Keeps

My baby took a sh*t.

For our moms the option is breast, bottle, or SNS. No cups, no syringes, no fingers.

I get off whatever comes off easily with the bath. I might be a little more aggressive if it was a mec delivery and the kid is green.

The NBN nurse is responsible for assisting with circs. I have never had anyone say that they wouldn't assist but I'm betting my Director would not be very supportive about it. We do have some OB's that wont do it and it is always an issue if they are covering for an MD that does. Pts get very upset.

Ours is a womens health floor. There is L&D, NBN, NICU and PP there. L&D staff do not float anywhere. NBN and NICU float between themselves. PP floor also has gyn surg, antepartum pts. They do not float anywhere.

Q 2 hours for us. We also have a security tag system with locking doors and elevators.

Thanks for the responses. I know that from a financial standpoint the new day starts at midnight so as long as they are discharged by 11:59 that day there would be not additional charge. I haven't ever seen anything that specifically talks about time in regards to discharges. I have some real issues about this from an ethical standpoint.

Does anyone know if there is some type of regulation that states a time frame from when an MD writes a discharge order and when the patient needs to be in fact discharged? We are having a problem with one of our sister units in that they have been told that if they get a discharge order written at say 8am they have 3 hours where they will still be covered under the standing orders. Consequently they are rushing to get the paperwork done. The patient may still be sitting in the room 4 hours later waiting for a ride but the unit counts them as gone. No care, no meds, no nothing. I have not been able to verify that this is accurate. It may just be the nurse managers way of not having to staff the 3-11 shift with more nurses. It is a PP floor and I am in NBN so many many times the moms are discharged while we are still waiting on a 1600 Total Bili. I have had nurses come up and ask me how much longer Im going to take because she feels bad that she cant medicate the mother because of the pressure to discharge them. Thanks in advance for any help on this.