bfusco

What is the staffing ratio when a labor patient is being induced with Piocin? Does it have to be 1 nurse to 1 patient? Thanks

Actually our 3 bed ICU is staffed with one RN as is our 3 bed ER on the night shift. The nursing supers are Neonatal Resuscitation Certified, and OB is always the priority spot- even if there was a code going on. I'm not proposing a permanent cut in staffing, just some flexibility when there is no other option. But, never would I want to jeopardize the patients.

We do 10 deliveries a month, and our Nursing Supervisors are all trained to help on OB and help with deliveries.

This is a Level I OB unit, and I am asking about planned C-Section babies who have an apgar of 9/10 or 10/10. We have a policy that we have 2 nurses on the unit for 24 hours with C-Section babies and 8 hours with lady partsl deliveries. And, by the unit I mean the whole unit including postpartum and nursery (they are all part of the same area that is about 6 rooms large.) I just think that the policy is arbitrary and unnecessary, we should be staffing based on the condition of the infant, not how it was born.

Is it generally accepted practice that babies are more "unstable" after a C-Section and therefore need more intensive nursing care for the first 24 hours? In our very small hospital (100 births a year) we are questioning the need to have 2 nurses present for 24 hours after a C-section when we have only one Mom and one baby.

We have had 3 nurses injured in their shoulders and neck because of having to hold up and push back the womans legs during delivery. It is partially a request of the physician and partially that they have become so used to doing it that it is automatic whenever the pushing is ineffective or protracted. Does anyone know of any equipment that could be purchased for this or any other techniques? Thanks, B Fusco RN