kajama

Our Nurse Manager is of no help really all she has done is change the hospital policy..........no in our favor.... PA BON is very vague it acknowledges AWHONN Standards but not in so many words says that as Registered Nurses we could do all of what I stated with education........... NO help... we are getting more help from the OB Docs then anyone in management...........

As Labor Nuses we know the AWHONN standards for taking care and managing Epidurals in Laboring patients. In my hospital we a having an on going battle with Anesthesia about our role. At this pint we intiate the continou,set up pumps to Doctors orders, we will decrese the rate and turn the continous off. They want us to increase the rate on the pumps if ordered with out the MD seeing the patient. Well I have never done this and I will not do it..I am not a trained advanced practice nurse in anesthesia......... Need to find out what other hospitals in PA and in other states do........ The more reserch we do the better...Thanks

I ment in can't do both as in both Circulate and baby catch.......I beleive ARON and AWHONN standards do both work along with ACOG as should nurses and doctors............Just get going when Nurses are being pulled to tomany directions ........................... :)

there are AWHONN and ACOG guide lines and standards Of practice............Can't do both .........In our Facilty they want the circulator to care for the baby once "stable" no............... My concern as the circulator is the mom on the table it is my room.......I have to have eyes all over and listen to everything that is going on.......can't keep an eye on a baby too. Especially at birth I can't give my attention to the baby........sooooo many what if's... We as Nurses have to stand up for ourselves and our patients.Our license is at stake.........at all times............... Hope this helps ........Good Luck......

At the facility were I work it is the Oppisite.... We in L&D have a better infection controll and if by chance we need to call in the main OR for an emergency Hysterectomy... They give us a big attitude...It is like they are comming in to a forgien land. I am a professional I know what I am doing in an OR in a Labor and Delivery unit.... but I will admit that when a hyster needs to be done, I may need help from those that do them every day...............I am as all should be concerned for my patient.....as a Circulator the OR is my room I am in charge..... it is my license on the line ...not the scrub tech or the LPN.or... the main OR team..unless they count and take over.... we all should be able to be professional and treat each other as such

I work in the Birting Suites at our hospital, I am a L&D,Circulator and scrub for our department... We had our coordinator of our OR (an registered nurse AORN certified) step down from this postion due to pollitics.. Any way there wasn't many to willing to take over this position..so our illustrious leaders changed the wording of the posting to make the position a Facillitator of the OB OR...and gave it to one of our LPN-scrubs... I don't like this because as the RN in the room every thing rides on me... this has to go against AORN standards... I like this person as a person but she has no management skills and does nothing but scrub for scheduled CS and occationaly when we have a emergency when she is there... she leaves at 3pm..very rearly letting us know she's going and those of us who scrub are left to cover..after she is gone... I have had to leave my laboring patient with someone else go scrub, clean the OR and then go back to my laboring patient..... any way I am rambling just wanted to know where I can find some concrete information to take to the administration that this is not right ...or maybe I am wrong. Please let me know..........................thanke :)

That's the way to be a patient advocate. we all have to make sure some of these doctors out there realize that birth is NORMAL.... leave the woman to go with her own instints and they push these babies out with out much or any help..... We have a new group of Doc's comming to our Dept to deliver...and we heard they use stirups...well the stirupps on our dept are no more...they have gone missing....we don't use them any way so we made sure that they are no where to be found..... All of us in Labor and Delivery have to remember we are there for our patients first and fore most...... :)

Thanks for your list of duties, our's are similar but to have them actually keep up with what they need to do is hard. We have one Tech that is trained to scrub since she had that resposibility at her previous job, LPN's are our main scrub at our facility, and there would be war if we started training the other OBT's to scrub. My main goal is that they stock our LBR's and OR's correctly. We have cell phones that we use on our department that our Tech carry with them so we can get in touch with them when we need them ( to open LBR' and OR's ect.) but they are constantly using them for personal calls and are busy when we try to call.. Again thanks for your help.... Sounds like the OBT job works at your facility.....

I am looking for some input, I am working on revising the job description and duties for our units OB Techs. I work in a Family Center Care Obstectrical Unit. We need to redefine the role of the Tech because ours our out of control.... Any help would be great.... thanks:rolleyes: