Would love to hear from L/D runs that also have to scrub of c sec. Manager now want the three RNs that do scrub to teach the other L/D runs to scrub. Some are willing and some are not:( Did anyone have to go through this. I am willing to learn, but what is th e proper way to learn? Is this unusual to ask this of RNs? Should the nurse that DO NOT want to learn be forced to learn. How long before the nurse is really competent !!?
Any suggestions--learning tools books etc that would help me, and just your thoughts on this
Our unit has the CNA/LNA scrub (they are called OB Techs) and the RN as circulator and PACU (we recover on the unit). Our OB techs have 5 weeks of training in the OR by CSTs. Our RNs complete the AORN Periop 101 course for OB and are trained for 7 weeks by the OR as well. We have to circulate at least 1 case per month to maintain competency. This is in the LNA scope of practice in our state (NH). It has worked well and honestly has been wonderful for the patients. We do skin to skin in the OR immediately after birth. If the case changes to a hysterectomy we call in the OR team but have been trained to get that going. While the perioperative nurses are experts in the OR. We are the experts in OB. We forced RNs to take the training and that did not work well. We lost some great nurses because of it. Circulating is not for everyone. We will eventually cross train some RNs to scrub as well but only those who wish to. As one of the RNs that was forced, I am frustrated that the new RNs do not have to go through the training as it would help share the burden i.e. call and changing schedules is a challenge as there are limited circulators and scrubs. We can't train everyone as it would be difficult to maintain competency.
suern2b
21 Posts
Our unit has the CNA/LNA scrub (they are called OB Techs) and the RN as circulator and PACU (we recover on the unit). Our OB techs have 5 weeks of training in the OR by CSTs. Our RNs complete the AORN Periop 101 course for OB and are trained for 7 weeks by the OR as well. We have to circulate at least 1 case per month to maintain competency. This is in the LNA scope of practice in our state (NH). It has worked well and honestly has been wonderful for the patients. We do skin to skin in the OR immediately after birth. If the case changes to a hysterectomy we call in the OR team but have been trained to get that going. While the perioperative nurses are experts in the OR. We are the experts in OB. We forced RNs to take the training and that did not work well. We lost some great nurses because of it. Circulating is not for everyone. We will eventually cross train some RNs to scrub as well but only those who wish to. As one of the RNs that was forced, I am frustrated that the new RNs do not have to go through the training as it would help share the burden i.e. call and changing schedules is a challenge as there are limited circulators and scrubs. We can't train everyone as it would be difficult to maintain competency.