|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Nursing PolicyFrom: Andrea Christianson (wolfmoon@MR.Net)Sun Oct 27 14:58:55 1996
Geffrey, while the specifics of the "policy" may differ at different institutions, you faced a not unusual situation for nurses everywhere. What I fear more are those places where nurses are afraid to speak up. Of course, there are lots of additional questions I would ask before judging the decision. How far along was each patient, medical indications for the need for agumentation (no flame intended, but sometimes it is not always clear), time of day (for instance could you wait a bit and have next shift come in early and work overtime, or was it truely a case of not being able to find anyone else to come in.) While we realize many inductions go smoothly, I may not have wanted to work in the scenario you described depending on all the variables. I work in a small level I facility now, but have also worked in a inner city Level III, and the availabilty of staffing is very different at times. Sometimes we can find someone, but they can't get there for some time (travel distances, weather on country roads, etc.). Sometimes we have no trouble bringing people in to cover added work loads, sometimes we can't and in that case we talk to the providers to see what can be worked out/ delayed a bit (harder to do, admittedly, when s/arom involved vs. a starting from scratch elective induction). Bottom line is, its not safe/fair to the birthing woman, and more often than not, the responsibility falls on the nurse (are you in house accessible for every induction throughout the duration?) and they deserves our support and assurance of a positive laboring and birth expereince. I would like to suggest that you take your rage, not just to the nurses, but to the administration, and help make sure they can have enough staffing around so that you can manage your patients as you see the need. In most cases, the nurses would love your support in ensuring better staffing ratios for your patients. And if you work together maybe you can change things so it doesn't happen in the future. However, there are always those rare occassions, and, while alot of us have watched more than one drip at times, if an experienced L&D nurse says its not safe, I would tend to trust her instinct.
-- Andrea Christianson, RNC Nerstrand, MN
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:19:45 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.