Labor and delivery differential

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I'm looking for feedback from labor and delivery nurses to see how many make a specialty differential (like ICU or ER nurses make.) I work on a labor floor where we do between 70-85 deliveries a month, have a level 3 NICU at our hospital and are so short staffed that the 1-1 nursing for labor pts. usually goes right out the window. I'd like to know how many of you get a specialty differential, or is this wishful thinking?

I think we should get a specialty premium, especially with the increasing numbers of sicker pts, increasing number of advanced maternal age pts, and with the numbers of pts. transferred to our level 3 facility that the level 1 or 2 hospitals can not manage.

What do you think?

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Specializes in OB, Telephone Triage, Chart Review/Code.

I agree but don't see it happening. The only differential we get is a 25 cent raise for our NRP certification.

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Specializes in NICU.

That's nice Debbie. NRP certification is mandatory for Maternal/Child Health at our hospital, no extra diff for that, L&D or level II nursery.

We have 350 + deliveries a month, and a very busy nursery. Could use more staff, too.

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We get no extra diff for any area unless certified.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

NO DIFF WHATSOEVER!!!!!!!!!!!!!!!!!!!!!!

But then we are union and they would raise hell, I am sure if we tried. NO diff for NRP or ACLS either. Nope. But then JUST WHO IS a "specialty nurse" Really, think about it.

WE all have "specialities" in our backgrounds. Med-surg nursing, included. So why just recognize certain nurses for what they do? I kinda think it's sending the wrong message, frankly.

The only diff I think would be reasonable would be to those nurses willing to work "war zones" like chronically-short-of-staff ER's or ICU's and Med-surg units. But that would not be a speciality diff, it would be rewarding those who fill in chronic shortages that would not otherwise be filled. Sounds fair to me.

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I don't know anywhere around where I live that offers diff for any specialty, period.

It sure would be nice though! :)

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Specializes in Nephrology, Cardiology, ER, ICU.

Hey I'm missing out...I'm the charge nurse in a level one trauma center. My certs include: ACLS instructor, PALS, ENPC, BTLS, TNCC, PEPP, Trauma Nurse Specialist and CEN (national cert). I don't get anything - boooohoooo!!!

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No differential here, but there is a small plus. We are a self-contained unit, which means we don't float to other areas of the hospital. However, that does mean that we must self-staff. I must admit that I do like the security of staying in the area that I know the best.

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ER and ICU nurses don't get a differential here....

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I am an ICU nurse that does not get a differential. None of our nurses at my hospital do - ER or ICU. I was in the OB search because I would like to change my "specialty" and will not get a differential in OB either. My hospital is Non Union????make a difference?

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Specializes in CCU (Coronary Care); Clinical Research.

No differentials for "specialty" areas (everything is its own specialty really) at my hopsital either, Union. There are no differentials for BSN, ACLS,PALS,NRP, or CCRN. There is a night shift differntial, and that is 4.00 an hour more. Our charge nurses do get 1.50 hr/more (i think) and new grad/new hire preceptors also get 1.00 more or something along those lines.

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