Thanks for sharing. We have a 36 bed MB unit and a 12 bed prenatal unit. We don't transport out...we are the ones getting the transports, lol. But it is interesting to me to see that your MB nurses have the same loads as ours (technically, ours can take 5 couplet's but they start asking for an LD float if a few of them start getting 4) but they do much more of the recovery then ours does. In case you can't tell, there is a bit of a disagreement between units at times, lol. For the most part, we do the two hour recoveries b/c several of the MB nurses flat out will refuse to take a patient unless EVERYTHING is done. Basically, when they get a transfer, the pt is expected to be ambulatory, showered, voided, baby TOTALLY done. You basically just tuck them into bed and do a fundal check. Depending on who the charge is that night, there have been times when we have had women laboring in triage (we have a 12 bed triage/testing area) for hours, we are trying to get our delivered pt's to MB to open up rooms. To help with that, we request one hour recoveries...which would mean that the nursery nurse would do baby, and mom's epidural probably hasn't wore off so she would still need some care (not just tucked into bed). Depending on who is there, more often then not, they refuse (unless a manager is there). Our charge nurses have been told to not get into a fight with their charge over taking those patients. Instead, they are supposed to write a unit concern after the fact. Which does nothing really. We end up backlogged and with unhappy patients. The only ones who make out in the deal are the MB nurses, lol. We have brought up the issue of 1 hr recoveries and actually utilizing our nursery nurse for what she is MENT to do (they always insist on having one, but we do rooming in, so more often then not, they do nothing). We are told that it is too difficult for our MB nurses to actually have to recover new vag deliveries with their patient load. We are told it is b/c they do couplet care that it is too much for them. BUT, your unit, with the same staffing ratio and about the same size seems to do well with it. When I float to MB, I really dont' see what the big deal is. You are mostly just orienting to room and going over routine. EVERYTHING else is done. Frustrating when you are in LD and have unsafe staffing and asking for the nursery nurse to do babies to free up LD nurses or asking for a MB nurse to take a one hour post delivery patient with a foley and dead legs and are told no, b/c they are "too busy" and you see four of them sitting at the desk, lol. Ok, that is my vent for the night.