Foley placement BEFORE anesthesia??

[jodyangel]

Ok where I'm working atm they put the foley in the mom BEFORE the spinal. Yeah in the triage room where she is waiting to go back for her csection.

I think its crazy. I was use to placing the foley immediately after they laid her back after her spinal.

One of my orientators said she always just waits until then..but the OB (the one and only lol) gets all annoyed when she does lol.

I would like to raise the question with my manager...but wanted to know what the norm for all of you are?

[monkeybug]

I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.

I had a Foley placed once the c-section was called (it was uncomfortable, but compared to 12 hours of labor on Pit with no epidural, it barely registered). C-section was for CPD. Baby was out very quickly after general was administered, but he still had to be bagged, and his APGARS were 6/8. I had general because I have a health issue that precludes epidurals and spinals. I've never seen a doctor (anesthesia or OB) who would be willing to let a nurse do a Foley after general.

[jodyangel, RN]

Monkey bug..I have never mentioned general. I'm talking spinal anest.

[jodyangel, RN]

I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.

Brillohead...I think perhaps the fetal distress was why your baby had trouble. But as I said..I'm Not talking about putting foleys in for woman getting general. The only reason I saw anyone get general anest was either it was a True stat, or the mom couldn't get numb.

[klone, MSN, RN]

Yeah, where I work, GA is pretty uncommon. We have very few true "splash and slash" C/S.

I think, when it looks like things are heading in that direction, we encourage the woman to get an epidural so that she's already ready to go and won't need GA.

[gardenerann]

Our unit has it's own surgical suites and our own OR teams who come and do our c/s's. We place our foley's after spinal. These women are very sensitive down there, much more than non-pregnant women. The OR staff is part of our team and our policy is to treat our patients with care and respect in our hospital. We do what is best and least painful so it's after for us unless it's a emergency.