BELCJ

What is your average census? How many RRT calls do you average? When not responding to a call, what other job duties does the ICU nurse do?

What is your average census? The RT (supervisor) that responds, I assume that they are the one to respond due to no patient load?

We are trying to improve our preceptor program and are seeking advice from the general nursing population for help. 1. How long does your facility preceptor new grads? 2. How long does your facility preceptor experienced nurses who are just new to ...

Quick question: The 1-2 patients for the orientee, is that 1-2 in addition to the 4-5 that you have, or is it 1-2 of your personal patient load?

I am a new L&D Nurse Manager, and I'm still having trouble trying to staff appropriately. We average about 2000-2100 deliveries a year, which is about 6 a day. When I look at the guidelines on AWHONN, it says the staffing is 1-2 for active labo...

It's only been about the last 6-9 months were this has become the "norm". The previous director submitted an FTE budget for the new year of about 36 I think, and said she wasn't adding any nurses, just trying to keep what they already had. With an ...

Our postpartum are on the same floor, but on the other side, (seperated by a walk-thru storage area) and it is staffed separately. The entire area has three actual departments, L&D, Nursery, Post Partum, but it's one unit, Women's Services, all ...

Yes, those guidelines do help. That is how I'm trying to staff, but that means letting all these travelers go because we don't need them, and the nurses are saying it's not right and they can't do it without the added staff. Obviously administratio...

Active labor is 3 nurses, but for how many patients? The antepartum is 4 nurses, but again, how many patients is that?

You have 1 nurse per couplet? So if you have 10 postpartum couplets, you have 10 RNs? Your hospital must have very deep pockets. That would never fly here, but I wouldn't want it to either. That seems too exessive.

I'm looking for information on what the standard is regarding discharges home from ICU. It's been quite a few years since I worked there, and it used to be that if the patient was well enough to go home, then they didn't need to be in ICU. We were ...

Emtala deals with patient care associated with their ability to pay. If the ER doc had said "we have a self pay patient needing surgery", and the OC doc had refused to come in and treat, then YES he would be in violation of EMTALA. The OC not respo...

There isn't a program per se, since each facility may define hours differently. At our facility we use only "productive" hours. We total all productive hours for the unit, (this includes the director) and divide by the number of patient days. This...

It depends on the state. Most states however, require you to take their exam for certification in that state.

I'm posting this in both the OB and OR forums, since different facilities may do their c-sections in one or the other. Sorry for the duplication. I am interested in knowing if anyone has done any time studies to determine the OR time for c-sections....

We don't use nurses for cleanup and restocking. We use the techs. Whether in OB or OR, the tech's job is with the patient is done once the procedure is done. They're not saying it will be an hour before they get the job done, they are telling me ...

I know you said no joking, but come on. 2 hrs versus 30 minutes? Sounds to me like either the L&D staff are taking their time so they don't have to go back to the floor, or some serious inservicing needs to be done. You do however present a val...

Has anyone done any time studies at their facility to determine average time of c-sections? This would include turn-around time for cleaning and restocking the room.

Your RN or LPN that 'assists' the OB.... Obviously they're not RNFA since you use LPNs too. You provide an assistant and a surgery tech? Just want to make sure I understand. Our docs want us to provide the assistant, but we are fighting it. Thank...

I am trying to see what other facilities use to calculate a "patient day" for their L&D department. I have been on the OB forum, and I have searched the Manager's forum clear back to 2003 and it appears that either managers have no clue, or are ...

I would like to hear from other facilities as to whether or not your hospital provides first assists for C-sections, and also if you know where I can find information on whether or not one is actually needed for all, or even the majority, of c-sectio...

Does your staff do C-sections, or is that done by Surgical Services?

Our current budget is based on 4.5 hours for each Labor Eval we do, 3 hours for each NST we do, and 8 hours for each delivery we do. Based on our budgeted projections, and staff, we have a budget hours worked per unit of service. Then the total act...

Does anyone have their HPPD for L&D? Also, what formula do you use to calculate a patient day in L&D? At our facility, HPPD is hours "worked" only (productive hours). This means if staff is paid, but not working on the unit, their hours are...

Our staff are trained RNFAs. Currently I believe only 1 is actually certified. Reimbursement is a whole other issue that we haven't even started tackling yet. My biggest concern was whether this person was even necessary, which I have gotten mixed ...