Mythreeangels

I wish our unit secretary helped us out. That is one of the main reasons that we are all so aggrevated. She sits in on the whole report, and then we are constantly "riding" her to put in labs, etc. It's always, oh yeah, okay. She absolutely does not answer the call light, and I don't think would even imagine herself doing it. She has a tendency to, literally, go get the mail in the middle of a sick newborn's transport, when she is needed most. We've talked to our manager, but as you could guess, we all wish we had a new secretary, and maybe a manger too, hmmm....Anyways, I guess sitting in isn't such a bad thought, as long as it meant she actually took the iniative to do something. If we had someone, like vlsgrl, we would probably LOVE to have her in report...but unfortunately, we've even asked her to do hearing screens and she's out and out said no...but no backup from our manager..hmmmm sorry so long, just absolutely frustrated

Ooops, sorry HIPAA

We have a secretary that sits in on oncoming day shift report. She performs NO patient care, whatsoever. We are a small rural hospital, leaving us many times with phones and call lights unanswered :angryfire as we are giving report (in turn) and covering all the rooms. We have asked our manager why she needs to be in there, and are told that she needs to know what's going on, on the floor...HUH? We have suggested that she would be of better use doing her job for the first 30-45 minutes (however long it takes for us nurse's to file through and give report, as this is how it is done here) instead of just sitting there listening. Is this considered a violation of pt confidentiality....being as MD's aren't even allowed to look at other MD's charts at will. Just wondering if anybody knows?Thanks!

Does anyone know of a criteria estabished by any pediatric organizations?

I have recently moved to TX and am working in OB/L&D. Where I came from we had those done before discharge, routinely. At this hospital, they just got a transcutaneous bilimeter and have decided it needs to be done 2 hours after delivery and then BID 0800/2000. Then, of course, if it charts high, a serum bili is ordered. How often do you do it at your hospitals?

I couldn't agree more. They state it is for the pt to be able to rest, but who wants to rest after 10+ hours of laboring, I would just want to get it over with. We all remark it sounds more like the MD wants to sleep and not get up and come to a night delivery. They will stop the pit and turn off the epidurals... very crazy:uhoh3:

We too are a small hospital, so it has been interesting hearing how others handle it. We are allowed to stop and pull out epidural caths, but not restart or alter the rate. Our anesthesia is within 15 minutes of the hospital, so when we had a stat section, recently d/t a baby crashing, we had all the calls made, in the OR, scrubbed and baby out in 14 minutes. We do have night nurses that scrub, which makes it much better. she also ended up assisting the MD as the other OB/MD was 15 minutes out and would not have made it in time. Unfortunately the newborn had to be bagged and intubated, we ended up transferring to Dallas... Our big fight has been AWOHNN vs. MD. I'm new with AWOHNN policies, is it just a "strong guideline" to go by, or policy?

Hi, I'm new to this site, but have enjoyed it greatly. Recently at our small hospital(only 3 ob/gyns) we have had some controversy over epidural management. Our manager has told us that we are not allowed to lower or increased the rate of the epidural pumps, but are allowed to turn it off completely, but not back on. The MDs are having "fits" about this. :angryfire They think that if they have given the order, then we are "covered":rolleyes: they seem to have a tendency to start an induction/augmentation and then around 2000 if no results "turn it off and let the pt rest", which drives us all crazy...then in the am want to call and restart it. Anesthesia, seems to ride the fence, depending on who they are talking to...and of course working nights, they don't want to come in to readjust a pump...just wondering what other hospitals do. What about when a pt is pushing and unable to feel anything, and the MD orders it decreased...any comments on how it's done elsewhere?