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Our Ob's do circs typically in the am or on their lunch break. Some of the in-house docs will do them in the middle of the night if they're up. There are a few midwives in the community who do them but only at their clinic (costs less than the hospital and no they don't like doing them but let's face it--it is a money maker). There are no peds who do circs at our facility and only a couple FP's are trained to do them. Assisting with circs is typically the role of the CNA but there are RN's who assist as well. Not me though--I draw the line there and am very fortunate that my managers and director back me up.
In my town there is one OB, and one or two Peds who do them... they generally do them in the hospital, the OB is my friend and sometimes she just works them in when she can (I observed her doing one that she fit in while we were waiting for a delivery that was about to happen) although I'm sure she has a routine.
Strange how some places have all peds that do it and some places have all OB's who do it (I've seen some people claim that the OB's in their area do it b/c they are surgeons and thereby better trained for it).
I would prefer not to assist with circs when I get there... guess we'll see how that goes over when the time comes...
I am not looking forward to this in my future practice. My grounds for not wanting to assist is my own son's botched circ about 6 years ago. (He is fine) Also, now that I have looked into the procedure I don't believe it is anywhere near necessary. That doesn't mean that I don't think they should be done at all, I can understand the opinions of others. Unfortunately, I have a tendency to start crying as soon as I hear I have to be near one.
Not wanting to start a circ debate here. Just trying to get some feedback about a bone of contension between the NICU and OB. We have been told, "We don't do circs on weekends", "But it's Sunday" (we told you yesterday this kid was going home today!) and "No one does circs on Forth of July"
I don't like assisting with them because of the devices they use, how painful it looks etc. Just barbarick to me but I guess everything is in the medical field. I'm just glad when they go ok, no bleeding, good sight, urinating ok, just don't particularly like being in the room when they are done.Poor little boys
dawngloves, BSN, RN
2,399 Posts
Do they not do them on weekends or holidays?