DATE: Time of Decision: Time to OR: Time of incision: Birth:
Primary OB RN

****Maternal/Fetal well being****
Ensure Code 30 called over head
O2 at 12-15L
IV bolus
FHT’s with EFM or FSE
Position change for fetal well being
Takes head of bed for transport to OR
“Upper body” nurse in OR:

O2 at 12-15L

IV access/bolus if not already present

Terbutaline/meds if ordered

BP cuff

Pulse OX

EKG leads

Arm board

FHT’s prn

Patient comfort(Warm blanket)
Scrub- in if no Pedi or Assist present
Secondary OB RN or CNM or assigned staff
Ensure code 30 has been called over head
Clear path for transport
IV access in OB if time permits
Lines and cables, Organize/disconnect
Takes foot of bed for transport to OR
“Lower body” nurse in OR:

Hip wedge

Foley

SCDs (if time permits)

Leg strap

Skin prep

Open Instruments

Bovie pad plug in and settings (35,35)

Suction set up

Surgical lights on

Assist with gowning

Fluids for Surgery

D/C FSE & assist with cephalic elevation prn
Supervisor

Ensure Code 30 has been called

Call/verify notification of:
--OB provider
--Anesthesia
--OR assist provider
--OR Team

--Pediatrician on call

Add case to OR schedule

Print extra stickers /ID bands prn
Sticker consents

Assess unit census and staffing

Stay on OB Unit per protocol

Prep patient room for post-partum

Nursery is cleared

Admit Newborn into Epic (birth time paged or called from OR to OB unit)

Initiate debriefing of event once patients are stable (prior to change of shift when possible)
RT Physician/CNM

****Maternal/Fetal well being****
Calls/verifies notification of:
--Assist
--Anesthesia
--Pediatrician

Consent
In OR:

Open instruments if not already open

Scrub-in

Set up critical instruments for surgery

Sterile drape

Neonatal crash cart to OR

Radiant warmer set-up for delivery

Cricoids Pressure and general assistance to
Anesthesia at HOB

“Catch” newborn with sterile towel

Cord Gases drawn from cord segment after delivery*
Lab

Draw CBC and T/S STAT in OB or OR

Return to OR for Cord Gases

*If RT unable, draw Cord Gases from segment and run STAT: Arterial &
Venous