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How many births does your unit have per year?
Do you have 24/7 in-house anesthesia?
Do you have 24/7 in-house OB provider covereage?
about 700 deliveries per year,
No Anesthesiologist 27/7 in house, except during business hours, on call on weekends, but if epidural infusing CRNA stay in house until delivered, the anesthesiologist doesn't stay in house.
OB on call 24/7 but doesn't have to be in house, but is easily accessed.
We are doing 450 births/month, 5,400/year. We have 24/7 anesthesiology coverage & one group has an OB in-house 24/7 who ends up covering all the emergencies when the physician of record is not in house. We do all our own scheduled & emergency C/S & are so busy that we may need to either add another anesthesiologist or take our scheduled C/S down to the main OR. Anyone with numbers like ours that has the BEST solution for our growing problem?
We do 4800+ births per year
We have one anesthesiologist 24/7, but they do C/S on the floor as well as epidural anesthesia
One practice has an OB & occassionally a CNM in house 24/7, but they cover two hsopitals & occassionally the OB gets called to the other hospital leaving us without OB coverage.
We are negotiating for a 2nd anesthesiologist or one on call as many women are not getting their desired epidurals or don't get support if their epidural isn't working..... we ended up doing one C?s under local when the lone anesthesiologist was tied up in another C/S & it was a bad prolapsed cord.
We need another OB/CNM in house 24/7 too, but I'm not holding my breath.
we have 500 deliveries a year,
OB oncall must be within 20 min. of hospital unless we are running pit
anesthesia also on call, we have a new anesthesia group at our hospital they are much more ready to come in and they do our epidurals for us,which prior to them coming we did not have... we love them!:1luvu:
Mimi2RN, ASN, RN
1,142 Posts
4200 deliveries/year
In-house anesthesia coverage 24 hrs, unless it's really quiet (no laboring patients), then they get to go home.
No-in house OB coverage
24/7 Pediatric hospitalists