momsdabom

JACHO has recently recommended that hospitals incorporate an Ob response team for emergencies that come up in relation to pregnant women and postpartum women. Our facility has 4 LDRS with 1 triage room that holds two beds (very tightly). We are trying to put together a way to organize tasks for emergency cesareans. We are in the process of orienting L&D staff to circulate C/S after hours or on weekends. That is going great, but our biggest obstacle is having to be pulled to other units for coverage. This floating to other units, destroys the entire plan of being able to respond to an emergency within minutes. We all know that 30 min decision to incision is sufficient most of the time, but we also know that in a true emergency--14-17min is max before there is permanent damage to baby. How do your facilities handle staffing with a OB RRteam in place? I really appreciate any help you all can give. Our facility has a level one nursery, is a county hospital and does approx 700 deliveries a year. We are trying to get an Anesthesia team to be on call for OB, otherwise we do not have Anesthesia here on off hours. We need to call them from home. thanks again

Wondering what Awhonn has to say about our 'Infectious" mothers in labor

Here's a new flash, PCMH a tertiary care facility in Eastern NC, uses SCD on epdural pts in order to stay compliant with these new guidelines. God, I hope that doesn't catch on.