Specialties Ob/Gyn
Published Feb 8, 2016
danikrautrn
2 Posts
I am looking for fellow RNs opinions and experiences. I am a travel nurse working in CA. The hospital I work at will give me three cervidil inductions. I have only ever worked in CA and have never had more than two of these type of patients. I feel this is unsafe patient care and it is a definite risk to my license. They put these patients on the antepartum unit until they are active. These patients still need to be continously monitored. At one point I had an "active" labor patient (one of the cervidil patients) plus my other two for a few hours until the change of shift. Even though there were rooms available in L&D. I have spoke to my agency to no avail. This is not the only incident that has happened. One time I had a baby who didn't transition well and the mom was bleeding. I was expected to give meds to mom and provide support to the baby for a few minutes until NICU arrived. I was the only RN in the room until then. Not one person came to help, even though I asked. Of course my priority was the baby, but the mom didn't deserve less care. It has been so frustrating. Has anyone ever had three inductions?
RunBabyRN
3,677 Posts
On our unit, you might have 2 inductions if they're primips or things are moving slowly, but if things get moving, we rearrange assignments based on acuity. Most of us don't have 3 patients unless they're 3 stable pretermers. Are you working outside of CA now? I know standards are different outside of here, and we have some of lowest patient ratios in the US.
Katie71275
947 Posts
I'm in Raleigh and we are one to one. However, we may have 2 inductions, or an induction and an active patient.
I am workng in CA. I only have a CA license and have only ever worked in CA.
Alikatz08
125 Posts
Where I work it's very similar to how RunBaby explained her unit to be like. I have never had 3 inductions at the same time, ugh. I only had 3 patients at the same time once, very briefly until assignments were changed, but they weren't inductions and were stable antes/pre-termers at the time. As we know things can change rapidly in L&D though. If it's an unstable or active patient it's always 1:1 here. The only time we are doubled up is if it's absolutely swamped and two stable patients (including 2 primip inductions). That is too bad that no one is seeming to address this. Keep speaking up.