Published Nov 20, 2004
Anyone out there doing team nursing in L&D or M/B??? We have always worked well as a team...and we have been there for each other to assist with our coworkers patients. We all listen to report on all patients so we have some idea of whats going on with every.
Now the administration has decided to formally switch to "team nursing".
How does it work for you ????
Hi I am curious as to how your unit works. WE have been trying to bring L&D with post parttum but many of us are unclear as to how it practically works. Is that what you guys are doing?? It seems that OB nurses are great att eam work (the ones I work with more than any other unit in my institution at least). :chuckle
The concept of LDRP (labor/delivery/recovery/Postpartum) brings all the staff together and there is teamwork without a hassle. The clincher is that ALL nurses have to be crosstrained in all areas. It takes a long time to accomplish, but when it is done, it's a fantastic model of care.
Indeed you took the words out of my mouth. LDRP is the ONLY way to go for me.
Marie_LPN, RN, LPN, RN
Our Maternity floor uses team nursing. Believe it or not, the nurses there have reported LESS STRESS by working this way.
We do LDRP team nursing. Our floor has awesome team-work! That fact is always noted by all the SN's we get. It is less stressful, more fulfilling, and I think it just makes you feel better about your job all the way around.
I guess I remain confused about "team nursing" when applied to OB....I see it in med-surg, but OB? What does it mean? If it means do we help one another w/the patients, well that is a given already.
how do you schedule your nurses in the ldrp setting? HOW DOES THE PATIENT CARE PROCESS WORK FROM ADM TO DISCH?I would appreciate your input as the hospital where I work has ldrp but just doesn't flow right and staff is not satisfied.We have to be doing something wrong....
We work 12 hour shifts. Full time works three 12's a week. Part time two 12's a week. And we have per diem, and casual nurses filling out the holes. We are a small unit... 6 LDRP's and 6 PP's/GYN rooms.
The charge nurse of each shift makes out the assignment. 1 nurse in L&D, 1 nurse in float (receiving infants, and general catch all), 1 nurse in Mom/Baby, and 1 nurse in PP/GYN. 4 day shifts a week there is a triage nurse, and 5 days a week a resource tech. There is also a unit secretary on days too. I work nights and am used to working without those extra frills. :)
We have great team work, so these assignments are flexible, and we all really help each other out. We try not to ever sit down unless we all can sit down.
On days the triage nurse will decide with the MD/CNM if pt requires admission. She (if not swamped) will often to the admission paperwork. If not the L&D nurse does this and the IV/teaching/orientation to unit. Our ratio is 2 laboring pt's to one RN. If one RN is full, then the mom/baby or float nurse will take laboring pt.'s. It really does flow usually seamlessly...it's great to have RN's that are crosstrained.
Night shifts are a little different. The L&D nurse usually triages. But, we often take turns during the shift.
Discharge paperwork/pics etc. are done by the Mom/Baby, Float, PP/GYN nurse.
Does all that make somewhat sense? Since we are all cross trained; we know what it's like to have a hellish day in any of the assignments. So, when a co-worker is having one of those days...we pitch right in. Unless of course we are all having a nightmare day then we slog through together. :)
I hope that helps you.
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