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ebby79

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  1. On our unit, which is 19 ldrps/level 2 nursery(crosstrained staff), our minimum staffing is 4 nurses. This can be either all RN's or 3 and 1 LPN. This is if our level 2 nursery is closed. If it is open, even with one kid, staffing needs to be at 5. This in theory gives us enough people to do a stat section if one were to walk in. (one for the floor, one for the baby, one to scrub and one to circulate-hopefully we have a resident to assist!) Our unit never closes- we are self sustained so we cant be floated out elsewhere.
  2. Thanks for the input! Some of us would like to continue to work in all areas, however, there are some who would only like to do L&D/PP or nursery/PP. Actually, I would be willing to give up PP and just work L&D and nursery! Our concept actually is not so cut and dry. Admin would like us to be able to function in all 3 areas, so we are trying to come up with some guidelines for those who would like to lean toward one or the other! Not an easy task!!
  3. Hey All, I could use some help!! I am part of a group on our unit, trying to find out how the rest of the world is caring for their patients. We are a unit comprised of 18 LDRPs, 2 semi-private antepartum rooms, 2 c/s suites and a level 2 nursery licensed for 8 beds. We do about 1400 deliverys annually. The unit has been cross-trained since the mid 90's, but we are having some issues with the pediatricians wanting to go back to a core group of nursery nurses. All of the staff has been fully crosstrained, with the exception of some of the per diems, who were able to choose the areas they want to work. We are working on a concept that will allow for more specialization, without losing skill level that we currently have. Anyone who has a similar set up or ideas that seem to work well, please let me know. Thanks!!

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