How does your institution make/store delivery tables? How long are they considered ok to use?
Is anyone aware of any written regulations regarding SVD table set ups?
Nov 10, '17
When TJC did our last survey, they asked us about this. Our response was that because SVD is not a sterile procedure, the setup doesn't expire after a certain number of hours/days. They were satisfied with this answer.
Our unit usually has one table set up at all times, and then a table set up for however many women we have in labor. It's, of course, covered in a plastic sheet to preserve cleanliness. We will typically keep the set-up tables in an empty labor room until one is needed for a delivery.
Nov 10, '17
Interesting!! When was your last TJC survey?
Nov 11, '17
We set a new delivery table for each room (usually when a primip is around 7cms, sometimes sooner for a multip). We set it "sterile" with sterile gloves on and throw a sterile sheet over it. The docs wear sterile gloves during delivery and only they are supposed to touch the stuff on the table. We write the time and date on and they are good for 24 hours (if it's an hour or two over we usually just use it, since vag deliveries aren't actually sterile). Sometimes if a precipitous delivery rolls in we'll steal an already made one from another labor room, or I just throw the instruments on in a hurry and don't arrange them all nicely like I normally would.
Usually the PCA/scrub tech sets up our tables, but if I am not busy I set my own.
Nov 15, '17
Usually our techs set them up, but I will if they are busy. It is done with sterile gloves and draped with a sterile sheet. Our last TJC visit, just 2 months ago, said they're only good for 4 hours, so now we wait until patients are at least 7cm for multips, or 9-10 cm for primips.
Nov 15, '17
Quote from deafnurseintx
Our last TJC visit, just 2 months ago, said they're only good for 4 hours, so now we wait until patients are at least 7cm for multips, or 9-10 cm for primips.
I'd love to see the # of the standard by which they based that.
Nov 16, '17
Ours come in a premade pack and whenever delivery is close - if a multip is going fast it'll probably be on admit or whenever she's 5-6, whichever is first. Primes we usually set up once they're rim-ish, unless she's just rocking and rolling. Instruments & laps are stored separately so they're opened onto the field whenever we're setting up.
If delivery isn't imminent or gets stalled for whatever reason we'll cover in sterile plastic and it's good for up to 24 hours.
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