The amount the circulator has to do in our c-sec is crazy- and you have to do more!
Our nursery does receive baby from surgeon, so that is at least one thing.
We do a base count (before entering or right after spinal- depends on exact circumstances).
Full count (count 1)
Count softs at closing of peritoneum/fascia (laps, atraumatic needles, hypodermic needles, cord clamps, specimen cups,bovie tip, blades) (count 2)
Full count at closing of skin (Count 3)
Along with cord blood, cord gas, gathering instuments, grabbing vac if needed, grabbing meds, making calls- charting is absolutely out of the question.
They are changing some of our stuff up, but just the counting is crazy (that isn't going away even though they are trying to reduce the number of instruments in the tray- we have 54 right now- and redo our count sheet so we don't have to name each instrument but they will be grouped into scissors, retractors, etc.)
We've decided informally among the L/D nurses to try to take 2 nurses in to get spinal in (or have a tech hold pt for spinal if we have 2 techs) and get base count done, and prep. But that is only possible if there is someone free to come help.
Our director of surgery has been observing us to help with the count thing and showing us how to put the laps into the count bag, and even she said the amount of stuff we have to do is crazy and even worse if there is only one nurse and one tech.
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