OR Call Advice

[mickey1172]

Hello. I would love if anyone out there would please share how your unit handles OR call or even if your unit has just regular call. My unit is looking at reworking how we handle call. Here are our demographics: 99 beds in the hospital, OB unit where all RNs are expected to do each of the following roles, antepartum, labor, postpartum, women's surgical pts, circulator, baby nurse, well baby nursery, and some of us scrub as well. That being said we usually have a minimum of 4 RNS on each 12 hr shift and each sign up for about 8-10 six-hour OR call shifts each eight week schedule. We have approximately 30 births a month with 4-6 scheduled CSections per month. Anyone out there with a similar set of circumstances do something different?

[klone, MSN, RN]

I guess I don't understand what you mean by "OR call" - can you clarify? At every place I've worked, the nurses are required to sign up for a certain amount of call, usually 12 hours every pay period. And if they get called in, they will need to work whatever role they're needed - if that means going into the OR for a C/S, then that's what you do. But I've never heard of call in OB to be specifically for the OR and separate from regular call.

[mickey1172]

Thanks for the replay klone. Yes we currently only have call for an OR emergency ie. an emergency c-section where the RN would only work as either the circulator or baby RN and then go home. We do not have regular call at the moment and are looking at our options. If you don't mind me asking is your unit the same size?

[NurseNora, BSN, RN]

When my unit started doing our own sections a few years ago, we started out with OR call, one 12 hour shift every 4 week schedule. Gradually the call became for all OB, not just for OR. My hospital is a little larger than yours. We do about 90 deliveries a month.

[mickey1172]

Thank you for responding. I think we are headed in that same direction.