FH Decelerations & Crash C/S

[stustressed]

Hi everyone,

I was just wondering how you all handle fetal heart tones being down for a long period of time when it turns into a crash c/s.

I know we all do the same things (position change, IV bolus, pit off, SVE-possible FSE, 02, turb, etc) BUT what I am wondering is do you all have a protocol, a plan or smooth way of transitioning from the labor room to the OR ?

*My concern is it seems as if there are "too many cooks in the kitchen." Someone usually calls the house doc and the charge (usually) comes to the room and someone "calls it" (to head to the OR if tones have been down too long) Someone also calls anesthesia,private OB, peds, nicu and the scrub tech to come to the OR. BUT Too many nurses run to the bedside to try and help, it always seems like a mess. Too many voices, too many hands in the way trying to adjust monitors and honestly I think that it is too scary for the family. I know our first priority is to get to the OR quickly for the baby but Im looking for a way to keep it calm and quick without it being so crazy. The other L&D unit I worked in was smaller and it seemed like it was a better transition with less people there. Does anybody have a formula/plan where certian nurses have certian roles? Any thoughts would be appreciated.

Thx