skdauriaRNC

Joining in. I tried to read many posts before I replied so sorry if I am asking the same question someone else did. We are pitching to Administration our need for increased staffing so we can meet the updated AWHONN perinatal staffing guidelines. We do not currently have a staffing matrix for L&D. We've never had one in policy/procedure. Generally we staff 1:4 AP, 1:2 Labor with or without pit, mag or complications and 1:3 triage/obs. We have 6000 births a year. We do our own C/S assist, scrub and circulate. We schedule up to 20 procedures a day (inductions and c/s, cerclage & d&c) We run at least 2 ORs at a time and do back to back cases once the rooms are cleaned and restocked by the scrub and assist RN. We staff right now 4 scrub RNs, 3 circulating RNs, and 1 OR charge. 3 AP RNs for the 11 AP beds. 10-13 RNs and 1 Charge for 20 L&D rooms and 5 Triage Rooms. Our volume keeps us full and overflowing. We see a huge outpatient load. We keep anyone on delivered on mag or with complications in L&D or AP. We have no techs or support staff. Does anyone have comparable or higher numbers that you can share your staffing matrix? Have you been able to upstaff to meet the latest AWHONN perinatal staffing guidelines? Thank you in advance.

agree with smiling blue..centimeter/sonometer same thing.. she is dilated xyz her dilitation is xyz..it' the same and can be used however you like.