Re: Re: Professional membership

[Guest guest]

Kara, how many del. do you have a month?

LAurie

[Guest guest]

Kara, how many del. do you have a month?

LAurie

[Guest guest]

Itseems like the OR in our hospital might get a little touchy having ustrod on their turf. <rolls eyes>

Ain't that the truth. When our unit was remodelled we had to go to the main OR for about a month and they just had fits over everything..(hence rolling their eyes at us) .didn't even want our RN scrub nurses to scrub in, then c/o that we were ruining their routines. Glad to be back in our own OR!!

[Guest guest]

Admin doesn't seem to get it that we've

already worked 4 12-hour shifts, and now we have to come in for

another shift just so the M/S unit can be staffed.

That is a problem. We had an issue with this too. We refused to do it. We have enough issues with keeping L & D staffed. The M/S floors need to figure out their own call schedule.

Carla

Attached Mommy to Tanner 7, 4, & my waterbaby Tatum 1

[Guest guest]

In the ideal situation we have 4 nurses

and a CNA for 7p. Usually it is either 3 nurses and an aide, or 4 nurses

and no aid.

This is similar to our staffing, 3 in and 1 on call, or 4 nurses in. We also have an OB tech on nights to scrub for sections. This is just for L & D though. We have 12 LDRP's and 2 OR's. Do you staff the whole unit with 4? We have 12 PP rooms that are staffed by 1-3 RN's depending on census, plus a SCN staffed by 1-2 RN's depending on their census.

Carla, L & D RN

Ohio

[Guest guest]

Kara wrote:

This sounds similar to our unit, but we only keep 2 nurses on the

unit on night shift, so it gets hectic with trying to prep the

patient, call in the necessary people, and open the OR.

_______

Ok, I am curious how this works out in the actual night to night caring

of pt.'s. I always work nights. In the ideal situation we have 4 nurses

and a CNA for 7p. Usually it is either 3 nurses and an aide, or 4 nurses

and no aid. When we had our emergent situation last week we were fully

staffed, and I still do not see how we could've sent someone up to the OR

to prep the room.

For those of you who do not have OR on your unit, do not have 24 hours

anesthesia, do not have a NICU - how do you send an RN up to prep the

room? If we have a stat section it seems like we always need all hands

on deck, and cannot spare an RN. The other night when we had all women

coming in, several in labor (we have 6 LDRP's), a full pp/gyn unit (6

beds), and had to call a stat section it was crazy. We sent two RN's up

to the OR because we thought the babe would need extensive resucitation.

That left 2 RN's and an aide on our unit, which was totally hectic and

unsafe. It would be great to be able to prep the OR so we can get a baby

out faster. I am wondering how this was instituted in your units. It

seems like the OR in our hospital might get a little touchy having us

trod on their turf. <rolls eyes>

Kara wrote:

And now Admin. is playing with the idea of pulling one of the nurses

upstairs to the Med/Surg unit to take patients during slow times and

leaving the other nurse on the OB unit by herself.

_________

Noooooooo!!!! Admin. just doesn't have a clue what really goes on in OB!

We just got through a phase where they were pulling us right and left to

other units. grrrrr! It really left our co-workers in a yank if things

got hopping in L & D. It also seemed like they didn't even try to find a

replacement within the unit, but automatically pulled from us. We would

love to institute a " no pull " policy, but I don't think it will fly.

jenn

mom to Zachariah 12/18/02

[Guest guest]

Kara wrote:

This sounds similar to our unit, but we only keep 2 nurses on the

unit on night shift, so it gets hectic with trying to prep the

patient, call in the necessary people, and open the OR.

_______

Ok, I am curious how this works out in the actual night to night caring

of pt.'s. I always work nights. In the ideal situation we have 4 nurses

and a CNA for 7p. Usually it is either 3 nurses and an aide, or 4 nurses

and no aid. When we had our emergent situation last week we were fully

staffed, and I still do not see how we could've sent someone up to the OR

to prep the room.

