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Re: Single Room Maternity Care (LDRP)

From: Anon (ewohowell@clas.net)
Tue, 21 Jan 2003 15:39:55 -0600 (CST)

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At Fri, 3 Jan 2003, Sgmc203@aol.com wrote: >
>I live and work in Kansas in a small rural hospital, @ 700-750 births a year.
> We are undergoing the same thing. At present we have LDR's and will be
>hopefully going to LDRP's within a year or so. There is still a lot of
>resistance to the plan. As a L&D nurse I love it. I feel that family based
>care is crucial. There may be resistance at the beginning, as we have
>undergone, but in the long run it will benefit the patients and that is who
>we are here for. Sheila Colangelo, RN

We deliver approximately 1500 - 1600 yearly and switched to LDRP's last year. There was staff resistance because there are labor nurses, nursery nurses, and pp nurses which required a lot of cross training. >From a patient perspective, they love it. The way our unit works is a
mom comes in to triage where a labor nurse assesses their progress. When admitted they are moved to a LDRP where a labor nurse continues to care for her. After recovery from delivery, a postpartum nurse assumes care. The benefit is that you don't have all the moving of patients, you are not limited to the number of labor rooms as in the past, and it provides much more comfort for the patient. The drawback is sometimes you have to wait to DC a postpartum to get a laboring patient into a LDRP but that is a self created problem.

KSue

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