I would like to know what the visitation policy is for children in L&D/ Mother Baby/ LDRP at other hospitals and where the hospitals are. My hospital is in Memphis, TN. Our policy is siblings of the new baby can be any age but all other children (related or not) must be 12 or over. This even includes siblings of the parents. This causes a lot of dissatisfaction to patients, visitors and staff. I would like to compare our practice to that of other units. Please include at least the city and state in any reply. (Feel free to include any visitation for NICU, as well. Who is allowed to visit in NICU? Does at least one parent need to be present for other visitors to enter? Is ID required for non-parental visitors?)
MemphisOBRNC replied to imintrouble's topic in Nurses
What about L&D, Nursery and NICU? We have BLS and NRP. In the 25 years I have worked in OB, I have seen 1 patient who needed resuscitation, and she threw a PE. She needed BLS on the way to the OR, STAT.
Does your unit require you to take the AWHONN Intermediate Fetal Monitoring course every 2 years in order to be deemed 'competent' in fetal monitoring? If you have taken the Intermediate course in the past 2 years, are you able to take the online competency assessment test offered on the AWHONN site in place of the Intermediate course? What other competencies are you required to validate, how often (every 1 or 2 years) and how do you do it?
MemphisOBRNC replied to Hilinenursegrl's topic in Nurses
This shows how to locate landmarks, too. I get ALL IM injections here and refuse to get them anywhere else. There is little to no pain at all, no matter how thick the medication. With patients in pain, they don't have to turn to get an injection.
I have been asked to review a case that is not within my specialty, which the attorney knows. Is there a percentage of your specialty fee that you charge for reviewing cases out of your area of expertise?
I am certified by NCC, too. I also took the EFM test. It was more a personal goal for me, as my hospital does not recognize (pay more) for certification, which I think is a shame. From what I've read, most hospitals, at least around here, don't pay extra. Many will pay for the cost of the test, though. I HIGHLY recommend taking a prep course. The one I took was 2 days.
I have been at St. Francis (both locations) for a total of 29+ years. I am now at the Bartlett location. Tenet is not a bad company at all. I have never worked doing 'floor nursing', though I know many of the nurses that do. You may want to try contacting Human Resources at various hospitals and ask about the turn-over rate of nurses and also ask about the patient satisfaction scores. St. Francis- Bartlett has been a 5 Star (the best) hospital and also received the J. D. Power and Associates Distinguished Hospital Award. I believe it was the first hospital in Tennessee to accomplish that and we are very proud of it!
Good luck in your search.
MemphisOBRNC replied to Kristin_collegemom's topic in Ob/Gyn
In my 22+ years of OB, I have done fundal pressure and continue to see one or two docs that do it now, mainly because they are inpatient. They are the same ones who want the patient to start pushing at about 8 cm, too. Suprapubic pressure can be helpful if you have a dystocia and need to get the shoulder down and under the symphysis pubis. Fundal pressure can actually wedge the shoulder against the symphysis. IF you ever do fundal pressure, do it from the patients right side to help prevent liver damage and make sure you can justify your reason if you end up giving a deposition!