Published
Just out of curiousity, how many deliveries a month do you all have at your facilities, and how many labor rooms do you have to accomodate them?
We have had 400+ babies 3 out of the last 4 months, and surely will this month too.
Sorry - this was my weekend - very tired.
16 LDR
40 Postpartum
14 High Risk Antepartum
4 Triage Beds
2 OR's (Getting ready to open a 3rd - yikes!)
4 PACU beds (after c/s)
We average about 375 deliveries per month, but last month we hit an all time high (ever!!) of 433 deliveries. We also do a HUGE number of outpatients (NST's, gels, r/o labor, r/o srom), and we also have some long term antenatals that need continuous EFM or are unstable and on Mag.
We have 14 LDR's, 3 triage beds, 4 pacu beds, and 2 OR's. We are almost always full, and use our pacu beds as laboring/outpatient beds many time. We also tend to have pts waiting in the waiting room until a bed can be cleaned. We DESPERATELY need more beds and MORE NURSES!!
We do a large number of high risk patients - we get transfers that other hospitals refuse - and we are the only hospital in the (very large) city. We are also a teaching facility.
Jen
L&D RN
We try to one-on-one with active labor, but you usually will not have more than one active laborer at a time. They may give you a High Risk and an active, or a post partum and an active. You just have to get someone to listen out for your other pt when you start pushing. You can imagine that I am a little daunted about being on my own come November! A LOT of team work where I work . . .
We average about 375 deliveries per month, but last month we hit an all time high (ever!!) of 433 deliveries. We also do a HUGE number of outpatients (NST's, gels, r/o labor, r/o srom), and we also have some long term antenatals that need continuous EFM or are unstable and on Mag.We have 14 LDR's, 3 triage beds, 4 pacu beds, and 2 OR's. We are almost always full, and use our pacu beds as laboring/outpatient beds many time. We also tend to have pts waiting in the waiting room until a bed can be cleaned. We DESPERATELY need more beds and MORE NURSES!!
We do a large number of high risk patients - we get transfers that other hospitals refuse - and we are the only hospital in the (very large) city. We are also a teaching facility.
Jen
L&D RN
Your facility sounds very similar to mine - we are just not a teaching hospital. Our "competitor" in the city is the teaching hospital, though I don't know how many babies they have a month.
We do about 700 deliveries a year, level one nursery but since we are so far away from a tertiary facility, we do unofficial level two sometimes.....We have 9 LDRPs which lately have been doubled often and then we split our family/eval/breast feeding rooms into three rooms when we have to move people around..We have one OR as well. Community hospital in a summer resort area.
Rae and Moondancer,you didn't say how many rooms you have. Jeez! I can't imagine doubling us I am beat as it is most nights. Do you do one on one for active labor or is that just impossible?
We have 200+/- every month. We have 18 LDRP's and 2 other possible rooms (usually these are used for DIU's). We then have 12 other rooms that we only use for ante or overflow of pp patients. We have 5 triage rooms and 2 nst beds in one room. It has happened that we've had to deliver pt's in triage.
Oh, and one OR suite.
Let's see....we have 18 LDR's, 2 acute LDR's, 5 triage rooms and 3 OR's. We have PACU w/the OR's of course, but sometimes we will use acute LDR's to recover in. We have a separate Hi-Risk Antepartum unit, 22 beds, plus a 22 bed Post Partum unit. It is not uncommon to have triage deliveries, either. We really hate having a delivery on the high risk unit, for obvious reasons, and it rarely happens.
75-80 deliveries a month (our record is 102)
4 LDR's
10 PP beds (5 semi private rooms)
0 triage, we use an empty LDR
all C/S and recovery done in main OR and PACU
1 tiny "last resort" room, wired for central monitoring so it can be used for labor, not really roomy enough for delivery, but it's been done.
What used to be the Delivery Room is now a storage room, although we have had 2 laboring patients in it on occasion.
palesarah
583 Posts
we used to average 60-70 a month, but have been having high 80s-90s since June and are expecting 95 deliveries this month. We have:
10 LDRPs
3 postpartum rooms; 1 of which we can safely deliver in if need be (the other two were call rooms converted to pt rooms to accomodate the increased census this summer and are too far away and not quite set up right to deliver in)
4 outpatient/triage rooms, all of which have been used for deliveries. Two of the triage rooms are also used as postpartum rooms when census is crazy
They also added 2 NST rooms, that just have a recliner and a monitor, so routine NSTs can be done in there and not tie up a room
And we have 2 rooms that are supposed to be held for us at all times on Pediatrics, for postpartum overflow or boarder moms of nursery babies. And a room off the back of the Level 2 nursery that has a pull-out couch and a TV, where Level 2 babies' parents can stay if we don't have a room available- although in a pinch, that too has become a postpartum room!
When census is down, we take GYN surgicals and the occasional appropriate female med-surg overflow pt. I miss those days!