Who staffs for C-Sections?

[Jemma]

In our OB unit we are discussing the OB staff circulating and scrubbing in for C-Sections. I would like to hear what other units are doing that do between 500-650 deliveries/year. What is your usual staffing like? RN, LPN, NA mix? Who cares for the baby- circulator or Nursery nurse? Do you have a call system and what time distance must you be from hospital? Level II nursery? Mom/Baby care or not? Cost effective? Call Pay? Entire staff participate? What is required to maintain competency? Who recovers patient? Closed unit or does your staff get pulled to other areas of hospital? One hospital manager told us that it was one of the biggest stress factors on their unit- how do others feel? A big thank you to anyone who can share some information.

[MishlB]

We have 3 nurseries, newborn, special care, and NICU, doing approximately 250-300 deliveries a month. Newborn goes to our sections, and keeps the baby until Mom is recovered. We always have two nurses in the newborn nursery, and more based on numbers. We also have a transitional nurse that catches the babies in the LDRP's, and transitions with the Mom.

[dawngloves, BSN, RN]

I don't know about the labor nurses in my hospital, but neo resident and nurse goes to all C/S.

[fourbirds4me]

Also wanted to add that we also assist w/sections. Therefore our minimum staff is 3.

[USA987, MSN, RN, NP]

Our staffing is very similar to Carla's with the exception that RT's are not there. For the baby we usually have a nursery nurse and a pediatric hospitalist.

We have 2400+ deliveries/yr. and a Level II Plus Special Care Nursery...our c-section suites are also in L&D...baby stays with mom even in recovery....

Staffing does get tricky at times...on occassion a pp nurse is pulled off the floor to help out.

[webbiedebbie]

I have been in OB since 1989 and have worked many different sized hospitals. My first, we staffed with 2 RN's in L&D and had someone on call for scrubbing sections. We circulated and nursery took care of the baby as well as having an NNP available if needed. Where I am working now, we have 3 RN's, one for PP, one for L&D, and one for Nsy. Sometimes, we have two for L&D. OR does the C/S. L&D nurse goes with Pediatrician for baby. Another hospital I worked at had a scrub tech scheduled in L&D on nights. I don't know what the answer is...when we are short staffed an emergency section can blow us out of the water!

[Baby Catcher]

500-600 deliveries a year. OR comes in for sections. OB provides a nurse to stand by and assist with baby. OB then admits baby. OR recovers mom in our unit. OR tkes care of setting up and cleaning c/s room. I don't know how they handle there call.