oneRNprn

Getting one dose of IV abx on board is only beneficial if it is on board for 4 hours before delivery. Generally, most physicians will do the repeat section on a ruptured pt before four hours has elapsed.

At our facility we use an RNFA for almost all C/S, though this fee is paid out of the physicians' pockets. The RNFA is called in for the C/S. She doesn't remain in house. THe RNFA serves two local hospitals. Our facility does approximately 400 deliveries per month.

I was always taught that the most important things are to support the perineum, check for a cord, and bulb suction. And always remember McRoberts' maneuver for shoulders. Another good tip I learned from a midwife is to lower the foot of the bed if you think the pt is going to precip because it reduces the chance of perineal lacs. And always call for an extra set of hands.

~400 births per month 14 LDR 6 NST/Induction Rooms 7 Ante Rooms 43 PP rooms 6 Triage Rooms 2 OR suites 4 bed PACU

My hospital uses a fent/ropi mixture. I agree with SmilingBluEyes that the the most important determinant of a c/s for FTP is the patient's cervical dilation at the time of receiving the epidural. Also, the rate of infusion seems to make a difference. My best trick for moms who absolutely "need" an epidural at 2 cm is using a birthing peanut to help with fetal head descent.

Nope. never heard of anyone failing with 75 questions. I know that the number of questions doesn't mean how well you did, but in general if you've always been a good testaker, I'd tend to think you did very well passing with the minimum number of questions, and did not fail miserably in the least number of questions.

IMO this case will be won or lost on the patient's claim that the husband "assisted in a medical procedure." If helping calm a laboring patient by "hugging" her during epidural placement is considered assisting in a medical procedure, then anyone who helps coach, count, or hold a leg is assisting in a medical procedure. Ultimately, this will lead to one more consent that will need to be signed. The whole story is just so unfortunate.