Instrumentation
What retractor is used once the bladder is freed?
Bladder retractor
What position will the patient be placed in?
Supine with the right side slightly elevated
What is done to the uterus to determine fetus position?
Palpation
What must be done to the patient before making the first incision?
A skin test for pain
What is used to suction the fetus's nares and mouth?
Bulb syringe
Which scissors can be used to cut the umbilical cord?
Lister bandage scissors or mayo scissors
What are the parameters for prepping?
Nipples to pubis, as far down the sides as possible
True or false:
The amniotic sac will always need to be incised.
False
What must the ST do as soon as the uterus is opened and the fetus's face is exposed? (Hint: 2 things)
Have suction ready to keep amniotic fluid from the field and pass the bulb syringe for the fetus
When should the ST double check that all supplies for the fetus is available and ready?
When the surgeon starts to cut into the uterus
What may be used to aid in delivery depending on fetus position?
Delivery forceps
Why is it important to elevate the right side of the patient?
To displace pressure on the vena cava
What is always done to the placenta when it is delivered?
It is inspected before being passed off
What must the ST do before the fetus's head is exposed?
Remove all sharps and metals from the field
Which 2 medications are used on every case? (Hint: one is for mom, the other for baby)
Oxytocin and erythromycin
Which suction is used if there is meconium in the amniotic fluid?
De Lee suction catheter
What types of drapes can be used?
C-section drapes, universal drapes, laparotomy drapes,or U-drapes
Once delivered, where does the infant go? What must be taken into consideration during this?
The infant is passed to the pediatrician or neonate nurse. Care must be taken to preserve the sterile field.
What should the ST always be prepared to assist with, especially if there is only the ST and the surgeon?
Aiding in delivery by gently pushing down on the upper abdomen
What special equipment is needed for the infant for transportation?
Bassinet with warmer
How many counts are done during a C-section and when are they counted?
4 counts:
Initial, closing of the uterus, closing the abdominal cavity, closure of the skin (Sharps and sponges)
What type of anesthesia is only used in emergency cases?
General
What is the final step of the procedure before applying the dressing and perineal pad?
Blood clots are expressed from the uterus
Once the cord is cut, the ST may be required to do what with the umbilical cord?
Collect a cord blood sample or blood gases
If there are multiples, what can be done with the cord clamps to identify which umbilical cord belongs to which infant?
Color coding the clamps or using different clamp types