Foley placement BEFORE anesthesia?? - page 2

Ok where I'm working atm they put the foley in the mom BEFORE the spinal. Yeah in the triage room where she is waiting to go back for her csection. I think its crazy. I was use to placing the... Read More

  1. Visit  diosa78 profile page
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    I've had 2 C/S. My OB placed the foley both times in the OR after I had a spinal. I didn't care who saw me, so privacy wasn't an issue. I just wanted baby out.
  2. Visit  cmthmpsn profile page
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    Well, I don't know about C/S, but I just had a colon resection (genetic colon cancer, caught very early, resection was all that was needed, no chemo or colostomey), and they didn't put the foley in until until after I was unconscious, for which I am very grateful.
  3. Visit  samadams8 profile page
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    Seems like its scut work that doc wants to push to a nurse. Thing is, in the OR or surg procedure area, they will get what they want. So if they just want to cut, clip, write the note, and move on, they will streamline. Its a surgical mentality though...when they are cutting, they feel that they should get what they want. If not done before, they will be a pain to whoever is functioning as circulator.

    Personally, it's nice to be numb when people are doing stuff to you like that. On the other hand, epidurals never worked on me anyway.

    Shoot, I don't even fly without some sedation--mostly cause I hate long flights.
  4. Visit  klone profile page
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    Quote from samadams8
    Seems like its scut work that doc wants to push to a nurse.
    I'm confused by this statement. Foley placement *is* a nurse task, regardless of where/when it's done. When it's done in the OR, it's not done by the physician, it's usually done by the circulating nurse as soon as she is lying down after spinal placement.
  5. Visit  dariah profile page
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    I've never seen a foley inserted preop! As soon as we lie her down for the spinal we put in the foley, the grounding pad for the bovine machine, the venodyne boots....all whelp anesthesia is testing her level so really no time is "wasted". The circulator, charge RN, baby RN, and OB resident are usually all in the OR at this time (and usually all female) so we just work together and divvy up the tasks. I'm sure most women will sacrifice privacy in exchange for comfort.
    For non-scheduled C/S, everyone almost always has a foley since we put in an indwelling after epidural, and if its arrest of descent, we put the foley back in in the LDR.
  6. Visit  IrishIzRN profile page
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    Quote from dariah
    I've never seen a foley inserted preop! As soon as we lie her down for the spinal we put in the foley, the grounding pad for the bovine machine, the venodyne boots....all whelp anesthesia is testing her level so really no time is "wasted". The circulator, charge RN, baby RN, and OB resident are usually all in the OR at this time (and usually all female) so we just work together and divvy up the tasks. I'm sure most women will sacrifice privacy in exchange for comfort.
    For non-scheduled C/S, everyone almost always has a foley since we put in an indwelling after epidural, and if its arrest of descent, we put the foley back in in the LDR.
    You have a charge, baby and circulator? Wow! We have 2 nurses during delivery. The rest of the time...there may only be 1 RN. The nurse that was assigned to mom is the one responsible for mom and baby and room. Sorry to get off topic.

    We do foley before in many cases and after in a few. It depends in what is going on.
  7. Visit  Fyreflie profile page
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    We have 3 RNs for every CS--scrub, circulate and patient care (assists anesthetist and recovers patient). It's lovely.
  8. Visit  klone profile page
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    We have the circulator, and then usually the charge nurse comes in and assists with tasks, prepping, etc. A nurse for the baby doesn't come in until the very end, along with the NICU team.
  9. Visit  jodyangel profile page
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    Well I think it's just pure control of the one and only OB. I've never had a foley...but I'm Sure they're quite uncomfortable.And as the nurse who goes along to the OR to do the baby, I'm more than happy to place the foley quickly after the spinal.I just might address this with my boss..
  10. Visit  melmarie23 profile page
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    the only time I have ever dropped a foley pre-op is if the pt already was laboring for awhile with an epidural. Other than that, I do it after the spinal is placed.

    We too have the scrub tech (one of our LNAs), the circulator (me), our charge and a nursery RN (or a staff RN) to catch during our sections. Its nice.
  11. Visit  seemerun profile page
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    Interesting...Obviously since they are going into surgery it makes sense to place the foley after anesthesia. No need to make things any more uncomfortable then they have to be.

    That being said...although I work in L&D now I came from 9 years in med-surg. We place foleys all the time with the patient awake and aware. It's uncomfortable but not that big of a deal. No worse than placing an IV typically.
  12. Visit  dariah profile page
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    Quote from IrishIzRN
    You have a charge, baby and circulator? Wow! We have 2 nurses during delivery. The rest of the time...there may only be 1 RN. The nurse that was assigned to mom is the one responsible for mom and baby and room. Sorry to get off topic.

    We do foley before in many cases and after in a few. It depends in what is going on.
    Not for the whole case---just to get things started. I just pointed it out to show we usually don't have a problem quickly getting in the foley after the spinal, which is maybe why no one minds waiting until the anesthesia for us to place it.
  13. Visit  jodyangel profile page
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    In this job, I only am in the OR to do the baby..I am More than happy and willing to place the foley myself since I'm just standing there waiting for the baby to arrive..

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