Do you have a baby nurse at delivery?

[RNBelle]

Just curious as to how other hospitals staff their deliveries? Do you always have a pedi present? NICU staff?

Where I work we just have another RN or LVN run in to catch the baby and do the initial weight, vs, etc. We are a very small unit. I have been there well over a year now and I did my first delivery with a pedi in the room (thick mec) the other night.

[Mimi2RN, ASN, RN]

I work in a NICU. We only attend high risk deliveries, which in general includes known mec deliveries, pretermers up to 36 weeks, mitey vac and forcep deliveries, and deliveries of infants who are stressed, with decels or tachycardia. Or any delivery where the labor nurse is worried. Also all c/s. For multiples we usually have two or more teams. Most of the time there are three of us for the baby, a NICU RN, a NICU RT, and a pediatric hospitalist.

We have 350+ deliveries a month.

[LDRNMOMMY, BSN, RN]

We try very hard to have another RN and med tech "catch". NICU (neonatologist or NNP and RN) attend for mec, kiwi, forceps or if RN or provider feels they should.

[imenid37]

We usually have another RN. Rarely we may have an LPN. It is always another nurse. Ped can be called too if necessary. We never have an unlicensed tech present to care for the newborn.

[feisty]

I work at a small hospital and we do not have high risk deliveries (not planned anyway). I will be the nurse for my labor patient and for the baby. A tech will be present during the delivery and help clean up after the delivery is over, but nursing care of mom and baby is my responsibility. If we need another nurse to assist one will step in until everything is under control.

[Elvish, BSN, DNP, RN, NP]

Two nurses present at delivery. Peds only if it's high risk or labor nurse anticipates problems. Otherwise, the 2nd nurse is an L&D nurse.

[klone, MSN, RN]

We don't have a NICU. We have another nurse (either a nursery nurse or another L&D nurse) there to take care of the baby. A ped is only there for C/S or if there's mec. (Or if we have an emergency vag delivery of a pretermer that we were not able to shift to a higher acuity facility)

[PeggyCA10RN]

YES, we always have a Nursery nurse at EVERY delivery and a PEDI if it is Thick Mec or some other medical reason to have one present, i.e. Vaccume delivery,

IT IS THE STANDARD OF PRACTICE for the last year or so to ALWAYS have a nursery nurse that is IMN qualified not just a nurse that is NRP certified.

[Spidey's mom, ADN, BSN, RN]

One nurse/one doctor.

steph

[klone, MSN, RN]

IT IS THE STANDARD OF PRACTICE for the last year or so to ALWAYS have a nursery nurse that is IMN qualified not just a nurse that is NRP certified.

What is IMN qualified? I've never heard that acronym before.

[amcdo]

I work in a downtown Los Angeles hospital in a Labor and Delivery Unit that averages 400+ deliveries a month. We have 7 LDRs, 2 ORs, an 8 bed triage unit, a 10 bed PSCU/antepartum, and a 4 bed over-flow if any of these are full. Also on our floor is a level 1 NICU. We are a DSH (disproportionate share hospital) meaning most of our pts are govt funded. Low SES, minority (hispanic), and under-educated defines this population (a.k.a. HIGH RISK)

Currently the L&D RN responsible for the mom is also entirely responsible for the delivery/baby. There is no baby RN/baby tech etc to assist during/after delivery. IF it is a "slow" day and IF another RN is available, someone will (maybe) come in to help. This is not protocol, nor is it even expected. NICU does attend births w/known problems...mec, decels, etc.

I'd like to hear from others as to who is in attendance at deliveries, especially those working w/a similar population.

[kemper1974]

we have 100-120 deliveries a month the nursery nurse is present at all deliveries, anlong with Respiratory for meconium, decels, preemies and C/sections. Peds will come in from home for