number of nurses in delivery room

[califrn]

Am looking for information-how many L&D units out there only have one RN present at deliveries-for both lady partsl deliveries and C/S--that means this one RN is responsible for both mom and baby--trying to find a standard of care here. I feel that baby should have its own nurse and mom should have hers too-at least until both are stabilized. Our busy unit currently has no guidelines so that one nurse does all! Can be very scary if mom hemorrhages and you are resuscitating baby:uhoh21:

[pirap]

Funny how you posted this as my friend and I were discussing this yesterday. She is L&D and I am on Mother-Baby. We both agree that the L&D RN's should focus on the mom and the Mother-Baby(Nursery)RN's should focus on the baby in a lady partsl birth. At our hospital a the neonatal Docs and RN's are present for ALL Sections. When I gave birth at the hospital that I work 6 months ago there was only 1 RN present and she had been working there for 5 months and I was a VBAC(#3 child). Everything was fine with me but my daughters lungs were pretty full of "junk" and she had to be suctioned a long time and the NICU was called to evaluate her. After 30 minutes of suctioning she was OK.

[Spidey's mom, ADN, BSN, RN]

That is definitely scary! Not that you are an LPN alone at delivery, but a nurse alone at delivery!!! I still stand on my belief, and with the current OB standards, that two NRP certified people need to be present at delivery! Even if, as previous posters have mentioned, the second nurse only stays for a few minutes to be sure baby is stable, there still need to be two.

The second NRP certified person is the doctor.

I work in a rural hospital and there is one RN at delivery. We do low risk deliveries but ya never know. I can call on another nurse at any point - our hospital is so small that a nurse is just a few steps away. Also, our ER staff can help out in a true emergency.

There are times when we will have two OB certified nurses working - one for OB and one in the ER or in med/surg and we all try to attend at least the delivery part to make sure all is well.

Many of our docs stay to help too - put the bed back together, pick up all the instruments and placenta and take to central.

steph

[JoniL&DRN]

If things are stable and not busy we have one RN for mom and *hopefully* an LVN to do baby. We are trying to implement the "golden hour" right now and give mom, dad and baby some time before we do meds, assess. etc. on baby. If we do that, it's doable for one RN with someone on standby just in case. Our midwives prefer less bodies in the room, if possible and not necessary. It does make for a nice delivery when there is less commotion, I will admit.

NOW that being said, if things are questionable, we have a NICU team, including RT, that we can summon (which we will do automatically for mec, variable decels or any other non-reassuring strip). We also have Lead RN's (always one per shift) that always make themselves available for help as well. Overall we have a great team and great teamwork which I think is the best assurance of excellent care.

[LDRNMOMMY, BSN, RN]

We typically have one RN for mom and baby. The NICU team attends all c/s, mec,

Usually there is one RN, and 1 ST in the room. All the ST's have NRP, but I would rather have another licsensed person in the room with me. Thankfully I run the OR's so I am doing deliveries all that much anymore. I will say that if my charge nurse anticipates that the baby may need some help with transition they usually are in the room with me. Whenever I have asked for help I usually have more than one nurse coming into the room to help me.

[BeccaznRN, RN]

We have 1 RN and 1RT from our NICU team come for all preterm, mec, and vacuum deliveries (also for crappy strips and other circumstances as we see fit). They also attend every C/S. Any other delivery is attended by only L&D staff. On nights (which is what I work), the charge nurse comes in to second all deliveries. The day shift only has one nurse for the delivery. Everyone at work still says that having that second nurse is a "luxury." :angryfire

[crysobrn]

We have two RN's in our vag deliveries... unless there is something really major going on somewhere else. If we anticipate problems and go ahead with a vag delivery we may call the ped dr (or an extra RN) in too (rarely)

We have an RN and peds for baby when mom is a c/s...

We unfortunately do not have a NICU to call upon for anything. Our RT's are not even NRP so we rarely call them (maybe if we needed an extra body).

I was just talking to a local OB from the next town over and she was telling me (and my coworker) that they only have ONE OB nurse on a shift period. Unless they have like THREE or more labor patients they might call in another OB nurse. But their nurses are alone with often TWO labor patients. They must be really special to be able to be two places at once... I would be very scared to work there!!!