Do you have a stat section bag, box, board, etc? What's in it?

Specialties Ob/Gyn

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Hi everyone,

I had a tough night last week. I was in charge, we had a pt that needed a stat section brady to 60's after AROM with mec and blood! We had a scrub tech on call but we didn't have time to wait for him. No one else had scrub experience so I had to do it. Unfortunately, I hadn't done it in 7 years, and even then I had never assisted! The room was not set up for a stat, I guess- we have scrub techs that set up the room normally. We did not have a collection of stuff for a stat. I'll be meeting with the boss tomorrow for suggestions on how to make this situation better. What do you have in your OR's for stats? In the hospital I used to work in we had a baggy with lidocaine, syringe and needle, and 2 disposable blades. I spoke to a MD who used to do L&D and she suggested also having some instruments in peel packs as well. Please let me know what you do!

Thanks,

Monica

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Specializes in Perinatal, Education.

We have a tackle box with lidocaine/disposable blades/syringes. We always have at least two sets of instruments in our OR at all times and can pop them open if we have time. About 6 months ago, our scrub techs put on an inservice for us about what to do in a crash. How to open things quickly and some basic scrub skills. We don't scrub and circulate our own c/s so we are all rusty or just don't know. I can circulate, but I'm not comfortable scrubbbing. But in an emergency I will give it my best shot!

We have a couple of awesome techs. One of them spent a lot of time organizing and updating our OR. Everything is labeled and orderly and it is sooo easy to find what we need. I am still a bit terrified, but I am happy that we have put these steps in place. This happened at our facility after an event like yours. Good Luck.

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We have a tackle box with lidocaine/disposable blades/syringes.

Thanks so much! I think that an inservice would be a great idea! I'll use that in my meeting.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

we have a similar set up as the previous poster described. Thank GOD we have a cadre of AWESOME techs (CST) where I work that KNOW how to handle an emergency and can open and be ready in minutes flat, literally. They are our saving grace and I am so glad we have them with us.

I am so sorry for all the stress you endured. Sounds as if you performed admirably and just need to de-stress a bit. You are wise to anticipate the "next time" and have supplies/plans in order for this. HUGS.

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We have a stat section baggie in the OR that has lidocaine, needle, syringe, disposable scalpels and a skin prep spongy thingy (I forget what it's called, you hit the bottom and the solution goes into the sponge top, then you swipe it across the incision site, doesn't take any longer than splashing a bottle of betadine on the belly). We have also all been shown how to open the OR for a stat section, how to open the instrument pack, turn on the bovie, etc, and have practice sessions a couple times a year.

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You're right, I needed to get it out of my system. Thanks for the support.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

(((mfshirk))) you came to the right place. I think you did a good job.

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

We have 2 "stat" carts that sit in a closet outside of the OB-ORs. You have to pop the plastic tags to open them up, but they are 100% stocked with everything needed for a stat C-section. After the case is finished, we call CSS so they can bring up another cart to replace the one we used.

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We have a stat section baggie in the OR that has lidocaine, needle, syringe, disposable scalpels and a skin prep spongy thingy (I forget what it's called, you hit the bottom and the solution goes into the sponge top, then you swipe it across the incision site, doesn't take any longer than splashing a bottle of betadine on the belly). We have also all been shown how to open the OR for a stat section, how to open the instrument pack, turn on the bovie, etc, and have practice sessions a couple times a year.

If what you are using is Duraprep (and it sounds like it to me) please be aware that before a Bovie is used the Duraprep must be dry or you can have a fire. If you use it quickly and some drips and pools at the patient side you can have a fire much later in the case because you have a puddle at the patient's side. Also the Duraprep is actually working as it dries so it is not effective if you swipe and wipe.

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