How long before you call a doc with fhts down?

[allybear]

So I am new to ob nursing in a hospital that cares for pretty high risk pts. I've been doing high risk the last few shifts and am looking for feedback. If you have a decel on a high risk pt such as a pt who srom at 26 weeks and you start all of your intrauterine resuscitation, how long are you having your heart tones down before you call a doc in the room (usually a resident)? I've been giving it a minute, no longer than 2, before I'm calling but I feel like I'm calling them way too often. I just don't want to wait too long to get a resident in the room and then have a bad outcome. Thanks in advance?

[Katie71275]

Usually 2 minutes. It can sometimes take that long to get fluids going....flipping side to side...pit off...and o2 on. If I notice it's coming up I'll use the call bell and have them call the doc to review the strip....no signs of coming up after 2 min And I'm calling for ob to come to the bedside.

[klone, MSN, RN]

Do you have central monitoring? Where I've worked that has central monitoring, I rarely have to call someone - usually another nurse or the charge nurse will come in if they see tones down for >30 seconds or so with no resolution. If the two nurses together aren't able to bring tones back up, one will call the resident/midwife to come in pretty much right away. They don't mind those call, especially if they come in and we say "Nevermind, all is good!" They far prefer that to waiting too long to call.

[allybear]

Thanks for your responses. We do have central monitoring and great teamwork, but people won't rush in to help unless I call for it or unless the decel lasts longer than, maybe, 2-3 minutes. Maybe it's just the culture of where I work to where the residents are acting annoyed when I call them. Thanks for the feedback, Katie 71275, that absolutely makes sense. I appreciate your responses... those 3 min decels that feel like hours long were stressing me out but I'm learning more and more how to best manage them :)