Published Feb 7, 2005
Like to know how your hospital handles c-section or nsvd patients who must remain on MgSo4 for 12 to 24 hrs post delivery. Do they remain in your L&D unit until off Mg? Are they moved to post partum Mother Baby unit as soon as the initial recovery period is over even if Mg is to remain running? Please include you hospital level, location, staff/ pt ratio for RN with the Mg pt. and you protocols would be nice also.
we do LDRP so I guess my answer won't help.......But, if a patient is on Mg after delivery, we are responsible for q1 vital signs and q4h reflex checks. So the nurse assigned to that patient is the one who receives the lightest load, assignment wise. Like I said we do LDRP, so our patients don't leave our floor at all.
pt stays in ldr room with vs, reflex , i&o q1hr. Almost all are 24 hrs post del on mag. If we are busy, may double up pp mag pts, but usually 1:1 in labor.
LDRP here also. I have to say that it is a rare patient who stays on Mag after delivery at all.
well, from my own personal experience being on mag, i was in L/D the whole 12 hours I was on mag. mag wasn't started until about 2 hours after i delivered when my pressures weren't going down as expected. i was transferred to postpartum after the mag was dc'd. not sure if it was because they weren't busy or if i was really sick. had my own nurse sitting right next to me practically the whole time.
on our pospartum unit, we get people on mag all the time. i had a mom on mag this weekend. she was on q4 vitals and q4 reflex checks, strict I&O. i had 3 other couplets along with her. they remain on q4 vitals and reflex checks until they are discharged.
we are a pretty busy hospital. we get our stable vags with their baby after 2 hours, c-sections after about 1.5-2 hours, but baby is recovered in the nursery. we have a level 2 NICU. normal nurse to couplet ratio is 1:4. sometimes we will have 2 moms with no babies instead of a couplet, or 2 gynes instead of a couplet or a mix. it we are really short staffed we might go up to 1:5, but we have a floating RP/charge and they usually admit the new one and then help us with them. i have never had 5 couplets before. knock on wood. LOL.
where i work, we keep mag pt's in l&d. they are tx'd to pp when mag is d/c'd. we have to do q15min vs, q30min dtr's and resp, and q1hr i's&o's.
At my hospital they stay in LDR until mag is off
We have 6 LDRP's and 6 post partum/gyn rooms. All of our staff is cross trained. So whether the pt. stays in an LDRP, or is transfered to a PP room...the RN there is equiped to care for her with a Mag drip.
that is the beauty of LDRP. Everyone is cross trained. I love it. No shipping patients to other floors.
We get pts on mag right after recovery (usu @ 2h) in postpartum as long as they are on 2g/hr or less. If the pt is on more than 2g/hr she is sent to the ICU or kept in L&D, if they have the staff and room. Here in CA we have ratio laws that do not account for accuity. We get 4 couplets each. For Mag pts we do q1h vitals and q4h assessments (inc reflexes). We dip urine q shift and keep the pt on seizure precautions until the mag is dc'd. We only let the baby room in if dad stays in the room.
We do about 300 deliveries a month and usually have at least on pt on mag every day. More than half of our pts are advanced maternal age so we tend to have a lot of PIH pts.
We only let the baby room in if dad stays in the room.
I thought my nurses were just mean not letting me have my baby with me except to feed her. It was double rooms and they would bring her to me to nurse her and then take her away as soon as she was done. They said I needed to rest to keep my BP low and I wanted to scream that it was probably higher when they took her away because I just worried about her.
I wasn't on mag by then, but my pressures were still 140s-150s/90s- 100s. Though it really frustrated me because I was going home with pressures that high the next day and who was going to take her to the nursery for me then??
I thought my nurses were just mean not letting me have my baby with me except to feed her. It was double rooms and they would bring her to me to nurse her and then take her away as soon as she was done. They said I needed to rest to keep my BP low and I wanted to scream that it was probably higher when they took her away because I just worried about her. I wasn't on mag by then, but my pressures were still 140s-150s/90s- 100s. Though it really frustrated me because I was going home with pressures that high the next day and who was going to take her to the nursery for me then??
We don't keep babies out of the room UNLESS mom is on mag still and there is no one else to care for the baby in the room at the time.
How long were you hospitalized? Just curious.....those were pretty high pressures, still.
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