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Discussion

New to level 3/OB unit

Hi! I recently got hired to work at a level 3 hospital for mother/baby and L and D. I have 5yrs of experience in both depts. but worked in a level 2 hospital. I would help stabalize high risk patients and get them transfered out asap or delivered pts emergently if no other options, also most of the patients I cared for had no or limited prenatal care, some kind of drug use, alot of PIH....I guess you can say they were considered high risk. Well since I am new to this level 3 hosp. I was wondering if I can get any tips on transitioning and things to look out for.. Thanks, I appreciate, I am nervous....

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You actually may find working in the Level 3 has it's advantages - instead of trying to deal with these patients in a lower level facility and "hold them together" until transport arrives, you will have access to all the equipment, personnel and protocols to deal with them right there. Having worked in many remote level 1 hospitals I really love the NICU nurses when that 28 weeker makes an unannounced arrival! Having RTs,radiology, lab and physicians and anesthesia in house 24/7 can really spare you a lot of stress.

Find your coworkers who love to teach (there is always at least one) and ask them to review procedures and equipment with you. Pick the brains of any friendly providers - be frank and say "I'm new to this level of care. Can you tell me how you like things set up/done?"

You actually may find working in the Level 3 has it's advantages - instead of trying to deal with these patients in a lower level facility and "hold them together" until transport arrives, you will have access to all the equipment, personnel and protocols to deal with them right there. Having worked in many remote level 1 hospitals I really love the NICU nurses when that 28 weeker makes an unannounced arrival! Having RTs,radiology, lab and physicians and anesthesia in house 24/7 can really spare you a lot of stress.

Find your coworkers who love to teach (there is always at least one) and ask them to review procedures and equipment with you. Pick the brains of any friendly providers - be frank and say "I'm new to this level of care. Can you tell me how you like things set up/done?"

I second this. I hope you love your new job. It will have its challenges, but you are going to be doing and learning SO MUCH!

Congratulations to you.

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