[mangorita123]

My department is trying to come up with guidelines regarding comings and goings during a delivery. I have had many people barge in either during or right after adelivery. We have always been told that it is against Jcaho rules for people to enter or leave until the delivery table is out. Now I am having to come up with a policy regarding this. what do other facilities do?

[keasc20]

I have never heard anything like that. People are in and out during our deliveries...no big deal.

[phriedomRN]

Good luck! I wish we could do something similar

[shortstuff31117]

Well I dont know if we have a specific policy, but I havent seen people coming in and out during a delivery. Our rooms arent that big, so once the delivery table comes in and is opened (on side of bed closest to the door), the support people are required to stay on the other side of the bed, which is furthest from the door, partly because of the table, but also in case of emergency. SO no leaving after that. I guess I havent had an issue with this before! I cant imagine people coming in and out.

Maybe you need signs on your doors DELIVERY IN PROGRESS, KEEP OUT LOL...just kidding!

[sample24]

It's a big NO at our facility once the delivery is in progress for anyone to enter or leave. We make sure to tell them prior that they're in for "the long haul" When the table clears the room, then it's the pt's choice to limit visitors.

[suzanne4]

It has absolutely nothing to do with JCAHO at all, they do not set the requirements for this.

Much depends on the lay-out of the room as a start. You also do not want someone that is getting sick to be required to remain in the room during the delivery and this can happen.

I would check first with the the accreditation agency for OB to see what their take is on it, just like the AORN places standards for the OR. But they do not make rules, just suggestions for best practice.

[CEG]

We have nothing other than patient preference. After all, our neonatal staff, additional nurses, etc are in and out. We have fairly large rooms so I guess the table isn't really an issue.

[nurseshepherd]

We don't let anyone else in once the patient is put up in stirrups, but that is mostly because of our TINY rooms. We also ask Mom who she wants in the room and those visitors are told they will be hemmed in until we start clearing the room because of the cramped quarters.

[bagladyrn]

Other tha someone becoming ill and leaving the room I think it is inappropriate for visitors to be coming in and out of the room during the delivery. It can be distracting for the patient who has more important things on her mind than greeting visitors and I or other staff don't have time at this point to be screening who comes in and out to be sure that it is someone the patient wants to see her exposed or to educate/instruct visitors as to where to stand and what not to touch. If it is someone the mother wants there for the delivery they should be there beforehand and if not, then they can wait the few minutes for the delivery to finish and mom to be cleaned and covered.

[jhhrn68]

Our moms can have 3 people with them during delivery. Once the table is set up and she is in stirrups, we do not allow any one else in. And no one comes into the room until after delivery and she is out of stirrups and the room somewhat cleaned up.