Not training new L&D RN's for High Risk

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Specializes in L&D/MB/LDRP.

Today I heard the most disturbing thing at this hospital that I'm a traveler at....Starting this summer, the new RNs/grads are not going to be trained to do Hi-Risk. This is at an institution that does 10,000 deliveries a year with most of their pts being hi-risk. The rationale for this, they told me, was so they won't lose their staff to travel. Now how crazy is that.

How are these RNs going to know when the "normal laboring patient" turns hi-risk. Will they know s&s of uterine rupture? Can they identify a high risk factor on an induction that has been missed? They are planning on making their "experienced" RNs take all the hi-risk pts. How fast will that get old? I think it's crazy b/c they are putting everyone at risk, the RNs license, the pt, the hospital.

My thought process is this....see what you can do to make these nurses happy so they want to stay. The morale is low & their is a hi turn over rate. Something needs to change and not training for hi-risk is not the answer. Don't put the whole unit at risk. Plus you don't have to have hi-risk experience to travel.....who ever came up with that idea should have done more research. Some management just shouldn't be management.

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Today I heard the most disturbing thing at this hospital that I'm a traveler at....Starting this summer, the new RNs/grads are not going to be trained to do Hi-Risk. This is at an institution that does 10,000 deliveries a year with most of their pts being hi-risk. The rationale for this, they told me, was so they won't lose their staff to travel. Now how crazy is that.

How are these RNs going to know when the "normal laboring patient" turns hi-risk. Will they know s&s of uterine rupture? Can they identify a high risk factor on an induction that has been missed? They are planning on making their "experienced" RNs take all the hi-risk pts. How fast will that get old? I think it's crazy b/c they are putting everyone at risk, the RNs license, the pt, the hospital.

My thought process is this....see what you can do to make these nurses happy so they want to stay. The morale is low & their is a hi turn over rate. Something needs to change and not training for hi-risk is not the answer. Don't put the whole unit at risk. Plus you don't have to have hi-risk experience to travel.....who ever came up with that idea should have done more research. Some management just shouldn't be management.

I can't agree with you more. The hospital I worked at had our new nurses not od high risk for a year off orentation. They could not even take triage pt.s' without havingan "experienced" nurse with them. The problem being all of us experienced nurses had to take pt.s of our own. Now we are doing our pt.s and babysitting all th rest. Tlak about a risk to your liscense. Now I have been terminated because of a situation like this, I had my own high risk pt. and was watch over a new nurse with a FD. Well her sitatuion turned bad, and I got fired. Were is the justice?? Sometimes it is not worth the stress!! :angryfire

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