OR on the unit

UNC_nurseL&D · Nov 18, 2008

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.

shodobe · Nov 19, 2008

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.

Elvish, BSN, DNP, RN, NP · Nov 19, 2008

We use the L&D OR for all the c/s, scheduled or otherwise. The only exception is when we have a pt that needs a bariatric bed; then we have to use the main OR.

RNBelle · Nov 19, 2008

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.

SmilingBluEyes · Nov 19, 2008

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.

mitchsmom · Nov 19, 2008

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).

UNC_nurseL&D · Nov 19, 2008

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.