My facility is currently allowing nurses regardless of degree or certification work NICU. It is easier for scheduling and it allows everyone to be competent. (which I understand as well). Our floor consist of L&D, Newborn nursery, Women's services (postpartum) and Pediatrics. There are days that a 20 year RNC-NIC certified nurse works peds or newborn nursery and a new grad no experience works NICU. Is this the norm in other facilities ? To me, this seems like a legal liability. If my baby had a poor outcome and I knew that a seasoned certified nurse was present but scheduled in a different area other than her expertise I would be questioning why that nurse wasn't scheduled to work her expertise, with whom my baby would given the best possible care. Can anyone else weigh in on this ?
WifeMotherNurse
11 Posts
Yes our patient status varies greatly from 0-6 at times. We average 2-3. We will keep 32 weeks and above. Short term ventilators that quickly transition to CPAP. Our Level 3 NICU is under construction so will be completed shortly. At that time we are going to be keeping 28 weeks and above. We are the largest hospital in a 50 mile radius. There are a few community level 1 NICUs. But we are the “middle ground” between them and an hour and half ride to a Level 4. So we are expected to accept reverse transfer patients back to be closer to family. We are also planning on starting transfer capabilities to pickup sick babies from the surrounding smaller facilities for treatment CPAP and vents.
No Union. And several have voiced safety concerns. We are managed locally but “governed” by the Level 4 facility to which we are owned. I am praying they step up and say that a designated staff is needed. But so far they leave day to day operations to the hospitals own administration.
I am great full for all the feedback you all have provided on this site. It sounds like I am not so wrong in my concerns. And I do understand the training of a new generation. But as a new nurse I dedicated myself to learning the speciality of NICU and taking the initiative to become certified. Now, there seems to be no motivation to further educate yourself in your speciality. Why ?? When you know you will get to work in the NICU no matter what. That to me as a veteran nurse is upsetting. I will be scheduled to go work in well nursery while someone with much, much, less experience gets to work the NICU department just because they haven’t been scheduled there for awhile and need to take a turn.