NITEOBRN 620 Views
Joined: May 7, '07;
Posts: 9 (11% Liked)
; Likes: 1
I work in NY on an LDRP unit. Here RNs only for labors LPNs do mother-baby couples a couple of them have trained to scrub for c/s and some are trained to work in our special care nursery with the RNs there LPNs do not put pts on the monitors or really do anything with undelivered pts
I Have To Say I Attended A Seminar By Fred Lee And Read The Book If Disney Ran Your Hospital All Very Good Stuff.sometimes We All Run Short Staffed But I Doubt That Is The Only Reason Patients Are Unsatisfied. Look At The Questions On The Press Ganey That Reflect Nursing Care This Is Were You Should Focus. For Example Did The Staff Respect Your Privacy? Well Of Course We All Pull The Curtain And Close Blinds Before Vag Exams But The Patient Only Remembers Three Strangers Looking Between Her Legs At Delivery. So When You Pull The Curtain Tell Your Patients Let Me Close This To Protect Your Privacy. These People Are More Likely To Say The Staff Respected Their Privacy Than Another Patient Who's Curtain Was Also Closed But Didn't Hear Why And Probably Didn't Even Take Notice. These Simple Changes In What You Say To Your Patients But Not Really Changing Your Care Of Your Patients Can Make Big Impact. This Is Just One Thing I Got Out Of The Book. Definately Worth Reading
I have noticed over the years that women diagnosed with bipolar disorder are manic the first couple of days after delivery. These pts are on the light all night despite sending baby to the nursery and dad asleep at bedside. benadryl, vistaril, ambien....nothing seems to affect them. have any of you seen this trend too?? everything online i've read is about the increased risk for depression and postpartum psychosis i guess thats when they cycle through.
flk=funny looking kid
we have had the same problem with our ecc sending anyone pregnant to our ldrp unit. they have sent up "unclean" pts (vomiting ,diarrhea, open sores etc..) over and over again have re told them we are a closed unit and have newborns with limited immunities stop sending us sick women who need a med doc not an ob. two particular cases that frosted me. one night ECC sent a 26 weeker to me with complaint of severe headache, double vision and left sided weakness. i auscltated the baby for about twenty seconds did quick neuro checks and one of our staff bring her back to ECC as i called the supervisor. The more disturbing case was a 34 week pregnant woman who presented to them with chest pain and shortness of breath.This patient had just been released two days before, she had been in for coagulation therapy for a dvt. and the icing on the cake they had her walk to our unit.:angryfire
second girl born etoh with dad yes maternal g'ma was also a nurse
looking for how others are staffing their units and doing team nursing. We are an LDRP unit approximatley 1200 births/year. We are staffed with RNs LPNs and nurse aides. We are trying to do team nursing with our postpartums so that every Mom and baby gets an RN assessment every shift. Our LPNs are limited in what they legally can chart in our computer system altough all of them are very good at assessments. what is everybody else out there doing what works well and what doesn't?
We have LPNs and aides on 7-3 and 11-7 shifts who srcub. The day girls do the scheduled c/ss and of course on nights (if staffing on our unit allows) we try to do our own. If our unit is busy and the trained persons have a heavy assignment, then we call in an OR team. We have one RN so far that circulates she works nights also. We have run into some attitude problems when a called in OR nurse spots someone she knows can scrub on the floor. They kinda don't get it that if the floor is busy we can't send the whole nursing staff to a c/s. We send 1 RN to do baby, an aide to attend to the Dad (and read bands) and if we sent another RN to circulate and an LPN to crub that just about leaves 2RNs and maybe an LPN to cover the unit.However, when we can we do our own sections and it works out nicely.
hi there all new to site and am looking for information. I work in OB we do about 1200 deliveries/yr on an LDRP unit. We have RNs LPNs and nurse assistants on our unit and are trying to switch over to team nursing.Any of you that are doing this now and whats a normal staffing pattern like for your unit?
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