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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.
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.
There should be a second nurse present at the delivery even if she can't stay to help with the beginning of the baby's transition. It's no fun to be alone and have an unexpected depressed baby and a PP bleed at the same time. I can't do ventilations and fundal massage at the same time.
NurseNora, BSN, RN
572 Posts
In the small rural hospital where I now work we have two NRP trained nurses present for delivery. If all is well, the second nurse can leave (although she usually stays to do measurments and eyes and thighs) and the labor nurse can care for the couplet. If a problem is anticipated we have our nursery nurse present; if we anticipate a big problem, we have the ped come in.