Quote from klone
I beg to differ. L&D absolutely is critical care.
Not in my opinion. L&D is not critical care.
The labor RN is not titrating multiple vasoactive medications at a time maxed out at the highest dose with constant labile blood pressures. Those nurses could not tell me a single thing about ventilator settings as their patients are never on one. They do not draw or interpret blood gases. They are not doing Q15 min, Q30 min neuro checks after a TPA infusion. They do not have arterial lines, rarely central lines or CVP measurements. They are not on CRRT, ever, or crashing with sepsis. Nor are they on balloon pumps, fresh transplant recipients, or a recent code blue/cardiac arrest.
They have the potential to become unstable, but that is not practicing in critical care. If they were truly critical, they'd be moved to the intensive care unit. They would not remain in L&D, as those RN's are not able to provide that type of care. I have taken care of labor patients in the ICU. I manage all their nursing care aside from the maternal side. The accompanying labor RN manages the maternal/fetal side, NOT critical care.
Further, the COA (accrediting body for CRNA programs), does NOT recognize labor and delivery experience as acceptable for admission to an anesthesia program. Clearly L/D does not substitute for true critical care.
The key difference is that they *may* occasionally
manage unstable and critical patients, but it is certainly not routine, nor do those units and nurses have the capability to provide continuous care in those situations. ICU RN's do this all day, every day.
The hospitals in my area even list L/D positions as RN, Noncritical, OBGYN/L&D.