niquern

My husband's business is based in Atlanta and he has been commuting to DC for the last year and it is just not cost-effective any more. We both were born and raised in DC. DC is not the same any more, too much violence and bad schools. So it is better for us to move in our situation.

Just wondering what the job market is for RN's in Atlanta. It looks like there are a lot of opportunities, but don't know where to start. Are there any Atlanta nurses out there who would be so kind as to post some info. I am specifically wondering about cost of living, nursing salaries, where to live and work, commute times, etc. I am from the D.C. area. The housing market looks much better down there compared to DC I have a B.S.N degree and certification in Low-Risk Neonatal Nursing. I have worked in a Special Care Nursery for 9 years which is a little different from some NICU's I would really appreciate any suggestions/comments. Thanks

I have complained to the manager and VP of nursing and I was told that a doctor is not required to be in-house for a Level I Nursery. But our population is high risk and we are called to the delivery room for almost every delivery. I am not sure what the JCAHO standards are in this situation but I am going to find out.

My hospital just closed our Level II NICU and converted us to a Level I Nursery. They also fired our Neonatalogist of 25 years and bought in a new on-call neonatlogist. We are in the inner city and a very high risk neigborhood where most of the mothers don't have pre-natal care. Do any of you with a Level I Nursery with no NICU or peds floor have just on-call doctors and no one in house. We have already had two incidents in the pass six days since they took over. One baby was mec-stained and no neonatalogist to intubate and visualize the cords. Prayerfully the baby didn't have any resp. distress but I feel that is a very dangerous situation. The nursery nurses are still required to attend all high-risk deliveries in L&D which most of them are and any outside deliveies that come in the ER without a neonatalogist, pediatrican, resident, intern or NP. We have no doctors in house except the OB-GYN. I am getting ready to resign because I don't feel that this is a safe situation. I have complained to the manager and VP of nursing and I am told that a Level I Nursery is not requried to a physician in-house.

My hospital just closed our Level II NICU and converted us to a Level I Nursery. They also fired our Neonatalogist of 25 years and bought in a new on-call neonatlogist. We are in the inner city and a very high risk neigborhood where most of the mothers don't have pre-natal care. Do any of you with a Level I Nursery and no NICU have just on-call doctors and no one in house. We have already had two incidents in the pass six days since they took over. One baby was mec-stained and no neonatalogist to intubate and visualize the cords. Prayerfully the baby didn't have any resp. distress but I feel that is a very dangerous situation. The nursery nurses are still required to attend all high-risk deliveries in L&D and any outside deliveies that come in the ER without a neonatalogist, pediatrican, resident, intern or NP. We have no doctors in house except the OB-GYN. I am getting ready to resign because I don't feel that this is a safe situation.

I just became the assistant manager of a women's health care department. We just had consultants come in who have decided that our whole department needs to be changed around. We are a 200-bed hospital in the inner city. Administration has decided recently to close our Level II NICU and change the unit into a mother-infant couplet unit with just an observation Nursery staffed with one RN. The problem that we are having is we are still delivering Level II NICU infants that have to be stablized and transferred out. So we haven't been able to implement the mother-infant coupling but the consultants want it done right now. I am just trying to get advice from other nurses if this is a good idea and how we could make this work. We deliver between 50-70 infants a month and half of them need intermediate care(ie. drug abusers, preemies, r/o sepsis etc). The consultants want us to crosstrain the L&D, Nursery and Post Partum staff to work all three units so that they can cut staff in half. I know that this will take months especially to crosstrain to L&D. Has anyone else had to go through these kinds of changes and how did it work?

I just became the assistant clinical manager for our Women's Health Care Department. The department consist of L&D, Level 1 Nursery and a Women's Health care unit. We just had consultants come into the hospital and decreased our HPPD. I was just wondering how other hospitals calculate their HPPD. I am totally new to management and would like to know how to calculate the HPPD on my own and not use what the consultants gave us. Thanks