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labor nurse circulating for C-sections



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Jan 28, 1999 07:35 PM

labor nurse circulating for C-sections

by Glad


Now if we labor a pt and she becomes a CS, we prepare the pt for OR, take care of the infant in the OR and recover the mother and baby . Our 1000+/yr LDRP hospital says we should also circulate in the OR for continuity of care. We are told all the hospitals are now doing that. Please tell me if your laboring nurse circulates and if that is workable.


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17 Comments
No. 1
from nsgsup
Old Jan 29, 1999, 09:16 AM

Glad, at our hospital, the surgery dept comes for the c-section and they do the circulating. We are there to receive the baby and like you, we care for mom pre and post op.
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No. 2
from KIRKLAND
Old Feb 01, 1999, 05:49 PM

Wow, I work in a small hospital. We do about 650 deliveries a year and we do our own C/S.
When I was hired 8 years ago, the unit was starting to train staff to circulate, recover and scrub in. Now I can do all three skills and after 8 years, its old hat.
There are problems, such as old staff members not wanting to learn the new skills.
Solution, they were told, you do not have a job in this unit unless you learn what is now required. (We orient 3 every 6 months, now) It use to be... whenever the need arised.
The older nurses were afraid to learn, but once they did, the transition went smoother.
Out of 26 R.N.s, All circulate and recover C/S patients, our OR is next to the L&D suites. The LPNs are the scrub nurses.
11 RNs can do all three.
The nurses here would not have it any other way.
Now I try to teach the nurses these skills, and I work closely with our OR to make sure we are doing the same things.
It really is nice. See ya Kirkland
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No. 3
from Booth
Old Feb 01, 1999, 08:15 PM

We Circulate for our labor patient's and a second nurse does the baby care. We then recover the patient in her room. We also do our own C-S's on our floor.
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No. 4
from NancyPC
Old Feb 03, 1999, 09:25 AM

Glad, we do 2400 del/year...we c/s on our unit, but the OR sends a crew. The L&D nurse is responsible for the infant w/ peds at the del {depending on circumstances}. We simply don't have the nursing staff to circulate, although we can do it under "splash & cut" circumstances. We've all been trained in the OR. The pt recovers in PACU for approx 1 hr, then goes to our PP unit.

[This message has been edited by NancyPC (edited 02-03-99).]
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No. 5
Old Oct 26, 2009, 03:18 PM

Default Re: labor nurse circulating for C-sections
We are a large hospital with 300+ deliveries per month. We circulate in our own OR for CS with NICU coming to take care of baby. We are responsible for taking care of mom during her recovery as well.
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No. 6
from CMCRN
Old Oct 27, 2009, 02:14 PM

Default Re: labor nurse circulating for C-sections
We are 500-600 deliveries and if your pt goes to c section you become the circulator. Nicu comes for the baby though. We recover. Try to get baby back with mom in recovery. Most of us also can be the scrub nurse.
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No. 7
Old Oct 27, 2009, 02:59 PM

Default Re: labor nurse circulating for C-sections
We deliver about 5500 babies per year. We have our own ORs and PACU. Monday-Friday day shift, we have an "OR team" that is made up of all labor and delivery nurses and labor and delivery surgical techs. There are a few l&d nurses that are always part of the OR team, but all labor and delivery nurses are trained to circulate (and all of the OR team are trained for vag delivery and labor pts.) Up until a year or two ago, if your labor patient went for c/s, you went with them, circulated, and recovered. Depending on the reason for the c/s, either NICU or another L&D nurse would catch the baby. This still holds true if the OR team is not there. If the OR team is there, they have a circulating nurse, baby-catcher, and a PACU nurse. It is almost like an assembly line (can be good and bad) monday-friday because there are so many scheduled c/s.
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No. 8
from LDRNMOMMY
Old Oct 28, 2009, 04:41 AM

Default Re: labor nurse circulating for C-sections
Small military L&D unit 60-100 deliveries per month, about 70 average. We circulate and recover our own c-sections when it's a labor patient and the section is called. For scheduled c/s we try to have a circulator and a separate recovery nurse. Usually nurse who recovers will be the baby nurse in the OR. Mom recovers in the LDR and baby transitions with mom when staffing allows and baby is in no distress.
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No. 9
from L&Dnurse13
Old Oct 28, 2009, 08:16 AM

Default Re: labor nurse circulating for C-sections
At our hospital we do around 500 deliveries a month. The pt's RN will circulate during the c/s and recover mom. Nicu does the initial assessment of baby then if stable we weigh baby and let mom see him/her. Then baby is taken to nursery and mom is moved to OBRR. Mom stays an hour and when dc criteria is met is transferred to PP and reunited with baby.
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