In our OB unit we are discussing the OB staff circulating and scrubbing in for C-Sections. I would like to hear what other units are doing that do between 500-650 deliveries/year. What is your usual staffing like? RN, LPN, NA mix? Who cares for the baby- circulator or Nursery nurse? Do you have a call system and what time distance must you be from hospital? Level II nursery? Mom/Baby care or not? Cost effective? Call Pay? Entire staff participate? What is required to maintain competency? Who recovers patient? Closed unit or does your staff get pulled to other areas of hospital? One hospital manager told us that it was one of the biggest stress factors on their unit- how do others feel? A big thank you to anyone who can share some information.