I just started at a new hospital and I don't know if it is the lack of experience or what. D-cels happen, they don't ALWAYS need an intervention. So far, everyone I work with, seems to think, EVERY nurse on the unit needs to RUN into the room for every d-cel and immediately move the patient into 14 different positions and give terb.
I'm coming from a hospital where we almost NEVER used terb. we RARELY used 02 on mom's, we had a VERY low c-section rate, and we let our patients walk and use jacuzzi even when on pitocin.
We also let babies stay on mom's chest for 1 hour after birth without ANY interventions except drying and stimulating, and keeping baby warm.
When I mentioned this to the new people I work with, they looked at me like I had 4 heads.
I'm missing my old hopsital
Nov 24, '06
Maybe this is just me, but no, I do not run into the room for every decel. Why would I? I mean, there are more than one type of decel and the complete clinical picture needs to be considered, not just the decels themselves. Consider, you may significantly raise the anxiety level of the laboring mom if you "run in there" each and every time you have a decel on the strip. Either the decels concern you a lot, or they don't. If they are that ominous, you probably have no business leaving the room in the first place, but rather, calling your colleagues to help you out , or getting in touch with the doc/midwife to convey your concerns and get them on deck to analyze the situation and intervene as needed. If you all act nervous and upset and so will your patient---and we all know increased and high anxiety does that mom no favors, and can even worsen the clinical picture for the fetus.
Hopefully your colleagues are at least calm when they do this----although I still say, you are either that concerned or not. You intervene when appropriate and get the situation taken care of. Or if things are stable, you let it ride, watching closely to be sure nothing changes.
I suspect you may work with people who are either not very experienced in OB nursing and fetal heart monitoring, or there is an overall environment of anxiety for some reason. I don't your work situation. I want to be able to trust my colleagues know when to act and how---we are, after all, a team.
Last edit by SmilingBluEyes on Nov 24, '06