Quote from sissyboo
I was just wondering, what all do you do in a days time while working postpartum...in regards to either mom and/or mom&baby.
Depends on the hospital and unit, management, policies and the nurse herself, but at my hospital the duties are as follows:
Admit, assess, discharge up to four couplets at a time. Some of these may include overflow gyn surgeries, low risk antepartum patients or moms whose babies are in LII nursery. Refer to lactation, social services, dietary as necessary. Check MAR, administer meds, hang IVs, chart checks. Not very often but we can start or bolus mag and push other cardiac meds, more often we maintain and discontinue mag patients if they are transferred that way. We also hang blood if they need it. Lots of IV antibiotics and IV push meds. Vital signs q4h first 24 hrs for mom and baby and q8h after that. Empty catheters, change pads, assist to bathroom, all personal needs. Order and review labs for moms/babies as needed. PKU tests, hearing tests and other lab draws for mom and baby may be your responsibility as well. Weigh babies nightly, record I&O for moms, sometimes for babies. Teach and assist parents to care for themselves and for babies: diapering, sore nipple management, pumping, breastfeeding, nipple shields, supplemental feeding systems, burping, swaddling, breastfeeding, discharge teaching. Rent pumps, discharge teaching and paperwork for discharge. Call housekeeping, security and maintenance to address any patient concerns with their rooms. Many psychosocial issues, lots of teaching. In my opinion it would be best for a very hands-on type of nurse who is comfortable with babies, is comfortable with lots of family members being around all the time, and is tactful, professional, kind, friendly but firm.
Sometimes we float to L&D to recover patients which includes assisting with cleaning, sending and/or disposing of instruments and sharps, placenta, cord blood, transitioning, bathing baby with vital signs on both mom and baby. Giving the vit K injection, sometimes Hep B injections, the eye ointment. Assisting doctor with any repair, cleaning up mom and getting her ready to move to postpartum room.
Sometimes nurses take turns in the well baby nursery where they care for up to 8 babies who may be on phototherapy and staying in, all new c-section admissions, baths, transitions and care, plus babysitting and doing vitals for for any babies staying for awhile while mom rests. Assist with circumcisions, care for circs afterwards. In some postpartum units in my area (not mine), nurses will maintain and hang antibiotics for the babies, care for "feeders and growers" who need to just remain on an IV or monitor for a bit before discharge, give gavage feeds.
Since we have four couplets that's 8 charts so LOTS of charting, supplemental care plans
, PPOCs, referrals, nursing assessment
forms, computer charting. There may be a huge difference in responsibilities at different hospitals in my area, there may be techs, CNAs and LVNs to assist with care. At our hospital lab does the PKU and all other lab draws on moms and babies but at many hospitals this is the RN's responsibility.