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CODE 30 FLOWSHEET

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CODE 30 FLOWSHEET
DATE:
Time of Decision:
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
Physician/CNM
****Maternal/Fetal well being****
 Calls/verifies notification of:
--Assist
--Anesthesia
--Pediatrician

In OR:




Consent
Open instruments if not already open
Scrub-in
Set up critical instruments for surgery
Sterile drape
Time to OR:
Time of incision:
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
Birth:
Supervisor
 Ensure Code 30 has been called
 Call/verify notification of:

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
RT
Lab
 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*
--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)
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
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