Nurse Deliveries

  1. In the past week we have had 4 nurse deliveries 2 with the same doc (and the same nurse). He hates missing a delivery and is generally a well respected and well liked doctor. However, he is very upset and is threatening to give orders (or make standing orders) to do SVE on his pts q1hour for primips Q30 minutes for multips... I think he is just upset and if he thinks about it he will just realize these deliveries were just a case of curcumstance and not a breakdown in nursing care.

    In general we have maybe <2 nurse deliveries per 100/deliveries. How many are happening at your place?
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  2. 10 Comments

  3. by   NurseforPreggers
    I'm not sure how many we have exactly. We do about 300 deliveries a month. I have been at my hospital for 1 year and 3 months and I think I've done 7 deliveries myself. I don't know if you guys would consider that alot or not.
  4. by   sbic56
    Quote from fourbirds4me
    In the past week we have had 4 nurse deliveries 2 with the same doc (and the same nurse). He hates missing a delivery and is generally a well respected and well liked doctor. However, he is very upset and is threatening to give orders (or make standing orders) to do SVE on his pts q1hour for primips Q30 minutes for multips... I think he is just upset and if he thinks about it he will just realize these deliveries were just a case of curcumstance and not a breakdown in nursing care.

    In general we have maybe <2 nurse deliveries per 100/deliveries. How many are happening at your place?
    There are always going to be nurse assisted deliveries in OB; <2 of 100 is nothing! This doc, with the bruised ego, is threatening something that is totally unnecessary and could be dangerous. When multiple and unnecessary SVE's are done after ROM has occurred, the potential for introducing infection increases. Not to mention the discomfort that the patient must endure by such a foolish practice. Shesh.
  5. by   PegRNBSN
    Quote from NurseforPreggers
    I'm not sure how many we have exactly. We do about 300 deliveries a month. I have been at my hospital for 1 year and 3 months and I think I've done 7 deliveries myself. I don't know if you guys would consider that alot or not.
    I have been in L&D 21 years, 250 deliveries a month and I have done probably 5 deliveries by myself in that time with another 10 attended by residents before the attending got there. I think 7 in 1 1/4 years is alot.

    To the OP is there something or someone consistent involved in these deliveries? If not sometimes it helps for your manager to review them with the doctor to show him that they were unavoidable. This worked with one of our docs. He also came in earlier than he had been :wink2:
    At our hospital we fill out an incident report with each missed delivery so that factual information is documented for risk management
  6. by   profjanmc
    I have been in L&D for 21+ years, did not do very many when we had an MD in house, but since we no longer have a doctor in house, I have done 3 in the past month. Mostly rapid progress that came faster than anticipated. Tonight I had a physician verbally abuse me in front of the patient for pushing with a primip before she got there! It really depends on your facility what is the average. You could probably find the statistics from your manager.
  7. by   palesarah
    very few happen at our place, but when they do happen we often get a "cluster" of them like you just had. I ahven't caught any, thank goodness (they don't pay me enough for that!) but have been at 2. The first no one caught, the baby literally was propelled out of my patient's vagina, hit her thigh and landed in a puddle of muck on the delivery pad! Midwife was en route but clearly not going to make it so I had our two most experienced nurses with me, they were both gloved up and ready to go, and somehow no one caught... pt didn't care though She got a good laugh out of it, actually.

    It's OB. Anything can happen and usually does!
  8. by   USA987
    We have very few a year. We do approximately 2400 deliveries per year and I can probably count them on one hand each year. In 1 1/2 yrs. I have only had one. I think this can be attributed to the fact that we have a wonderful "doc in the box" program from 8p-6a M-F and all day Sat & Sun.
    Last edit by USA987 on Sep 16, '05
  9. by   gypsyatheart
    Probably a few per yr. I've,frankly,lost count, LOL. I believe it is directly related to the type of facility you work in...large teaching hospital w/residents stepping all over themselves all the way to small rural hospital w/out any MD in house. Obviously in the 1st scenario, you will probably rarely do a delivery, small house, no doc, yeah I can see that happening more frequently.
  10. by   midwife2b
    Quote from fourbirds4me
    In the past week we have had 4 nurse deliveries 2 with the same doc (and the same nurse). He hates missing a delivery and is generally a well respected and well liked doctor. However, he is very upset and is threatening to give orders (or make standing orders) to do SVE on his pts q1hour for primips Q30 minutes for multips... I think he is just upset and if he thinks about it he will just realize these deliveries were just a case of curcumstance and not a breakdown in nursing care.

    In general we have maybe <2 nurse deliveries per 100/deliveries. How many are happening at your place?
    Iwork in a level III L&D. In the late 80's and early 1990's I delivered a baby nearly every day I worked. We had ONE resident in house... and over 70% of the laboring patients were his/hers.

    Now we always have at least 3 residents... but I still have the occasion to catch a baby, for various reasons. Today I had a delightful G6 P5 who wanted no intervention. Her water broke at 1712... she sat down on the bed and said "the baby is coming" and there it was! A healthy 7 lb. 3 oz girl... It was just her, me and her cousin.

    Earlier today I had a 22 week DIU that I delivered because all the residents were at "Grand Rounds". Fridays are notorious for nurse births.

    Looking at stats for nurse births, we have no 3rd or 4th degree tears; mostly 1 degrees that don't need suturing.

    BTW... our private docs occasionally let the nurse birth the baby so that they know we are capable. We have some WONDERFUL doctors!!!

    Counting midwifery school I have personally "caught" over 400 babies in my 20+ years of labor nursing.
  11. by   wannabeL&D73
    What is DIU?

    Shannon
  12. by   sbic56
    Quote from wannabeL&D73
    What is DIU?

    Shannon
    I was curious about that, too. Googled, but no result. Demise in Utero, perhaps?

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