Abstract: Objective To establish a nursing mode of neonatal umbilical cord cutting during cesarean section led by operating room nurses, and to promote the mode in the operating room of the same type of hospital. Methods The system and process specification for neonatal umbilical cord cutting during cesarean section led by operating room nurses were developed and identified; relevant training and workshops were conducted and organized for standardizing neonatal umbilical cord cutting technique, physical examination, writing of documents, and coordinating with resuscitation and rescue. A neonatal umbilical cord cutting team with the characteristics of operating room was established. After more than two years of practice, the performance of operating room nurses in related theoretical and operational assessment, the incidence of adverse events, doctor satisfaction, and the satisfaction of operating room nurses were observed. Results After the implementation of the new mode, the pass rates in the theoretical and operational assessments regarding umbilical cord cutting, resuscitation and rescue were all 100%, and the incidence of adverse events from 2019 to 2021 were 0.38%, 0.36%, and 0.27%, respectively. The satisfaction rate of the operating room nurses was 91% and 87%, respectively. Conclusion The internal closed loop management of the operating room is achieved through the new mode, which is conducive to the scientific allocation of personnel resources, reduced occurrence of hospital infection, and shortened waiting time for surgery, and it is conducive to emergency and green channel operations. This mode is in line with clinical needs, helps to develop new positions and new skills for nurses, and enhance nurses' sense of professional achievement.

Key words: operating room nurse, cesarean section, neonatal umbilical cutting, management mode