OR on the unit

The hosptial I currently work for is huge. We have 15 LDR rooms, a NICU, 30 PP rooms and three ORs. We do at least 2 scheduled C/S's a day.

The hosptial I currently work for is huge. We have 15 LDR rooms, a NICU, 30 PP rooms and three ORs. We do at least 2 scheduled C/S's a day.

That is nothing! I think we have cornered the C/S for all time. Now, I don't work L&D but work in the OR. I had my fill of sections many years ago and we finally got L&D to do what was the proper thing to do, their own C/S. We got tired, as well as the general surgeons of the schedule being bump constantly for so-called emergencies. We trained them 12 years ago and it has been bliss ever since. At the time we did them we might do 1 or 2 a day or maybe not at all. Nowadays it seems they can do anywhere from 4 or 5 to as much as 12 in one 24 hour period. This is for a 8 L&D rooms and one OR! The GYN docs today are just plain lazy and won't even try to labor patients. What is easier than just to do a section. I feel so bad for most of these patients because they are bullied and threatened many times to just have the sections. Unfortunately most of these patients are non-English speaking and don't know better. There might be one or two GYNs that I would even recommend, the rest are worthless. Small hospitals seem to still do sections, but larger ones, 200-400 beds have L&D do them.

The OR unit backs up to our unit and we have our own c/s OR room. The OR staff circulates and scrubs in all our c/s. We just do baby nurse.

We have our own suite for our c/s at all times, unless there is equipment that is not working properly. The only time in 9 years we used the central OR was when we had a STAT c/s in one of our ORs and the other was out of commission. We also circulate and catch the babies in all our c/s. We do our own PP tubal ligations in our OR as well.

We have been using our own OR for about two years, we were changing over from using the main O.R. when I started my job.

Right now we are transitioning into *staffing* it ourselves, with our own scrubs & circulators (before we just provided baby catcher nurse). It's a hard transition because it takes so much staff off the floor (when you only have 3, maybe 4 RN's on the floor it is hard to lose 2 (plus unit clerk to go scrub).

Our RN's both circulate and some of us scrub as well. I actually like scrubbing and will miss that if I am going to a unit that doesn't do scheduled c/s. Well, there are always the stat ones i suppose.