Post op recovery of regional C-section

[planny]

Our c-sections go to PACU after OR to be recovered after regional anesthesia by PACU nurses. This causes a delay between mother and baby and daddy. For better patient satisfaction, we would like our c-sections to be recovered in OB, closer to family.Our OB nurses all have PALS and are very experienced with fresh epidurals/spinals. Where are your c-sections recovered? Do the OB nurses have ACLS? Any other special training?

[debsgreys]

We recover our C/S pt. in L&D area where there is a 3 lead cardiac monitor and crash cart. All of the nurses in L&D are ACLS. We have 24 hour OB and anesthesia too. Right now we are working on becoming baby friendly so we encourage mom to do skin to skin in RR,of course if she is stable ex: not vomiting. Our discussions at work now is how to get baby to breast in the OR. The scheduled C/S go to a main OR, we have one in L&D for stats, and a second one is being built at this time. Before the C/S pt. leaves our RR anesthesia must see the pt again to D/C them to M/B floor.

[lovemyjoblandd]

We recover our own C/S, rather general or regional. We have our own ORs and recover the patient in her L&D room. We are BCLS and NRP certified. ACLS is not required. We have our crash cart and in house anesthesia. I see no reason why an L&D nurse cannot recover his or her patient after surgery. We are highly specialized and completely capable. While ACLS is helpful (i am certified even though it is not a requirement), I don't see it being necessary. We use the BP cuff and SPO2 on the monitor. Our section recoveries are pretty much the same as any other epidural recovery. We do vitals every 15x4, every 30x2, then it's out to the PP floor unless there is something underlying. We start their PCEA pumps as soon as they come back from surgery.