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[quote=Anonymous]RN here. It doesn't necessarily have to be a teaching hospital. Some are great places, others not.

What I would look for in a hospital is one that is high volume, has high risk OB and a robust nicu (not that I expect you'd need it but these programs all seem to tie together). Just having more patients circulate through would statistically mean they see these sort of emergencies more often, and the nurses are generally better equipped (think less rusty) to watch for it if it occurs. There is such a thing as lose it or use it and a smaller hospital may only see a PPH twice a year while those bigger places may see 20 a year. Statistically, the nurse attending to you has recently seen one or helped with one and knows the drill. Maybe it wasn't even their patient but just being there and watching while something goes on with another nurse and her patient (if you have time) helps keep those skills sharp.

In that same vein, there's also generally more seasoned hands available to help out/step in in a larger hospital...multiple people who could attend to these kinds of emergencies in their sleep...if your nurse is over their head (sorry to say, some are better than others). Most units will have some sort of floater to help but that's a luxury in a smaller hospital.

And these larger hospitals tend to have emergency people in other departments in house on call rather than needing to wait for them to get to the hospital or even possibly needing to transfer to a higher level of care, so everything should be able to be coordinated quickly. Time is of the essence in emergencies.

That being said, I would expect that due to your history, any hospital will be on the lookout for this again regardless. [/quote]

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