Tonyac303

My LDPR is going to start bedside shift report soon. I'm really not excited about this because I don't think it will work in our small unit. We have a lot of clients with social/drug issues that we can't talk about in front of the famlies, but doing a report in the room then again outside the room seems to defeat the purpose. My boss volunteered me to be on the "group" to start this new process. If anyone has ideas, tips or suggestions I'm all ears.

I was in a vag delivery with a nuchal and true knot x2. Baby was fine and really no indication on the efm. Really lucky mom and baby.

I see a lot of IV Toradol given and I know it works great for c-section pain. We'd love to give it to all sections but were told it interfers with breastfeeding. Any advice?

We have to float to either med-surg or ICU and are on immediate call back. I don't like floating as I feel like a fish out of water, I don't know where anything is and I'm expected to perform like a med-surg nurse. It also isn't fair to the other unit, they are usually counting on you and when you get called back they are stuck. To me it's a no win situation. I'd rather use PTO than float.

I work in a very small OB dept. We delivery approx 300-324 a year and take some GYN patients as well. We are a locked unit and only staffed with 2 RN's, no ward clerk or tech. When we have a delivery both RNs are in the room with no staff at the desk unless the house supervisor can help out. The door needs to be answered and opened along with the phone ringing which maybe another patient coming to you in labor. My question to everyone is how do you find time for helping these moms breastfeed. We have a part-time LC but she is only here for a few hours a day and never on the weekends. There are many times when we are busy and try to help out but many of these moms want you to sit at the bedside the whole while they are feeding. Many don't listen while you are trying to help then get frustrated when the baby doesn't latch. I'm in need of some suggestions to help with this. Adminstration says "let the phone ring if you are with a patient. The patient comes first." How do you not answer the phone when it may be a patient in labor or a DR calling over a patient from the clinic.