Jump to content

Does anyone just work Mother/Baby??

Posted

Specializes in Obstetrics/Case Management/MIS/Quality. Has 18 years experience.

i've been working ob for 9 years---labor & delivery, newborn nursery and couplet care but lately i feel that i just want to work couplets....is there anyone out there that has done the same thing? are you sorry you gave up doing the other areas?

Elvish, BSN, DNP, RN, NP

Specializes in Community, OB, Nursery.

I know that those people exist - but I'm perfectly happy switching between nursery, couplets, and highrisk antepartums. :)

NurseCard, ADN

Specializes in Med/Surge, Psych, LTC, Home Health. Has 13 years experience.

I've worked in two different medium sized, community hospitals and in both those hospitals, ob-gyn nurses were pretty much obligated to switch around between nursery, labor/delivery, and post partum. Now, I'm not totally sure whether "couplet care" is done or not in the hospital that i work now, but at my old hospital you had nurses for the moms and nurses for the babies. No "couplet" or "mother/baby" care.

I'd be interested in knowing whether or not it is possible in some larger hospitals, to work in one area and not the other two or three. Because I would love to do either post-partum care or well baby nursery, but I would rather not have anything to do with L&D or high risk nursery/NICU, if I can help it.

graceomalleyRN

Specializes in Triage, MedSurg, MomBaby, Peds, HH. Has 8 years experience.

My sister's SIL works Mother/Baby at a hospital in the Denver Metro area. It's exactly what you're talking about, RealNurseWitch: JUST mother/baby no rotating into the other areas. Hope this helps!

cherokeesummer

Specializes in OBGYN, Neonatal.

Where I work we do couplet care. L and D is staffed by their own nurses and they have Antepartum responsibility however they can pull us to ante. Mother/Baby has mother/Baby and admissions nursery duty and can be pulled to pediatrics, NICU or Ante.

cc_nurse

Specializes in NICU.

The hospital I work at has separate units for Mother-baby, L & D and NICU-and of course the separate staff to work them.

mom2michael, MSN, RN, NP

Specializes in Rural Health.

The facility I am interested in there are 5 areas. WB, PP, NICU, L&D, Peds. You pick the 2 you are interested in and every 6 months you can add another one to the list but you are not required to. The only stipulation, unless you have previous L&D experience somewhere else, you can not do L&D until you have been there 16-18 months.

My friend does Peds and WB and loves every min. of her job.

Does anyone know of research regarding couplet care that looks at patient satisfaction or outcomes (i.e., does having one nurse for baby/mother improve or harm outcomes compared to having one nurse for baby and one for mother)?

Any help is appreciated.

Elvish, BSN, DNP, RN, NP

Specializes in Community, OB, Nursery.

Does anyone know of research regarding couplet care that looks at patient satisfaction or outcomes (i.e., does having one nurse for baby/mother improve or harm outcomes compared to having one nurse for baby and one for mother)?

Dr. Celeste Phillips has done a massive amount of reseach on this very subject. Her website: http://www.pandf.com/website/philosophy/philosophy.html

Her book 'Family Centered Maternity Care' is also very good.

LKG6

Specializes in ante/postpartum, baby RN.

The hospital I work at has separate units for Mother-baby, L & D and NICU-and of course the separate staff to work them.

The same here. Our NICU and L&D nurses have long interships to complete before they can work on their own. Nursery has its own nurses, too. We support early rooming-in so most of our postpartum nurses are doing couplet care. I work on a low risk postpartum unit but I can also be pulled to high risk postpartum and high risk antepartum as needed. I work at a large teaching hospital. Katie

I have worked on a post partum floor that covered antepartum, post op gyn surgeries, as well as post partum. *No couplet care.

I am due to start my new job that is a couplet care unit. *I look forward to cross training after a while in L and D.

CarrieRNC

Specializes in High Risk OB. Has 12 years experience.

I just left a smaller hospital where we had LDRP rooms. I spent about 6 years there. I loved it but it could get extremely crazy. There were many times when i would have 4 couplets and then an active patient would come in and you would get her and at the same time your still recovering one and another needs help breastfeeding, ect. Now i work at a hospital that does about 5k births and also high risk and I only wk L+D. I can honestly say that I don't miss LDRP that much. I think that working in high risk ob keeps you focused and feel that i give better care to my laboring pts because my brain is only focused on labor and not labor,breastfeeding, medicating on time, recovering etc. With all this said I do think you should experience it all before you make a final decision. Good luck!

Guest
This topic is now closed to further replies.