Patient assignments during pregnancy

Nurses General Nursing

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i'm sure some may not agree with me, but hear me out.

we have a pregnant nurse on our floor. it's an oncology unit- full of pts that need chemo. many of the others have some kind of infection (mrsa, vre, cmv, whatever). so prego 'can't take' any of the above pts. but for some reason, all those who have been pgregnant in the past did not have such modified assignments. i hope i do not sound cruel. and of course, most of us will not purposely assign her all of these pts (but some may want to at this point b/c she's really taking advantage of this, imho). it's just getting to be a real pain. so of course, i get a chemo pt the other night, a +vre, an (old) cmv+ pt, a line-infected (unspecific) pt., plus two more pts (she actually got one less pt. than i did. and two of my pts. are post bmt, which sually means higher acuity. unfortunately, on this unit, we do not have enough nurses to assign pts by acuity, so it's split down the middle (and i got one left over :o ).

so i want to bring this up to my nm because i'm kind of getting tired of it (by the way, prego is lazy and a complainer too). besides, she does nothing to help anyone else on the unit. she actually gets other people to 'help' her (out of sympathy, i guess) :angryfire . i know i'm not the only one who feels this way, but i'm not sure if others are willing to say something either (you all know how that is). but what i want to know is does she have anything in her defense? like will she come in with a doctors note. in the past, i've heard nms say there's no such thing as a light duty. would i be out of line to suggest that she should get the extra pt, because the acuity of hers end up being lighter? i really hate to complain, as there's so much of that going on on this unit already (and she'll just complain even more after this). but it seems that the squeaky wheel always gets the grease, and i'm feeling rather dry right now.

Specializes in Pediatrics, Nursing Education.
:chuckle :chuckle :chuckle :chuckle :chuckle oh i'm sorry. you were serious, right???

that was a semi-snide semi-serious question!! i mean, i hope you are! but you know there is always that nurse who comes along who thinks its okay to put that vre with that neutropenic one... so you never really know!!

i understand what you're saying, and yeah, i think she's taking advantage of it. but i wouldn't take care of a cmv pt if i were pregnant myself! the others... she can do what she has always done. wear ppe.

plus, if she's out of her first trimester then you should educate her that the risk of her baby being harmed by her exposure at work would probably be very very very low.

she needs to go to her ob and get her limits clarified. whenever i was thinking about becoming pregnant, the only thing my doc ever said was cmv. my friend just had her baby and she works critical care. lots of contact precautions there. she never had any problems taking them, and her baby came out just perfect.

Specializes in Pediatrics, Nursing Education.
Not only do we have several pregnant nurses right now that aren't wanting to take infectious pts (no matter what it is), but we have several new mommies that don't want to take them either ('don't want to take anything home to 'em'). We other (few) nurses do our best to prevent them from being exposed, but with the high census, and short staffing as it is, it is really wearing us down. I wish the hospital would staff better in this circumstance, but they won't.

that, my friend, makes me furious. i work on a pediatrics unit with kids with runny noses. big deal, right? use gloves when you're bulb suctioning... something you should do anyway. well, nurses from our sister unit get very upset if any of them have to come down and take patients.

they don't want to take anything back home to their coworkers, patients, kids, spouse, dog, or hamster. because peds is "dirty." makes me very angry. while we try to accomodate them, sometimes it doesn't always work out. they are so used to taking care of healthy (for the most part) infection free patients that they get scared.

really, they shouldn't be scared. but, there are exceptions that rule as always... and we always always accomodate them if its a true need. however, it is a little frusterating when nurses come down who have 14-15 year olds that they are all worried about taking something home to.

Puhlease.

In that case, I tell them to not go to Wal-Mart; you'll pick up something there too!

Specializes in Oncology/Haemetology/HIV.
That was a semi-snide semi-serious question!! I mean, I hope you are! But you know there is always that nurse who comes along who thinks its okay to put that VRE with that neutropenic one... so you never really know!!

Both BMT nurse and I hope that that the nurses that work our units would know better.

