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Circ Rates by Region
I'm also in the west and we have a pretty large hispanic population who rarely have their babies circumcised. Our rate is around 60%. If u don't count hispanics I'd say our circ rate would be around 95% so that's probably a lot of the difference.
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Bizzare
Many years ago we had a mom (4th baby) who came in and said if Mrs. *** comes in don't let her know I'm here. She told us Mrs ***'s husband is the father of her baby. It was Mrs***'s 5th baby and she had a reputation for being quite onery. They were also seeing the same ob and the office had to make sure not to schedule them at the same time. They were due 2 weeks apart. The funny thing was....The father of both babies was the Schwans man. These were grown adults in their mid 30's who you would think would know better.
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Newborn nursery Log
I work in a for profit small 75 bed rural hospital. We average 55 to 60 deliveries a month. We are all trained for l&d, pp and nsy. Our unit has a new manager who is adding lots of extra paperwork and logs for everything. We have always had a delivery log and emtala log. She has added a rhogam log, telephone log and circ log. The newest log that has been added is a nursery log. We log in every baby, the sex, weight, breast or bottle, if the baby had a circ or not, if baby has any problems such as IV, feeding problems, O2, and about 10 other things. We feel these things are already in the chart but our manager is telling us this is a jcaho requirement. Do any other nurseries fill these out? Also, if so who fills them out. We have been told that the RN's will fill them out that they are not a unit clerk responsibility. Thanks
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Staffing question
I guess I shouldn't have said I am okay with the only experienced L & D nurse in the unit, I'm comfortable with it, but would love to have another experienced OB nurse in house and can see the risks. I've worked at the same hospital for 15 years and we've always done it that way(no patients, one RN). The reason I posted the question is we are trying to get admin to allow more staff, because they usually won't allow 2 RN's to be there, either 1 RN alone or 1 RN and a CNA.
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Staffing question
I work in a small rural hospital where we have approx 50 deliveries a month. Ocassionally we have no patients. My question is about staffing when there are no patients as it has become a big debate in our department. Some nurses don't mind sitting in the department alone, with an on call nurse anywhere from 5 to 25 minutes away. Other nurses think it's a big liability and if an emergency should walk in and you are the only one, it could jeopardize your nursing license. I don't have a problem with being the only nurse on staff, because there is always a nursing supervisor on duty to call until your second RN arrives. We also have an in house ER physician who could also help. What do other hospitals do in this situation?
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What do patients say that irks you?
Recently we delivered a 32 weeker by stat CS for a ruptured uterus. Apgars are 1-4-7. We have the baby intubated and are bagging it when the dad comes in and says "Oh cool a boy, when are you going to circumcise him."