Here is my question: is there a certain set of events that occur where you are that have to occur before a baby boy can be circumcised?
I'm asking because we have no policy in place stating the baby has to void, or be a certain age, or be seen by peds before they're circed. Then OB (mostly the residents) come and want to circ these kids when they're mere hours old, and I don't like it. I don't generally like the practice of circ anyway, but I REALLY dislike doing it when a) the kid hasn't peed yet; b) he's not yet 24 hours old; and/or c) pediatrician hasn't examined him. If I'm in charge in the nursery it's me that currently takes the heat for not letting them circ babies that were just born. It's totally unnecessary and some act like I am doing the human race a great disservice.
I think it's wrong, and I think it's asking for trouble. I am interested to see what you all are doing. Thanks.
PS forgot to add...ob's do our circs too. I hate it when interns do it b/c I dunno I mean I know they have to learn but sheesh...thats not something to play around with. But yes, mom's doc is the one who does the ob. I was under the understanding that its that way b/c they are surgeons and the peds are not. But who knows!
We call a time out, verify consent was signed, verify the correct baby, verify it has voided and been seen and is 24 hours old, then the circ is done. Some docs use lidocaine, some use emla, some use sucrose dipped paci's and some use nothing.
I completely share your feelings about the interns doing the circs! IMO, if they are going to be done, it should be a urologist. Period. I am going to talk w/ my supe sometime soon and will see what she has to say about implementing some of this, because it sounds like it's fairly common nationwide to wait til baby has voided, been seen by peds, and is 24 hours old.
IMO, if they are going to be done, it should be a urologist. Period. I am going to talk w/ my supe sometime soon and will see what she has to say about implementing some of this, because it sounds like it's fairly common nationwide to wait til baby has voided, been seen by peds, and is 24 hours old.
cherokeesummer
739 Posts
PS forgot to add...ob's do our circs too. I hate it when interns do it b/c I dunno I mean I know they have to learn but sheesh...thats not something to play around with. But yes, mom's doc is the one who does the ob. I was under the understanding that its that way b/c they are surgeons and the peds are not. But who knows!
We call a time out, verify consent was signed, verify the correct baby, verify it has voided and been seen and is 24 hours old, then the circ is done. Some docs use lidocaine, some use emla, some use sucrose dipped paci's and some use nothing.