mobyrn

We have a similar problem where I work. Originally, there were only lactation consultants for 7-3, but we now have 2 for 3-11; thus leaving none for 11-7 (but then, what else is new - 11-7 seems always to be lacking). We had a similar note posted - to the frustration of the staff. Our problem is this. Through a grant received in this state, ALL staff (including ward clerks and CNA's) would be PAID to go to 2 8-hr classes on breastfeeding. We all attended, but only a minute few even show any interest in assisting these mothers with breastfeeding. Much of the staff went, obviously because they wanted the money, but it is unfair for afew to carry the load. By the way, the lactation consultants here make $28-30/hr and most of them are not nurses.

Thank you so much Tiki_Torch for your reply. Please do no apologize for the lengthiness of your response - it really helped me. How wonderful it is for have directors and nurse managers who care enough about patient safety to accomodate them as necessary. Our assistant director is accomodating, but unfortunately she has to have the approval of the director to implement changes. We will be taking this issue to the union.

Yes. She is okay. Thank you so very much for your reply.

I need some feedback from L&D nurses regarding an incident that happened on the Postpartum floor at the facility where I work. A patient was admitted to the PP floor (despite objection) from the emergency room with a retained placenta (over 1 hr). The objection was that technically the patient was in the third stage of labor and should have been admitted to the Labor and Delivery Unit. The patient was unstable while in the emergency room and had delivered a 19-week fetus. In spite of much opposition, the patient came PP, subsequently hemorrhage and was sent to O.R. for a D&C 10 mins after coming to the floor. We just had a meeting with out directors about this issue, pretty much to no avail. They told us that the M.D. who ordered the patient to the floor stated that retained placenta is not considered third stage of labor. All the literature that I have read indicates it is. With this patient having a KNOWN retained placenta and being unstable should she have gone to L&D first, stabilized and then returned to PP? Please help!