Do you circulate/recover your c section patients? More...

BirthCenterRN · Mar 23, 2008

questions:
1. do you circulate your c sections? does your unit provide the scrub tech & baby nurse also? yes, the l&d nurse circulates and recovers. there is a surgical tech that is the scrub. we have a or helper who is the baby nurse and helps circulate the or.
2. do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? we do all sections that are done on our floor. if the patient goes to the main or we don't circulate and the patient is recovered in the main pacu and we only are there for fundal checks.
3. do you recover them as well? where (in a pacu in your unit, in a pt room, in main pacu, etc.?) we recover our patients in their room with the exception of those who undergo general anesthesia. they are recovered in our floor pacu and a rn from the main pacu comes up to recover the patient but we have to do the fundal checks.
4. do you recover them by yourself, or with another employee or nurse present? we recover them by ourselves. does anesthesia stay present with you & pt? anesthesia moves the pt to their room with us and remains in the room until we have all of the machines hooked up and the pt's vitals are good and they are comfortable. this is usually about 5 minutes or so.
5. where does the baby go? recovers with you and mom? and-> the baby remains with the l&d/circulating nurse and is her responsibility unless special care or nicu is needed. then the baby would go to the nursery with the charge nurse and the l&d remains with the pt to recover.
6. is there a baby nurse with you if so? see above
7. how many deliveries do you do per month? i personally have 6-10/month our unit has anywhere from 80-120.
thanks for any feedback!!!!!!!!!!!!!!

hope this helps

Elvish, BSN, DNP, RN, NP · Mar 24, 2008

Questions:
1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also?
2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)?
3. Do you recover them as well? Where (in a PACU in your unit, in a pt room, in main PACU, etc.?)
4. Do you recover them by yourself, or with another employee or nurse present? Does anesthesia stay present with you & pt?
5. Where does the baby go? Recovers with you and mom? and->
6. Is there a baby nurse with you if so?
7. How many deliveries do you do per month?

Full disclosure: I don't do L/D but I know how L/D does things. So when I say 'we' I mean 'they' but 'we' is shorter. :)

1. We circulate, scrub, and there is a baby nurse. Peds also comes to all the c/sections

2. We do all our sections, regardless of reason or time.

3. We have a dedicated RR where we recover all the sections.

4. Anesthesia does not stay w/ the patient but is immediately accessible. Usually there is one nurse per patient.

5. Baby usually comes to the nursery for bath/assessment usually within 20-30 min after birth. There are a few nurses (few and far between) that will take baby to recovery room with mom so she can nurse or hold or whatever if she wants. No baby nurse comes with her.

6. We do around 500-600 deliveries per month.

:typing

epiphany · Mar 24, 2008

Where I USED to work when I was in L&D

1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also?

yes. both nurses and scrub techs scrub in. yes for the baby nurse

2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? YES - mostly scheduled, day and night

3. Do you recover them as well? Where (in a PACU in your unit, in a pt room, in main PACU, etc.?) YEs, in pt's room.

4. Do you recover them by yourself, or with another employee or nurse present? Does anesthesia stay present with you & pt?

By myself. I called anesthesia only if there was problem.

5. Where does the baby go? Recovers with you and mom? and->

I fought tooth and nail to have baby in my pt's room, but most babies end up in nursery.

6. Is there a baby nurse with you if so?

No. we were all trained as baby nurses.

7. How many deliveries do you do per month?

2 deliveries a night, 3-4 nights a wk. so I guess 24 - 32 per month

jenrninmi, MSN, RN · Mar 25, 2008

questions:

1. do you circulate your c sections? does your unit provide the scrub tech & baby nurse also? yes, and yes

2. do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? yes, we do

3. do you recover them as well? where (in a pacu in your unit, in a pt room, in main pacu, etc.?) i recover them as well in our pacu which is on our floor, then she is moved to a mother/baby room and i keep her as a patient unless i need to do another delivery.

4. do you recover them by yourself, or with another employee or nurse present? does anesthesia stay present with you & pt? the anesthesiologist, stays in the room for the first vitals and then i do the rest myself.

5. where does the baby go? recovers with you and mom? the baby recovers in the nursery.

6. is there a baby nurse with you if so? n/a

7. how many deliveries do you do per month? ~120-130

shortstuff31117 · Mar 25, 2008

1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also? Yes to all

2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? Yes

3. Do you recover them as well? Where (in a PACU in your unit, in a pt room, in main PACU, etc.?) Yes, we recover them in their postpartum room

4. Do you recover them by yourself, or with another employee or nurse present? Does anesthesia stay present with you & pt? We recover them by ourselves

5. Where does the baby go? Recovers with you and mom? and-> Baby never leaves mom unless there is a problem and needs the nursery

6. Is there a baby nurse with you if so? Nope, we recover both

7. How many deliveries do you do per month? 65ish, more in the summer

nurturing_angel · Mar 25, 2008

questions:

1. do you circulate your c sections?yes does your unit provide the scrub tech & baby nurse also?just the baby rn and or supplies the scrub tech

2. do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)?yes, all c/s done in the ob dept

