We attend high risk deliveries and all c/s. We have a hospitalist with us, used to be an RT, but now that's only when the doc is tied up with something else. Most babies do fine, occasionally they need to have PPV, once in a while chest compressions. We rarely use meds. Babies are amazing little creatures, get them out and they're much happier. If a baby is being throttled by the cord, having decels, they usually transition without problems....but we do attend the delivery.
Our role is defined by the doc...one loves catching babies, I can barely get my hands on them. With mec, we hand the ob the delee and assist with suctioning....after transfer to the warmer, we assist with cord visualization and suctioning, if necessary. If it's crying, often I'll delee. Make sure your equipment is ready, ours is supposed to be checked by the labor nurse, sometimes I'll get there and the anesthesia bag hasn't been put together. Go through your NRP book, and the CDrom is very good.
Considering our numbers, we do very well with the babies. If it's a micropremie, and we know it's going to happen, we like to have the transport team from the level III available, I'm quite happy to grab the baby and take it to the next room where the team is waiting (that takes maybe 10 secs). Childrens Hosp is an hour away.
You will be nervous, but you will do fine.......we can do so much these days. A little fear is healthy! In the NICU you see the worst babies, but to see a baby that is expected to have problems come out of it looking good, is wonderful. Most of the deliveries that we are required to attend have a good outcome. We also get calls to come "stat". Sometimes the baby is already out but in trouble.....those can be bad. If they are bagging, I want to know...it will come to us, anyway. And I'd rather have the labor nurse call us, instead of giving the kid O2 blowby for 20 minutes, "he won't pink up"!
One look you will remember.....fish eyes....you'll know what I mean when you see it. Stressed out baby! And the family are saying "Isn't he cute, such big eyes".
Good luck in your new nursery!