Quote from ursula10
I am a charge nurse at a small rural hospital. We deliver babies but have no L&D nurse most nights. I often come in to find that I have to care for a new mom and baby and I have no experience with post partum at all( other than nursing school 6 years ago). When I tell the off going nurse this, I get a brief run down on a fundus but it's not at all what I need to porperly care for my patients. No one has had any major complications but I would like to feel secure in knowing that I would know what to do in the event of an emergency or even just notice when something's not right. It might also help if I knew about a boggy fundus and wht type of teaching I need to do for my patients. I don't want to orient under the staff here because I feel that they are sloppy and do not do a good job. I love my job and the facility, but I refuse to keep taking on the liability of caring for patients and I know nothing about this type of nursing. I've never had any kids so I don't know whether this bleeding is too much, too little etc. I'm a complete novice. Unfortunately no one here seems to care. I guess just becuase I've been a nurse for a number of years they figure I can handle it. I have complainded several times, but it never fails that I always walk back in to the same situation. So, I've decided to take matters into my own hands. Does anyone know of any good seminars or courses that I can take to orient me to L&D and post partum care? PLEASE HELP ME!
Thanks in advance :-)
Both you and your patients deserve better.
As daunting as it must be to care for a newly-delivered mom and baby, what happens if a labor patient comes in on the night shift?
First of all, check your BON. Some states actually have language in the Nurse Practice Act that PROHIBITS an RN from taking charge of a unit to which s/he has never been fully oriented.
Secondly, go to Risk Management. I can't imagine the payout if a new mother or baby were to be harmed by a complication that you were untrained to assess and manage.
Thirdly, be ready to suggest an interim "stop gap" staffing measure to care for these patients until you are properly trained to do so. Could there be an "on-call" system put in place to provide coverage for the nights when your hospital has OB patients?
Insist that you be sent to a neighboring facility for adequate clinical training. This kind of arrangement is made all the time, even among competing hospitals. When our facility was preparing to open a NICU, all of the nursery staff members were sent to a nearby hospital for clinical training. Same thing when our cath lab opened. Ask for 2-3 weeks minimum of full-time post-partum and nursery or mother-baby clinical training.
As helpful as a seminar or conference may be, you need hands-on experience. Good luck!