L/DRNinMO

Our current QI is Med recon (if we figure that one out I'll let everyone know!), we have recently done a QI to improve our on-time procedure starts. I was just hoping to get some more practice specific ideas. There is not much help within the hospital as most PI revolves around Best In Class ect. in which we do not have anything on the BIC scorecard. I think I am going to look at pain control for circs. as our orders state tylenol 30 min prior and 4 hours after. I am doubting that the 4 hours after is occuring. I think that may be something that we look at. I appreciate your input.

I agree. I'm not saying that we couldn't improve on a variety of areas, I was hoping for some ideas on areas that I may not have considered. Sometimes when we look at the same things over and over, it's difficult to see something different. I was curious as to what other areas of the country was looking at/working on.

Our Corometrics monitors have telemetry for use in the tubs. The monitors specifically say not to use plugged in. I can't remember what else you asked, but I couldn't figure out how to reply....sorry.

We have not used our jacuzzi's for delivery. I would be afraid of what infection prevention's response would be if I asked them about the cleaning process of the tubs. We are going to be exploring disposible tubs in the near future.

I love it when they send you out of the room for 18 different things and on the last thing they say, "I would have felt bad giving you a list." PLEASE give me the list right away instead of making me run back and forth so many times.

Our unit is not locked (the doors to the stairwells are alarmed). Our entire hospital has adopted the concept of Relationship Based Care and visitors are welcome on any unit any time of the day.

I manage a 12 bed L/D unit and we use our jacuzzi's for labor. We can use our corometrics for Cont. EFM in the water in labor so even our Pitocin patients can use them. We do not have a policy but typically only intact patients use them. 1 MD is letting her ruptured patients use them. Patients do not deliver in our tubs because of the mess. We do have a strict cleaning protocol. I hope this helps.

I manage a 12 bed LDRP unit and I am searching for a new Performance Improvement Initiative that is specific to the RN's practice in either L&D, post partum or Nursery. Any ideas are welcomed. We deliver about 600 babies a year. Thanks!

I completely agree! Dads (who like to be in control) are put in a situation where they have NO control... over the pregnancy, over their wife's pain, the outcome of the day, ect...Involving Dad at least gives him some feeling of control and importance. I have the Dad sit on a stool at Mom's feet, he feels involved and cannot see what's going on. Birth should be about both parents.

I am so sorry to hear that your daughter is having so much trouble. Aside from the things you mentioned has she been tested for Mono? I have never has it but hear it just completely wipes you out for a very long time. The other thing that comes to mind is a chemical imbalance. I was diagnosed last summer and after 6 months of trying anti-depressants have found the perfect combination. I refuse to call it depression, because I do not think that would be the correct diagnosis. I feel that after 11 years on the night shift, I have managed to mess up my hormones. My doctor attributed it to low seritonon levels. I feel like me again. Nothing more...nothing less. It was the best thing I could have done for myself and my family. Hope this helps.