My favorite is the pregnant PACU nurses that will not take HIV/VRE/MRSA cases, but continue to work to work in the PACU where the patients are exhaling all the gases. That and infusing ganglicyclovir.

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

I agree with those saying with clarfied, declared "infectious" patients, at least we really KNOW what we are dealing with and have the chance to use appropriate PPE. In the case of those wanting "no infectious patients", well these pregnant women best avoid the following, for their own protection and that of their unborn babies:

Walmart/Target/Safeway, other stores, off limits now!

The Olive Garden, Outback, or any other restaurant.

Their own kids at home, and spouses, if they have symptoms of cold or flu

Their kids' friends

Their kids' sporting and school events

Their pets

The schools

Church/synagogue

Public Library

Public Transportation

The Post Office

Public ANYTHING.

Anywhere people are or have been.......

Right? Can't be tooooo careful. :I mean, there is NO PPE and I doubt universal precautions are a HUGE concern in public places. Never know when a walking case of TB stands behind you in line, right?????

Sheesh---- grow up already.

Get clear limitations from your OB, and a note---follow them. We all want you safe and healthy. BUT, If you are limited severely, do us a favor and take an LOA! Don't screw your coworkers, please. Thank you.

Specializes in Neuro, NICU.

rninmay2005 "though i'm not a nurse yet, i am a senior nursing student (graduate in 3 months, but back to the topic...). a pregnant senior nursing student. i have been told by my program head that there is no such thing as light duty and i have to do everything that everyone else does.

i dont ask for special treatment. my clinical mates didn't get me pregnant and aren't responsible for my safety, and i don't expect them to pick up my slack. i work just as hard as before i got pregnant. just now i eat more at lunch, pee more, and nap more at home. but, i am a healthy pg woman. no bp probs, no gd, no nausea.

i think when i get out to work, i'd be wiling to help a pregnant nurse out, within reason. not so she would get to sit on her orifice while i worked mine off, not so my work would suffer, but if she needed something, i'd try to help. jsut like i'd do for anyone else

doesn't sound like your nurse has a pregnant problem, sounds like she has an attitude/motivational problem independent of her pregnancy, she is just using this as an excuse. don't blast all pregnant nurses, we're not all lazy!"

amen, i'm also a pregnant senior nursing student with one clinical rotation left. i'm assigned to an oncology floor - my program said my limitations are up to my ob. after talking to the doc, i can do everything i used to except handle chemo (which i can't do anyway) and i have to avoid radiation patients. otherwise - standard precautions. i plan on working just as hard as i always have - i can recover when i'm home (buried under my books).

my clinical group has been together for two years and almost every single one of my classmates said "no lifting - we'll all pitch in to help you". so while you're right, they didn't get me pregnant, they believe that we're a team and should work together. i guess it comes down to the fact that i've always worked hard and supported all members of my clinical group, so they don't mind doing extra to ensure i'm safe.

while this nurse is using her pregnancy as an excuse, it's just an excuse to hide behind so she can continue with her laziness and lack of work ethic. this problem is bigger than the baby she's carrying and will last long after the pregnancy is done!

Specializes in Pediatrics.

this will most certainly be the case with this one- she already doesn't want to do weekends and holidays because it cuts into her family time!! she is going to be in for a rude awakening after baby is born- it's not all about her and her hubby anymore!!! do you think i enjoy working almost every weekend (or nights for that matter)? well, less people are sound (not as hectic), but no, i'd rather be home. supposedly, she plans on finding a new job if she can't get pt here. she should start looking in a school or a md office :chuckle

Specializes in NICU, PICU, educator.

Where I work, we don't assign CMV kids to pregnant nurses. We try to make their assignments easier, but when we can't, we are fortunate enough to not have anyone make a fuss. We also dont' assign pregnant women to kids on nitric or rec'ing gancyclovir.

As for floating to peds and taking infected kids...in our hospital if the nurse is going back to her home base then she has to have a clean assignment....dirty kids are never given to ANY one that is going back, esp to NICU.

