Foley placement BEFORE anesthesia?? - page 3

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  Fyreflie profile page
    0
    Quote from Fyreflie
    We have 3 RNs for every CS--scrub, circulate and patient care (assists anesthetist and recovers patient). It's lovely.
    Oh and the nursery comes to do the baby--even if it's booked!
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  3. Visit  Alikatz profile page
    0
    Where I work the circulator (nurse who was assigned the pt) puts the foley in (which we do after anesthesia...unless of course the patient has one alreadyh in or it's an emergency) and she will recover the patient. We have one nurse who comes in to be baby nurse. Day shift has a scrub tech and evenings and nights does not (so of course in that case there will be either 3 RNs in there or if there isn't a 3rd to do baby then nursery would come). There have been at times where we're short and have to call the OR for a scrub tech for an evening or night section. It would be nice and in my opinion safer if we could have a scrub tech on all shifts that way it frees up an RN in case the floor has an emergency or a sudden influx of patients coming in (especially if they're active and definitely being admitted).
  4. Visit  marmelloz profile page
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    We put the foley in, prior to delivery if it will be general anesthesia, and leave it for OR for spinals. It has less to do with mother's comfort and more to do with spending the least amount of time, while under general anesthesia, so the baby will not receive as much of the anesthesia medications through the mother. They want the baby out "quick". A spinal has much less effect on the baby, therefore time can be taken to place the foley in the OR. Well, that's what they've preached to us all these years. Made sense to me. ; )
  5. Visit  melmarie23 profile page
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    how often are mom's going under general marmelloz?
  6. Visit  jodyangel profile page
    1
    It takes about 2 mins to place a foley. I can't see how that argument would hold up..
    klone likes this.
  7. Visit  klone profile page
    0
    Agree, Jody. Also, I would hope that it's pretty rare for women to be getting GA.
  8. Visit  monkeybug profile page
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    Quote from klone
    Agree, Jody. Also, I would hope that it's pretty rare for women to be getting GA.
    Not terribly rare. I got general for my c-section. If a patient's platelets are too low, the baby is in distress, or the mother has some sort of issue that precludes a spinal, then general it is.
  9. Visit  monkeybug profile page
    0
    Quote from jodyangel
    It takes about 2 mins to place a foley. I can't see how that argument would hold up..
    2 minutes is still too long with general. The paralytics and sedatives do get to the baby, and it doesn't take long.
  10. Visit  brillohead profile page
    0
    I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

    Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.
  11. Visit  marmelloz profile page
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    Idk, but I'd say our spinals well outweigh our generals. But both are used. And yes, I do believe that every little bit of time is valued. As is having good IV access before transporting to OR. From the incision to the baby's birth is also very quick, in most circumstances. I had to deal with this issue when I ruptured, with twins, at 26 wks. I'd had an aversion to having a spinal, but went with it because I knew it was really much better for preemie births. Didn't like it though...lol. My stupid arms shook violently against the restraints the whole time. They couldn't give me anything to relax that until the babies were out.
  12. Visit  monkeybug profile page
    0
    Quote from brillohead
    I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

    Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.
    I had a Foley placed once the c-section was called (it was uncomfortable, but compared to 12 hours of labor on Pit with no epidural, it barely registered). C-section was for CPD. Baby was out very quickly after general was administered, but he still had to be bagged, and his APGARS were 6/8. I had general because I have a health issue that precludes epidurals and spinals. I've never seen a doctor (anesthesia or OB) who would be willing to let a nurse do a Foley after general.
  13. Visit  jodyangel profile page
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    Monkey bug..I have never mentioned general. I'm talking spinal anest.
  14. Visit  jodyangel profile page
    0
    Quote from brillohead
    I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

    Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.
    Brillohead...I think perhaps the fetal distress was why your baby had trouble. But as I said..I'm Not talking about putting foleys in for woman getting general. The only reason I saw anyone get general anest was either it was a True stat, or the mom couldn't get numb.


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