Issues for Neonatal Staff Attending Deliveries in Operating Rooms
|Reviewed by Anne Wroe, CNE, Operating
Welcome to NWH Caesarean Section Theatres
theatres that deal with all Obstetric cases are Theatres 1 & 2, although
occasionally Theatres 3 or 4 may be used for an emergency case. Theatre 1 is
dedicated to all acutes and multiple births and Theatre 2 is used for elective
cases, but sometimes it is also used in the event of an emergency.
you are required to come to the OR, in most cases you
will not be required to scrub. However, as you are entering a sterile field it
is important that you maintain a level of sterility and be absolutely aware of
the sterile field.
All persons receiving the baby
from the surgeon must wear a
mask. These masks are located on the wall outside the scrub bay door (in the
All persons receiving the baby
from the surgeon must wash their hands before donning a pair of sterile gloves.
It is not acceptable to wear
unsterile gloves when receiving the baby.
Once you have put your sterile
gloves on, you are not permitted to touch anything else. Please stand with your
hands clasped together out in front of you and wait until the scrub nurse can
drape a sterile guard over your arms and chest.
Please ensure that you donít
stand too close to the sterile instrument trolley when the nurse does drape you
with the guard; sterile instrument trolleyís have been contaminated during
- All persons receiving the baby
must be draped in a sterile guard, which the scrub nurse will drape you with.
- It is not acceptable to reach
onto the sterile scrub trolley and lift this guard up yourself, even though you
are wearing sterile gloves.
- The reason for this is that more often that not,
your arms are uncovered and you skin will shed onto the sterile field.
- You are
only permitted to touch the sterile field if you have performed the correct
surgical scrub, & are wearing sterile gloves and a sterile gown.
neonatal staff, the need to
scrub and don sterile gloves & gowns is not usually a requirement, but there
are some instances where this may be necessary:
- In the event of multiple
births. It is preferable if both neonatal staff members present scrub and don sterile gloves
- If there is evidence of meconium
and the baby will require suctioning on the operating field.
- If any baby suctioning is required
in the acute case (placenta previa, placental abruption etc) it is preferable
for the neonatal staff member to scrub.
- The scrub nurseís priority will be to deal
with the mothers bleeding, instruments etc and will not be able to tend to any
needs of the baby on the sterile field.
- Please consider a complete sterile scrub
for all acute cases where it may be necessary for the baby to require immediate
There is an
ADHB policy governing the
practices of the surgical scrub, as well as a policy governing the practice of
donning surgical gloves and gowns. These policies are available to read and is
the responsibility of all staff who work for the ADHB to become familiar
with them. Please be aware that not all hospitals have the
same policies and scrubbing practices, but it is important that you become
familiar with each hospitals different policy.
The ADHB requires you to follow their Recommended Best practices and
Policies whilst working here.
- There is also a Nurse Educator available to assist you and teach you
with scrubbing, gowning & gloving. The Nurse educator is available on
Locator 93 4390 should you need help. Please call up in advance to set up a time
to teach you these practices.
If you are bringing a Trainee Intern with you to the OR to assist, please ensure that they adopt the appropriate
If you have any problems at all, please
donít hesitate to contact the Nurse Educator.