true emergency.

    There are times when we will have two OB certified nurses working - one for OB and one in the ER or in med/surg and we all try to attend at least the delivery part to make sure all is well.

    Many of our docs stay to help too - put the bed back together, pick up all the instruments and placenta and take to central.

    steph
    Last edit by Spidey's mom on Jun 25, '07

close