Cesarean Section Patient Preparation

Procedure
  1. Perform hand hygiene and apply clean gloves.
  2. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  3. Instruct the patient to remove all clothing, jewelry (including piercings), prostheses, hairpins, and all other metal objects and to dress in a hospital gown. Assist the patient as needed.
  4. Place the patient's valuables in the hospital safe or with family members per the patient's request.
  5. Assist the patient into a hospital bed and position her supine, with a wedge under her left or right hip. Perform Leopold's maneuvers to assess fetal position and palpate the abdomen for contractions and tenderness.
  6. Remove gloves and discard in proper trash receptacle. Perform hand hygiene.
  7. Apply sterile glove to dominant hand and perform a vaginal examination.
  8. Remove glove and discard in proper trash receptacle. Perform hand hygiene.
  9. Apply the fetal monitor and complete a nonstress test.
  10. Perform hand hygiene and apply clean gloves.
  11. Obtain large-bore IV access and draw laboratory specimens per the physician's orders. Hang IV fluids as ordered, using the IV tubing for operative procedures per institutional policy.
  12. Remove gloves and discard with supplies in proper trash receptacles. Perform hand hygiene.
  13. Apply sterile gloves. Insert a straight indwelling catheter, using sterile technique, and attach a urine collection bag. Obtain urine samples per the physician's orders.
  14. Remove gloves and discard with supplies in proper trash receptacles. Perform hand hygiene.
  15. Apply clean gloves. Label and bag all blood and urine specimens per institutional policy.
  16. Remove gloves and discard in proper trash receptacle. Perform hand hygiene.
  17. Transport specimens to the laboratory.
  18. Perform hand hygiene and apply clean gloves.
  19. Wash the abdomen and mons pubis with soap and water and shave them per the physician's orders, using a disposable or electric razor.
  20. Remove gloves and discard with supplies in proper trash receptacles. Perform hand hygiene.
  21. Apply compression boots and antiembolism stockings as ordered.
  22. Obtain the patient's vital signs before transferring the patient to the operating room.
  23. Help the support person prepare to enter the operating room by assisting him or her in applying a cap, foot coverings, and mask per institutional policy.
  24. Perform hand hygiene.
  25. Complete the preoperative checklist.
  26. Transfer the patient, the patient's chart, and the support person to the operating room per institutional policy.
  27. Give a complete report of the patient's history and current condition to the nurse assuming care of the patient. Review the patient's identity bracelet, blood band, allergy band, and other identifying items that signal patient risk.
  28. Document the procedure in the patient's record.
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