Labor Murse Circulating for C-sections

Specialties Ob/Gyn

Updated:   Published

Now if we labor a pt and she becomes a CS, we prepare the pt for OR, take care of the infant in the OR and recover the mother and baby . Our 1000+/yr LDRP hospital says we should also circulate in the OR for continuity of care. We are told all the hospitals are now doing that. Please tell me if your laboring nurse circulates and if that is workable.

Where I work we do about 250-350 deliveries a month right now. We circulate for all of our c/s's, scheduled and unscheduled. We have a dedicated scrub tech who sometimes acts as a HUC as well. We always bring in a Neo for the delivery and someone from nursery comes as well to assist the Neo. I love circulating in the OR, I originally wanted to be an OR RN, but discovered L&D while in school and I was hooked. Now I get the best of both worlds. :yeah:

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Specializes in Labor and delivery, same day surgery.

We either scrubbed or circulated CS. Then we would recover the patient. A nursery nurse came to take care of the baby.

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Our hospital does about 400 deliveries/month and we circulate our own c/s but nursery comes to receive the baby and recover the baby in mom's LDR room where we recover her for 2-3 hrs until we all go to pp. we are baby friendly and the baby never leaves the mom's room unless for medical reasons.

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Specializes in Ante-Intra-Postpartum, Post Gyne.

We do not circulate. We go down to receive the baby and that is it. They are lying to you if they are telling you all hospitals are switching. We do the initial assessment on baby just like a regular delivery, but we sometimes do it in recovery with mom in the room if there are no other patients there. We do not care for mom until she comes back from recovery at which time she is on Duramorph protocol. We are a small hospital so we do it all (except circulate); antepartum, intrapartum, post-postpartum, and nursery, all on one unit. We do not have designated jobs like "postpartum nurse" or "labor nurse"; just depends on how we decide to split up our patients for the day.

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We do not circulate. We go down to receive the baby and that is it. They are lying to you if they are telling you all hospitals are switching. We do the initial assessment on baby just like a regular delivery, but we sometimes do it in recovery with mom in the room if there are no other patients there. We do not care for mom until she comes back from recovery at which time she is on Duramorph protocol. We are a small hospital so we do it all (except circulate); antepartum, intrapartum, post-postpartum, and nursery, all on one unit. We do not have designated jobs like "postpartum nurse" or "labor nurse"; just depends on how we decide to split up our patients for the day.

Yes, I also know of a hospital where the OB nurses do not circulate. I am not sure if they recover mom or not, but they do receive the baby. From my understanding, they do not intend to change this practice in the near future.

As for the nurses having designated jobs at the hospital that I work at, they have their "usual" assignments such as triage, labor, postpartum, circulate, PACU, etc. However, they are all trained to do every job, and are switched up depending on patient need.

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