Need supervision by resident or midwife. Message nurses to ask what time they want to do the circ so they can bring baby to the room.
Have prepared prior to performing circ:
- •Consent form signed (ONLY mom/birthing parent can sign) with baby’s MRN label on the form.
- •Baby added to Circ shared patient list.
- •Circ Handoff completed (.circumcisiontodo).
- •Check infant chart to verify has voided and received vitamin K.
- •If ICN baby, document when ICN reached out to you to schedule circ.
- •When you know for SURE going to do a circ, place the circ order set for baby’s chart the day you’re doing the procedure. Never place circ order early.
Forms + workflow detail (handbook):
- •Forms location: 5700/5800 cubbies or near HUC at 5300.
- •Naming convention: name on form must match the baby’s sticker — usually “Baby Boy” + mother’s last name.
- •Copy routing: mom gets the yellow copy; white copy is scanned into baby’s chart and kept in 5800 HUC desk.
- •Order meds in BABY’s chart using the NEO Neonatal Male Circ order set.
- •Time-out before procedure: verify Vitamin K given, voided, no medical contraindications.
- •Off-service baby needs a circ? Add baby to circ list, inform the 5800 charge nurse ((919) 613-8777), and remind the off-service team to administer Tylenol and accompany baby with lidocaine and Toot-Sweet.
- •Triage intern oversees the circumcision service each day/week.
- •Supervision required: certified APP, upper level (PGY-2+), or faculty. Interns do not perform circs on DWHA infants but can consent the birthing parent.