3. do you recover them as well? yeswhere (in a pacu in your unit, in a pt room, in main pacu, etc.?)our recoveries are done in mama's pp room

4. do you recover them by yourself, or with another employee or nurse present? by ourselves with other staff readily availabledoes anesthesia stay present with you & pt? they stay until pt is stable and awake then are available if needed

5. where does the baby go? baby initially goes to nursery with daddy or other support person but returns to mama asap....usually within 20 minutes or so. as soon as peds is done assessing him/her. recovers with you and mom? after his/her return to mama, yes. initial recovery in nursery with peds and nursery nurse/and->

6. is there a baby nurse with you if so? in or yes. in recovery no

7. how many deliveries do you do per month? 40-50

:saint:

mitchsmom · Mar 31, 2008

Thanks for the feedback! :)

tntrn, ASN, RN · Mar 31, 2008

questions:
1. do you circulate your c sections? does your unit provide the scrub tech & baby nurse also?
2. do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)?
3. do you recover them as well? where (in a pacu in your unit, in a pt room, in main pacu, etc.?)
4. do you recover them by yourself, or with another employee or nurse present? does anesthesia stay present with you & pt?
5. where does the baby go? recovers with you and mom? and->
6. is there a baby nurse with you if so?
7. how many deliveries do you do per month?
thanks for any feedback!!!!!!!!!!!!!!

1. yes and yes

2. yes

3. yes in their post c/section room or in an ldr that is set aside for recoveries (oh and that room is as far as possible from the main desk--go figure!)

4. yes. anesthesia is usually there the first 15 minutes or so but after that you're on your own (and as far as possible from the main desk as you can get!)

5/6. unless the baby has trouble of some kind, baby is with you, and if the baby nurse doesn't have to go back to her own assignment, she will do the initial assessments, vitals and meds; after that you have mom and baby, including q 30 min. v/s on babe, bath, etc.

7. 90-105

LDRNMOMMY, BSN, RN · Mar 31, 2008

I am not currently working but I'll answer for where I used to work before we moved overseas.

1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also? Yes we had 3 OR's on L&D. We had our own ST's and a NICU team attended EVERY C/S.

2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? Yes

3. Do you recover them as well? Where (in a PACU in your unit, in a pt room, in main PACU, etc.?) We had a PACU on our unit. The only time we did not recover our patients was if they presented via EMS actively seizing d/t Eclamptic Seizure and were intubated on a vent. Then they either went straight to main PACU or ICU after C/S.

4. Do you recover them by yourself, or with another employee or nurse present? Does anesthesia stay present with you & pt? Anesthesia stayed until we had pt hooked up to all monitors and vs, rhythm strip were stable. Anesthesia and additional staff were available if needed.

5. Where does the baby go? Recovers with you and mom? No, the nursery's policy was to have babies admitted to nbn for assessment. Infant could come to recovery once bath is completed and temperature stable but by that point mom was ready to be transferred to her room.

6. Is there a baby nurse with you if so? Only in OR for C/S, not in recovery.

7. How many deliveries do you do per month? 350 or more.

RNLaborNurse4U · Apr 1, 2008

Questions:

1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also? Yes, and yes

2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? Yes

3. Do you recover them as well? Where (in a PACU in your unit, in a pt room, in main PACU, etc.?) Yes, we have a four bay PACU

4. Do you recover them by yourself, or with another employee or nurse present? Does anesthesia stay present with you & pt? Only one RN is needed for a mother/baby couplet in PACU. Anesthesia leaves as soon as they hand the mom off to us. We've also been known to take two mothers at the same time in PACU, depending on how short staffed we are. Once mom is cleared from PACU level of care, she's transferred to postpartum.

5. Where does the baby go? Recovers with you and mom? and-> Recovers with mom, if baby is stable, and mom is stable, otherwise, baby goes to the nursery.

6. Is there a baby nurse with you if so? Nope, one RN for mom and baby total

7. How many deliveries do you do per month? 400, give or take

INFJ · Apr 2, 2008

Questions:

1. Do you circulate your c sections? Does your unit provide the scrub tech & baby nurse also? Yes...we also are trained to scrub & assist as RNs, & we have a neonatologist and a NICU nurse at every c/s.

2. Do you do all of them (scheduled vs. unscheduled, day vs. night, etc.)? Yes

3. Do you recover them as well? Where (in a PACU in your unit, in a pt room, in main PACU, etc.?) Yes, we have our own PACU with 5 beds

4. Do you recover them by yourself, or with another employee or nurse present? Does anesthesia stay present with you & pt? Only one RN recovers. CRNA accompanies us to the PACU & stays for the 1st set of VS...if VSS then they leave. Anesthesiologist will stop by periodically & check in. We stay with pt for 1hr (if all is well) then xport to pp.

5. Where does the baby go? Recovers with you and mom? Baby goes to the well baby nursery with Dad if appropriate or NICU - Dad can go see baby get "checked into" NICU and then has to leave.

6. Is there a baby nurse with you if so? n/a

7. How many deliveries do you do per month? 350-400...500 on busy months