JAHJF

My hospital allows them, if the primary ob (or on call doc) is in house once active labor, and we have 24hr anesthesia coverage, we have ob residents in house 24hrs to assist and we have 3 or's on our unit. However, very few of the area doc's "allow" their pt's to VBAC, they just go for the repeat c/s.

We do Labetalol gtt on L&D, we have one special room w/cardiac monitor available and if by chance two pt's need a gtt we have another portable monitor. vs are q5min during bolus and q15min while gtt runs. We try our hardest for these pt's to be 1:1, for the simple fact they always see to have other things going on, but I also work at a large high risk ob/tertiary/teaching facility.

My license reads Professional Nurse and that I have complied w/all things needed in order to practice as such

We are 2 units combined LDR and HRPU (high risk perinatal unit) and we keep all Mag pts till it is finished then they go to MBU until discharge.

Most nights one pt on pitocin and another pt of some sort (pp mag/pre-e, ptl on mag, induction w/cervidil, svd or c/s-recovery, just depends), a good night just that one pit pt, a bad night, 2 pit pt's

Can't help w/# of drapes, but when I worked Step-down we always called the leg incisions - vasoviews?

I calculate like Envy's post describes. At my hospital 180-240 is adequate. As for charting, if pt is on pit they get an exam page done q15min (including fhr and iupc/mvu).

We have an RN and a RRT that are NRP trained (both work in NICU) and a NNP or Neonatologist at every c/s delivery, of course they all come to the high-risk births and an RN and RRT come to all other deliveries. Also-all of our L&D RN's are NRP trained and we usually have 2+ at every delivery depending on level of emergency (have seen up to 5-6 in an OR for a very scary situation) So 4+ NRP trained persons at every delivery.

We have computerized charting and then when a pt is transferred from L&D to the MBU all the notes, etc are printed out and placed on the chart.

We have one OB who orders a shave and enema prep on every pt of his that is admitted for labor or induction, many refuse but some who have had several babies with him over the years are actually ok w/it b/c it is what they are used to having happen w/this particular MD?

Courage is grace under pressure - Ernest Hemingway Within every adversity lies a slumbering possibility - Robert Schuller Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful execution; it represents the wise choice of many alternatives. - Williams A Foster

Hate to say it but my husband did go through labor and birth both times I did, he just didn't do the physical, but he was there at my side and emotionally (both of which can be exhausting d/t length of labor or emergency situations), I've never seen my husband at tired as the morning my son was born, I labored ALL NIGHT and then had an emergency c-section under general, my husband isn't a medical person and was scared to death (an abruption is scary looking to anyone) and worried about losing his wife and child. So needless to say my son spent his first night from about 11pm till about 5am in the nursery and we both slept (besides I got plenty of sleepless nights after we were discharged home so why not take advantage that you have someone to help you while you are in the hospital?) 3/4 area hospitals have nurseries (1 has rooming in w/only a special care nursery) and I encourage moms to let baby go to nursery so they can sleep or nap during the day and so do the postpartum nurses.

Our CRNA's always remove the epidural catheters before leaving the OR and have "post epidural/spinal anesthesia orders" that they can check off, usually allowing for IV morphine, something for nausea, something for itching and toradol if the morphine doesn't work (these orders are to be followed for 24hrs post op then the OB's PO med orders kick in). We normally only use a morphine PCA when a mom has had a c/s w/general anesthesia.

#1 @ 20 #2 @ 24

I work in TN and the admission/registration papers cover labwork, vit K, eye ointment, hearing screen, once on the postpartum unit mom's sign a separate consent for HepB and circumcision.