Where would you have placed this pt?

  1. Maybe this should be on the OB-Gyn Board, but I will post it here since there is such a wide variety of nurses on this board.

    We had a pt come in the other day to our hospital. She had delivered almost a 12 lb baby at home, and suffered an uterine ruptured. We brought to our facility by EMS, almost dead. Rushed to immediate surgery, then to ICU. After two days in ICU, she is ready to be transferred out of the ICU. What department would you have placed this pt in 1) Med-surg or 2) OB? I am kind of conducting an informal survey.

    PS-Baby was perfectly healthy, happy, and signing up for linebacker at Notre Dame.
  2. Visit deespoohbear profile page

    About deespoohbear

    Joined: Aug '01; Posts: 2,276; Likes: 42


  3. by   live4today
    Since baby is healthy, happy, and ready to play football......place mom on the ob unit with all the other moms so they both can receive the best care possible. Only a PP nurse can give the mom the postpartum care she needs.....not a med/surg nurse.
  4. by   WashYaHands
    Hmmm, I think I'd place her in OB to decrease the risk of nosocomial infection, allow baby to visit or stay, and benefit from the OB nurses expertise with all the aspects of child birth and having a new baby.

  5. by   KRVRN
  6. by   jevans
  7. by   Repat
    OB. Some pregnant ladies mistakenly got off the elevator on our floor the other day, and I felt like running at them with my arms held in the sign of the cross, crying 'Infection! Infection! Leave IMMEDIATELY!!!' I also am tempted to do that when people bring infants in to visit.
  8. by   deespoohbear
    The baby was never admitted to the hospital. He is as happy as can be! This pt was placed on our med/surg floor because the OB nurses at our hospital said she was "potentially infectious" since she had been in ICU. So if this is their way of thinking, does that mean the Moms who deliver in the waiting room, vehicle, or the ambulance get put on med/surg too? Our OB nurses are almost anal when it comes to stuff like this. Unless the Mom has delivered in their unit, they don't want anything to do with them. So med/surg gets all the hyperemesis gravida pts too. One time we had a pt who was pregnant with twins that was having abd pain (she wasn't in labor-they were not contractions) and they put her on med/surg. Now this lady was like 34 weeks or something like that. I argued until I was blue in the face with her doc that she should be in OB. His response was "her problem isn't OB related." No, but it sure could be in a matter of seconds. (The doc is a family practice doc). Anyway this lady ends up having an acute appendicitis and is transferred to a larger facility with a NICU and ob/gyn doc. Guess where the larger facility placed her? In the OB department. Go figure. There is a lot of tension at our facility between OB and med/surg. My hats are off to you nurses who do OB! Give me a MI or cardiac arrest anyday.

    Thanks for the replies.
  9. by   BadBird
    Definately OB
  10. by   Stargazer
    12 pounds?

    Crossing my legs in sympathy...
  11. by   SharonH, RN
    OB without a doubt.
  12. by   shannonRN
    12 pounds? Crossing my legs in sympathy...
    Originally posted by Stargazer

    i was thinking the same thing. must be all that corn here in indiana!!!
  13. by   caroladybelle
  14. by   hapeewendy
    as a med surg nurse I would say OB for sure
    We dont want her here in med surg, OB is a specialty and risk of infection or not she belongs where she can get focused care.
    Med surg nurses are versatile and show expertise in many different areas of nursing but OB is OB
    its as simple as that
    another example of how med surg units can be a dumping ground for patients who dont really belong with us!