amount of time alotted from recovery to pp unit

Specialties Ob/Gyn

Published

Just wondering what the "norm" is for units which have a separate pp unit from labor/delivery. Our nurse mgr's have really been pushing the rn's to get our patient moved from l/d to pp within an hour. I realize in many situations this is very "do-able." But then there are many situations where it is not "do-able" - it's really sometimes very hard to pull the epidural, get pt up to br, get pt fed, paperwork, ctx/labor charting completed, fundal checks done/charted, room straightened, placenta in freezer, instruments washed, etc, etc (yeah I'm whining a little.)

Always have the problem of not enough rooms on pp unit, or the pp room isn't clean yet, etc, etc.

Our recovery time is supposed to start when the pt's legs are taken out of stirrups.

Soooooooooooooo - what is your protocol at your hospital?

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Specializes in learning disabilities/midwifery.

Our expected time limit to transfer to post natal ward is 2 hours from delivery (regardless of type of delivery)

This doesnt always happen however, either due to labour ward issues (difficulty getting babies to latch on and feed, mums not well enough to transfer, no midwide to do the transfer) or PN ward issues, usually waiting for a bed to become available. W

We also dont do transfers in the hour overlapping shift handover (30mins before and after) to allow the new shift to get a chance at an un-interupted handover so that can hold things up sometimes too.

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Specializes in Community, OB, Nursery.

The goal is 1-1.5 hrs post-delivery, but this is flexible. If mom is still breastfeeding, or takes longer to get up br than expected, we just kind of go with the flow. I am at a big hosp & there is always a push to get people turned over and get rooms cleaned.

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We are given 2 hours to recover, but that includes doing full baby assessment and bath. It is a push, and we are reviewing whether we should defer bath until babe is 24 hours old based on new research. Before we were given assessment and bath responsibilities, we were given 1-1.5 hours to recover. It is a lot to get done in a little time!

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Specializes in L&D.

It's 2 hours for us, but we also have the newborn to recover and we do that in 2 hours normally.

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Specializes in Rural Health.

We are a full service facility where I work but we roll our patients to PP at 1 hour because that is the way our big sister facility does it and our computers are set up to give us reminders when 1 hour has passed. In both facilities baths are done by mom/baby nurse at 4-24 hours post delivery as well as the full head to toe assessment. We just chart a very brief inital assessment w/in the first 15-20 mins. of delivery. But by the time you get mom cleaned up, sat up, epidural pulled, baby latched, room cleaned up and fundal checks, quick look over of baby, meds to baby, VS on baby, VS on mom, answer all the questions....that pretty much takes well over an hour on a good day!!!!

I'm always amazed at the skill that our sister facility nurses have at getting moms to PP in 1 hour.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

When I did LDR and PP it was 2 hours. That is quick enough if you ask me. But L and D always seems to need beds.

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Specializes in L&D,Wound Care, SNC.

At the hospital I worked at in the states (350-400 deliveries a month), it was about one hour. We typically needed the rooms turned around for another laboring patient.

Where I work now (

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Specializes in OB/Gyn, Post Partum, Antepartum.

We have a 1 1/2 hour time limit and the patient has to be on pp by then. Large hospital with about 400-500 deliveries per month.

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Specializes in geriatrics, L&D, newborns.

Our moms stay 2 hours after the doc is finished doing whatever he is doing - like stitching. The baby stays with mom for about an hour then goes to the nursery where they do all the other measurements, give Vit. K, Hep B and do a gestational age assessment. Once the baby goes to the nursery, then we get the mom up as soon as the epidural has worn off, pull the epidural catheter, d/c the IV, assist her with peri care and sometimes let her take a shower. Our PP unit also has showers down the hall rather than private ones.

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Specializes in Labor and Delivery.

1 hour, and It's so hard to get everything done in that time. Pt cleaned up, 4 fundal assesments and vital signs, all charting done and batch printed, orders in etc. Meanwhile, I usually have another patient that I'm responsible for. I try to get rolling as soon as I can because where I work once you're past your 1 hour you're up for the next screener. :cry:

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