Published Dec 22, 2007
Just wondering how our group was made up...how many were PP nurses, how many were LD nurses, etc.?
I'm a mother/baby nurse and I'd love to talk to others both in PP and LD.
AllisonRN
39 Posts
Seasons Greetings :Holly2:
I am a Mother/Baby nurse and have been for one year now...love it! On occasion I do Newborn nursery, but with our unit...the nursery nurse is second on deliveries. I am not comfortable with the deliveries yet so...I always have someone attend deliveries with me. My hope is to learn Antepartum next.
When I work Mother/Baby...we can have up to 5 couplets.
richelle362
46 Posts
Our nursery nurse is too busy to assess the deliveries. We have a neonatal assessment nurse for that. In a 12 hour shift you may see 20 or more babies.
klone, MSN, RN
14,856 Posts
Wow! I didn't realize so many places combined everything. That must be very exciting and definately a way to keep your skills up!
I think much of it depends on the size of the unit. We have only a level 1 nursery, so a really specialized skillset isn't necessary (i.e. NICU experience). We'll be going to level 2 in the next 18 months, and we all expect that the areas will separate and staff will specialize in a particular area, rather than rotate through all. At that time I expect I will specialize in antepartum/L&D.
We average about 3-5 births/day (1400ish per year). We don't do couplet care usually, but will move to that when we get our new unit.
crysobrn
222 Posts
The most couplets we have is 4 or 5. We only do 450ish deliveries a year so we usually don't have more than 5 couplets at a time. If we have more couplets (say 6-8) we usually have a second nurse and then we even sometimes split our couplets and do all moms or all babies. There are times it just works better to have one person know what's going on in the nursery and one on the floor.
cherokeesummer
739 Posts
The hospital I work in did 10,000 deliveries last year, so we are specialized. For those of you working postpartum, how many couplets do you usually have? We often have seven, sometimes eight.
I'm on orientation still so I have only had 3-4 couplets so far but I've seen our nurses have as many as 6 or 7 with admissions and discharges being all rolled up in to that. And we don't generally have aides so the nurses do everything.
We have a nurse designated for admissions and then an aid or nurse but usually an aid in the nursery and then the nurses are responsible for the newborns and moms - but sometimes if there is someone licensed in the nursery they will do the assessments and such for the nurses. That is helpful for sure!
Elvish, BSN, DNP, RN, NP
4 Articles; 5,259 Posts
Mother-baby/nursery/high-risk stable antepartum here.
L&D is separate from us. I don't want that job AT ALL.
Too much stress!!
Spidey's mom, ADN, BSN, RN
11,305 Posts
Mother-baby/nursery/high-risk stable antepartum here.L&D is separate from us. I don't want that job AT ALL. Too much stress!!
I completely agree . . . .and glad to not be an OB nurse anymore!
steph
mirime
4 Posts
Hi,
I do PP, LD and intermediate care baby unit. In my unit you have to be functional in all of these. We alternate( 2 days in pp, 2 days in LD....) But, we all started in PP before doing Ld. You always need to learn the basic first.
CMCRN
122 Posts
L&D, antepartum and OB Triage.
jenrninmi, MSN, RN
1,976 Posts
I am L&D, and PP
queenjean
951 Posts
I just started in this facility. I work PP and peds, and will eventually cross train to nursery and/or L&D. In our facility, all these are rolled up into one department. We are a small community hospital in between two large cities, and down the road is one of the biggest children's hospitals in 500+ miles, so we don't get very acute kids--if they are very bad, we send them to Mercy. Oftentimes our hospital doesn't even have the peds ward open.
We have about 100 births a month. Nursery is a Level II. PP nurses have anywhere from 3-4 couplets, sometimes 5 when it's really busy. I don't know how I would take care of 7-8 couplets--how can you even keep track of everything? That's having 14-16 patients all by yourself!?!
As PP night shift, I'm responsible for all my moms' breastfeeding assistance, at night we take babies to the nursery for the screenings--hearing, CHD, BCF, PKU, etc--but the pp nurse is the one responsible for getting these things done. I'm also responsible for all baby vitals and any blood sugars. I don't know how I could do all these things on 14-16 babies in one night!!!