What unit to you care for your HELLP patients?

[unikuelady, RN]

I would like to know what unit your facility cares for HELLP/PIH ill patients? Is it in L&D, POSTPARTUM, or ICU?

At my facility these patients are cared for in L&D while still pregnant, then shipped to postpartum.........UNTIL......they become near code status and then shipped to ICU.

[RNnL&D]

HELLP patients are kept in L&D both antepartum and postpartum, unless they go into DIC. Then they are sent to ICU.

PIH/Pre e pts can be sent to PP on Mag sulfate if they are stable.

[LCRN]

Hello,

All Hellp patients usually come to ICU at my facility. Where all of the ICU RN's squirm because we feel uncomfortable taking care of L&D patients. The reason for the transfer is because we have continuous monitoring, a smaller nurse/patient ratio allowing assessments to be more frequent and also we can give more of a variety of IVP meds that patient's on the floors are limited to receive.

We usually have the family birthing center nurses come and check on the patients...actually they usually like to follow up themselves and an RN comes once a shift to deal with any questions from the patients or the RN's.

LCRN

[RNnL&D]

Hello,

All Hellp patients usually come to ICU at my facility. Where all of the ICU RN's squirm because we feel uncomfortable taking care of L&D patients. The reason for the transfer is because we have continuous monitoring, a smaller nurse/patient ratio allowing assessments to be more frequent and also we can give more of a variety of IVP meds that patient's on the floors are limited to receive.

This is why we keep our HELLP pts in recovery (they are always stat csections), one to one nursing and continuous monitoring. The ones we send to ICU are those who aren't extubated out of the OR and/or those requiring transfusion in the OR. Yeah, our ICU nurses don't really like it either. Something about fundal and lochial assessment.

[SmilingBluEyes]

Depending on status, we keep HELLP patients on L/D, unless they become critically-ill. IN that case, they go to ICU.