I am an Ob nurse, not an OR nurse, so please indulge me... I need an opnion/advice/experience re. training staff in a small facility (600 deliveries/yr.) to scrub and circulate for C/S. It has been proposed that we start doing our own sections. We have a fairly large staff (30 RN's and 5 LPN's) and about a 20% C/S rate. I work 3 12 hour nights/week and it is often 2-3 months between sections. We have lots of part-time and contingency staff who may not go for a section for an entire year. It just doesn't seem feasible for us to function safely doing the OR w/ so few cases and so many people to be oriented. It is not, according to the current proposal, an option to only orient some people because it would create a scheduling nightmare (ie. who can switch w/ who) to cover for C/S. Also what if a case became more than a routine section, for example if pt. hemmorhaged and needed hyster and we did not know how to handle this. Any thoughts please. OR is not in house 24/7, but must be called from home. Thanks in advance!