Quote from Double-Helix
I agree that this patient, excepting the postpartum status, was an adult trauma patient. This entire situation likely could have been avoided by some open dialogue and by having a postpartum nurse come to the PACU to assist with monitoring for the immediate postpartum complications.
When I was an RN I used zip down to assess patients on other services regularly, including PACU. It might just be a quick check and consult, but if they were acute in any way (immediate postpartum period included), I'd stay at the bedside until things were obstetrically stable.
With a normal spontaneous delivery following a low risk pregnancy, maternal postpartum care is straightforward and relatively algorithmic, medically speaking (setting aside all the messy psychosocial components haha). So I don't really think this was an inappropriate/unsafe assignment for you. Certainly your unit sounds like the most appropriate place for her overall.
OB is outside your comfort zone, end of story. Your charge should ensure you have the resources and support to safely provide care. No ifs, ands, or buts about it. That's literally the job of a charge nurse.
I would have pushed for an initial assessment by a PP nurse, as well as the time to consult with her, develop an integrated care plan, ask questions etc. And a nurse from their unit should be available to consult and/or come over to take a look whenever you have questions or concerns.
Before you claimed safe harbor, did you brainstorm other solution? I know you said she didn't offer any support which is not cool AT ALL. But I was unclear if you took the initiative to brainstorm and present her with possible solutions yourself.
If your charge denied your requests for support outright, then I don't hink you were unreasonable for claiming safe harbor.