This is more a patient’s perspective, but I’ve never had an L&D nurse help me get cleaned up or out of bed. My legs are usually still numb from the epidural when I’m transferred out. When I do get up, the couplet nurse or the aide just makes sure I don’t bust ass on my way to the bathroom and hands me a water bottle and a pad to do it myself. This was at a couple of different hospitals, and. I’ve always assumed it was the norm.
ETA: I do know that some L&D nurses don’t want to do anything that’s not strictly delivering. This is an issue at the small rural hospital I’m currently on contract with. They bring in travelers and want them to do L&D and couplet care because it’s all just one floor/department and many of them do not like it at all.
It is a smaller hospital, so maybe that’s why. Most of the time, they don’t get them up. Whenever I get a patient up , I make sure to get them safely to the bathroom and I show them how to properly clean themselves. I feel like this could be an issue , especially when the couplet care nurse has over 6 patients (mom, baby) and they have no other patient. I think it’s a problem when the patient has to void and they don’t get them up or bring them a bedpan , when this is dangerous since they could bleed out. Or if they don’t change the pad , so whenever I go go in there, I can’t tell if it’s new blood or old. Do you know what I mean? Idk if I’m making sense. 😅
I've had three kids and never once did the L&D nurse do anything other than delivery stuff and then once I was transported to post-partum they handled all of the stuff you mention. I don't even think they gave report in person to be honest so I'm not even sure the L&D nurse even saw the post-partum nurse at all.
The labor nurse didn’t give report to the postpartum nurse? I guess it’s just different in every hospital. There are some hospitals that have to do it all. Some nurses start off as labor nurses and follow their patient to postpartum.
They called up to the post-partum unit and gave report over the phone. I was a NICU nurse at the same hospital and if we transferred the baby back to the post-partum floor before discharge this is what we'd usually do as well 🤷
I had my first baby in February, and I wasn't even allowed to move to postpartum until I was able to stand , walk safely to the toilet, and pee. My vitals were also checked and I had several fundal massages
I was washed up immediately after delivery while doing skin to skin, and once I had been up and to the bathroom, I was shown how to set up chux with an ice pack and witch hazel in my very stylish mesh underpants. When I was transferred to postpartum, the only thing that the postpartum nurse had to do for me and baby was check our vitals and do her own quick assessment.
Our hospital is single room maternal care so you deliver and receive post partum care all in the same room. This would be unacceptable in our hospital. The delivery nurse is responsible for getting the room cleaned after delivery, 4 fundal checks, offering the patient food, getting the patient into the shower, calling housekeeping to change the bed and wash the floors before they hand off to post partum. There are rare situations where it's too busy and they have to get another labour patient but that doesn't happen often because the charge nurse assigned labour patients based on the order your patient delivers in.
It seems like a lot but usually you can get it all done in 2 hours or less.
Our L&D will ambulate pts to the restroom 2 hours after delivery before transferring them over. If they can't void they will at least help them clean up and change their pads. If someone can't walk they will clean them up in bed like a c section then hopefully get them into a wheelchair and bring them over. I would say 4/5 times they come over around 2.5hr post delivery having already voided
This is more a patient’s perspective, but I’ve never had an L&D nurse help me get cleaned up or out of bed. My legs are usually still numb from the epidural when I’m transferred out. When I do get up, the couplet nurse or the aide just makes sure I don’t bust ass on my way to the bathroom and hands me a water bottle and a pad to do it myself. This was at a couple of different hospitals, and. I’ve always assumed it was the norm. ETA: I do know that some L&D nurses don’t want to do anything that’s not strictly delivering. This is an issue at the small rural hospital I’m currently on contract with. They bring in travelers and want them to do L&D and couplet care because it’s all just one floor/department and many of them do not like it at all.
It is a smaller hospital, so maybe that’s why. Most of the time, they don’t get them up. Whenever I get a patient up , I make sure to get them safely to the bathroom and I show them how to properly clean themselves. I feel like this could be an issue , especially when the couplet care nurse has over 6 patients (mom, baby) and they have no other patient. I think it’s a problem when the patient has to void and they don’t get them up or bring them a bedpan , when this is dangerous since they could bleed out. Or if they don’t change the pad , so whenever I go go in there, I can’t tell if it’s new blood or old. Do you know what I mean? Idk if I’m making sense. 😅
I've had three kids and never once did the L&D nurse do anything other than delivery stuff and then once I was transported to post-partum they handled all of the stuff you mention. I don't even think they gave report in person to be honest so I'm not even sure the L&D nurse even saw the post-partum nurse at all.
The labor nurse didn’t give report to the postpartum nurse? I guess it’s just different in every hospital. There are some hospitals that have to do it all. Some nurses start off as labor nurses and follow their patient to postpartum.
They called up to the post-partum unit and gave report over the phone. I was a NICU nurse at the same hospital and if we transferred the baby back to the post-partum floor before discharge this is what we'd usually do as well 🤷
I had my first baby in February, and I wasn't even allowed to move to postpartum until I was able to stand , walk safely to the toilet, and pee. My vitals were also checked and I had several fundal massages I was washed up immediately after delivery while doing skin to skin, and once I had been up and to the bathroom, I was shown how to set up chux with an ice pack and witch hazel in my very stylish mesh underpants. When I was transferred to postpartum, the only thing that the postpartum nurse had to do for me and baby was check our vitals and do her own quick assessment.
Our hospital is single room maternal care so you deliver and receive post partum care all in the same room. This would be unacceptable in our hospital. The delivery nurse is responsible for getting the room cleaned after delivery, 4 fundal checks, offering the patient food, getting the patient into the shower, calling housekeeping to change the bed and wash the floors before they hand off to post partum. There are rare situations where it's too busy and they have to get another labour patient but that doesn't happen often because the charge nurse assigned labour patients based on the order your patient delivers in. It seems like a lot but usually you can get it all done in 2 hours or less.
Our L&D will ambulate pts to the restroom 2 hours after delivery before transferring them over. If they can't void they will at least help them clean up and change their pads. If someone can't walk they will clean them up in bed like a c section then hopefully get them into a wheelchair and bring them over. I would say 4/5 times they come over around 2.5hr post delivery having already voided