monitoring for pre-op c/s

[babyktchr, BSN, RN]

Ok...what do you do for monitoring on scheduled c/s?? Do you do NST and take them off or do you monitor them until they go for section?? Really wondering what the rest of the world is doing.

Thanks bunches.

Bev

[ldnurse7581]

we monitor until they go to OR. what do you do??

[ShannonC]

We monitor all through prep time, and then for a few minutes IN the OR, too. Though, depending on the situation (ie which anesthesia doc is there, and whether it's just a routine/elective section) we forgo the OR monitoring.

[BETSRN]

Ok...what do you do for monitoring on scheduled c/s?? Do you do NST and take them off or do you monitor them until they go for section?? Really wondering what the rest of the world is doing.

Thanks bunches.

Bev

If everything has been good, we only listen with a doppler.

[babyktchr, BSN, RN]

We monitor until the are taken to the OR for now. We have central monitoring in our LDRP but not in our womens surgical area, where a lot of our scheduled sections go. We prep them in our treatment room and then take them to OR from there. We do a doppler check in the OR prior to spinal. I talked with Michelle Murray at a conference and she said it was more than prudent to do a pre-op NST and be done with it. This is what I would like to do. Like I said...I was just wondering what others were doing on their units.

[SmilingBluEyes]

We monitor until the are taken to the OR for now. We have central monitoring in our LDRP but not in our womens surgical area, where a lot of our scheduled sections go. We prep them in our treatment room and then take them to OR from there. We do a doppler check in the OR prior to spinal. I talked with Michelle Murray at a conference and she said it was more than prudent to do a pre-op NST and be done with it. This is what I would like to do. Like I said...I was just wondering what others were doing on their units.

that is what we do. Pre-op NST/monitoring until surgery.

[palesarah]

on our low-risk scheduled sections, we only do a doppler on the floor and another in the OR

[imenid37]

30 min. strip. If it's a reactive tracing, then we can dc efm and check w/ doppler in OR. If not pt. stays on until we see reactive NST (if baby was sleeping at first, for example) if everything was ok otherwise. If there is anything suspicious, we leave on for the entire prep and interrogation session (that's what I call all of those fabulous Meditech questions we are forced to ask our lucky patients) which is about 2 hours total for elective scheduled C/S.

[salina]

30 min. strip. If it's a reactive tracing, then we can dc efm and check w/ doppler in OR. If not pt. stays on until we see reactive NST (if baby was sleeping at first, for example) if everything was ok otherwise. If there is anything suspicious, we leave on for the entire prep and interrogation session (that's what I call all of those fabulous Meditech questions we are forced to ask our lucky patients) which is about 2 hours total for elective scheduled C/S.

Be careful about only listening with a doppler. An RN did that where I work and they did a c-section on a stillborn. Now there is no proof. Lawsuit followed.

[cabbage patch rn]

We monitor for 20 minutes prior to surgery.

[SmilingBluEyes]

Be careful about only listening with a doppler. An RN did that where I work and they did a c-section on a stillborn. Now there is no proof. Lawsuit followed.

very good reminder, one I learned, too, the hard way long ago. Fortunately, no lawsuit.