For those of you who do not have OR on your unit, do not have 24 hours

anesthesia, do not have a NICU - how do you send an RN up to prep the

room? If we have a stat section it seems like we always need all hands

on deck, and cannot spare an RN. The other night when we had all women

coming in, several in labor (we have 6 LDRP's), a full pp/gyn unit (6

beds), and had to call a stat section it was crazy. We sent two RN's up

to the OR because we thought the babe would need extensive resucitation.

That left 2 RN's and an aide on our unit, which was totally hectic and

unsafe. It would be great to be able to prep the OR so we can get a baby

out faster. I am wondering how this was instituted in your units. It

seems like the OR in our hospital might get a little touchy having us

trod on their turf. <rolls eyes>

Kara wrote:

And now Admin. is playing with the idea of pulling one of the nurses

upstairs to the Med/Surg unit to take patients during slow times and

leaving the other nurse on the OB unit by herself.

_________

Noooooooo!!!! Admin. just doesn't have a clue what really goes on in OB!

We just got through a phase where they were pulling us right and left to

other units. grrrrr! It really left our co-workers in a yank if things

got hopping in L & D. It also seemed like they didn't even try to find a

replacement within the unit, but automatically pulled from us. We would

love to institute a " no pull " policy, but I don't think it will fly.

jenn

mom to Zachariah 12/18/02

[Guest guest]

That's what we have too in our crash section tray.....just what you need to get in and get baby out. Everything else can wait until later.....

ChrisDeb wrote:

Even though we have in-house anesthesia, maternal fetal medicine, and Neo, we do have an emergency c/s pack that is in the cabinet in each OR in L & D (we have 4 OR's in L & D). On the outside of each pack there are gloves, one of those disposable prep sponges that you just pop the seal and prep, and a disposable knife with a blade on it. That way, the MD can glove, prep, and cut while someone else opens the big pack. It works for us. Oh, and I work in Louisiana. Deb

"The fingerprint of God is often a paw print." Chernak McElroy

Re: [OBnurses] Re: Professional membership

Wouldn't it be helpful to at least have L & D staff that can open the OR and scrub and be ready to crash her when anesthesia arrives?

We have several RN's on each shift who scrub, and all of us can open the OR in an emergency.(even if we just open and dump packages on the table and grab the things they may need like IV fluids) One reason we can do that is after each c/s the scrub person pulls all the things needed for a c/s and places the wrapped trays, etc in the OR on the tables and dresses the or bed so all we have to do is open and go.The only time anesthesia is in house during the night is if they have an epidural in place or they just happen to be in the main OR with an emergency. Usually they arrive before the OB does. We have our own OR on the unit, which saves time, we can also call peds to come in from home....most times they can get here within 20 minutes, so the nursery and RT can handle the baby with help from the ER doc if we need him till the pedi comes.

LAurieWelcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only. Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only. Post your free ad now! Yahoo! Canada Personals

[Guest guest]

And now Admin. is playing with the idea of pulling one of the nurses upstairs to the Med/Surg unit to take patients during slow times and leaving the other nurse on the OB unit by herself.

YIKES! What a scary thought.....we all know how quickly things can change in OB. Hopefully you can get her back in a flash if something happens........

Post your free ad now! Yahoo! Canada Personals

[Guest guest]

And now Admin. is playing with the idea of pulling one of the nurses upstairs to the Med/Surg unit to take patients during slow times and leaving the other nurse on the OB unit by herself.

YIKES! What a scary thought.....we all know how quickly things can change in OB. Hopefully you can get her back in a flash if something happens........

Post your free ad now! Yahoo! Canada Personals

[Guest guest]

Admin's solution to that problem is to call the on-call

OB nurse in if the OB unit gets busy.

_____________

GRR! Why then can't they have an on call person for the unit that is

short?! It would be much safer, and lessen the chances of litigation if

they have an on call RN that is already trained to that unit.

It just totally stumps me why admin. thinks that it is resonable to pull

from OB when their other units are short. OB is the highest area of

litigation in the hospital. I can just see it now.... " Yes your honor,

we were understaffed the night of 12/3 because our RN was needed on

another unit of the hospital. " As we say when a circumstance is reeking

of litigation on our unit, " So, you want to ride together? " (As in to

the trial) <grin>

jenn

mom to Zachariah 12/18/02