I work in a small unit (500-600 deliveries per year) that does L&D and post-partum. Recently we have had some issues arise with our c-sections. We currently staff 2 nurses on floor at all times, with 1 or 2 people on call at home if we do not need them for census. OR does cover our scrub and assist at night for c/s, but not during the day. Our on-call staff, including OR, have a 30 minute response time.
The problem is that we have done stat sections with 2 nurses (one scrub and one for mom AND baby) because we could not wait for staff to arrive. I know this isn't safe, but administration is saying this meets AWHONN guidelines. Can anyone tell me if this is the case? Is anyone else experiencing this elsewhere? We do try to follow the current staffing guidelines fairly closely otherwise.