I work on an ID floor so all of our Pt.s are in isolation. I am also pregnant and the only Pt.s I ask my coworkers to take are the CMV's. I think if you have been working on an ID floor you should already be afraid to have your nostrils swabbed. My new job in PACU starts in a month anyway. :)

I am sure this pregnant nurse was not what you call a team player before she got pregnant. We usually have anywhere from 4-8 isolation patients on our unit at a time and those are only the ones we know about. We usually have at least one pregnant nurse at a time if not 2-3. When I had kids in the early 90's we could easily not assign isolation patients to pregnant nurses but times have changed. It is not fair to give one nurse 2 isolations when other people have none.

Boy I haven't seen anyone try to pull the " I have kids at home excuse" for not taking isolations. I could see if you kids were immunosuppressed but even still there is no guarantee you aren't bringing bugs home. Less likely to so you are wearing PPE. That would never fly where I work.

I have 3 kids and the only room I ever refused to go in was a radioactive implant room.

My kids are teenagers now and when I was pregnant with the oldest and youngest I worked on respiratory floors. With the middle one I worked on a "clean" oncology floor.

My middle child picks up every cold/flu bug first and has always been the sickest kid. My oldest and youngest rarely get sick.

I attribute this to my immune system kicking it up on those dirty floors. I could be wrong but that's my opinion. Just food for thought.

Specializes in Emergency Dept. Trauma. Pediatrics.

I am not a nurse yet so I have no advice on the OP. I just wanted to chime in on the topic though because their are 2 types of woman that grate on my nerves, Ones that thinks a healthy pregnancy is bed rest and people waiting on you *I have had 4 children so do know what it is like to be pregnant.* and those that can seem to ever be self sufficient, as in, can't drive to the store unless husband is with them, can't even go out without husband/BF/partner attached to them.(not because spouse is controlling either, if anything they are whispering for me to talk them into getting out for a few hours so they can have space) Can't take the kids or kid anywhere unless they have help. My sister is like this and man it annoys me so bad. I don't think she went anywhere ALONE with her son until he was close to a year old. Always had to make sure the husband was there to help.

It wasn't a hospital but I worked in DayCare during one of my pregnancies, go figure, I am in my first Trimester, and 5ths disease is going around and of course everyone BUT ME was immune to it because they had it as children. Once the signs appear in the kids they are no longer contagious. I didn't stop working though, I had to be monitored closely or I should say my son did, I had the choice of an amnio when I was further a long or weekly U/S. I continued to work until about 2 weeks before I was to be induced.

My last pregnancy I was put on Bed Rest around 4.5 months, but with no family or friends locally and my husband working out of state for 5 months that really wasn't doable. I had a 8-5 desk job so I continued to work since I was off my feet and that was the biggest concern. I dunno I get annoyed when people act like I am wonder woman because I don't stop living just because I have 4 kids. I am a SAHM and my husband is self employed, he doesn't have the ability to just take a few weeks off unless we plan it very well. So if during the summer I want to load up the kids and drive across country to spend a few weeks with my folks w/o the husband I do so. I don't think this makes me "amazing or brave" it's not always easy but it was my choice. Live isn't over once you have children, you just adjust your life to fit your kids. Oh and I love the "I have to see if my husband can babysit the kids" Ummmm excuse me??? He is the DAD he doesn't baby sit his own children. He doesn't deserve a reward or asskissing because he takes care of his kids, they are HIS KIDS he SHOULD be doing this. Whew, that felt good, sorry to go off on a rant LOL.

To the poster that asked about pushing and pulling the beds and limitations when pregnant, sounds like they are just being lazy, my last pregnancy I couldn't even mop, but I had a lot medically going on that put me on the restrictions, all my other pregnancies I didn't have problems within reason, (wasn't trying to lift a 500 lb couch up the stairs) but I would often go mow the lawn and stuff.

Specializes in Management, Emergency, Psych, Med Surg.

I don't have any experience with chemo but is it not the standard that pregnant women should not be administering chemo. Clarify please!! Thanks

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