| 1. Utilize flow chart documentation |
|
| 2. Utilize computer documentation |
|
| 3. Assess for comfort |
|
Positioning |
|
|
Coaching |
|
|
Breathing/Relaxation Techniques |
|
| 4. Assist w/ artificial rupture of membranes |
|
|
Recognize potential complication |
|
|
Prolapsed cord |
|
|
Vasa previa |
|
| Assist with anesthesia |
|
|
Paracervical block |
|
|
Epidural block |
|
|
Fluid change |
|
|
Positioning patient |
|
|
Coaching patient |
|
|
Vital signs |
|
|
Signs/symptoms of dural puncture |
|
|
Intravascular injection |
|
|
Anesthetic toxicity |
|
|
Hypotension |
|
|
Intrathecal narcotics |
|
|
Spinal anesthesia |
|
| 5. Documentation related to anesthesia |
|
| 6. Insert foley catheter |
|
| 7. Insert straight catheter |
|
| 8. Set up delivery table |
|
| 9. Circulate vaginal delivery |
|
| »
Perinatal Therapy/Medication Administration |
| 1. Start IV lines |
|
| 2. Use local anesthetic |
|
| 3. Start heparin locks |
|
| 4. Draw blood for lab studies |
|
| 5. Utilize universal precautions |
|
| 6. Administer IM/SC medication |
|
| 7. Assist with protein gel |
|
| 8. Use of prostin suppositories |
|
| 9. Syringe pumps |
|
| 10. Institute blood/blood products |
|
| 11. Administer IV meds/monitor IV drips |
|
|
Narcotics |
|
|
Antibiotics |
|
|
Magnesium sulfate |
|
|
Haparin |
|
|
Insulin |
|
|
Oxytocin |
|
|
Antihypertensives |
|
| » Labor Assessment |
| 1. Perform admission risk assessment |
|
| 2. Assess Labor status |
|
|
Vaginal exam |
|
|
Station |
|
|
Effacement |
|
|
Dilatation |
|
|
Fetal presentation/position |
|
|
Sterile speculum exam |
|
| 3. Assess for rupture of membranes |
|
|
Nitrazine |
|
|
Fern test |
|
| 4. Collect admission specimens (blood, urine, etc.)
|
|
| 5. Collect vaginal cultures |
|
|
Fluid |
|
|
Group B strep |
|
| 6. Perform physical assessment |
|
| 7. Maternal vital signs assessment |
|
| 8. Deviations from the norm |
|
| 9. Edema |
|
| 10. DTR.s |
|
| 11.Clonus |
|
| 12. Perform Leopold.s maneuvers |
|
| 13. Ausculate fetal heart rate |
|
|
Fetoscope |
|
|
Doppler |
|
| 14. Apply external fetal heart rate |
|
|
Test machine |
|
|
Doppler |
|
|
Toco |
|
| 15. Assist with internal monitors |
|
| 16. Insert internal fetal monitor |
|
|
Spiral electrode |
|
|
Intrauterine pressure catheter |
|
|
Fluid filled |
|
|
Transducer tipped |
|
| 17. Identify normal and treat abnormal FHR patterns |
|
|
Baseline |
|
|
Variability |
|
|
Early decelerations |
|
|
Late decelerations |
|
|
Prolonged decelerations |
|
| 18. Assist with amnioinfusion |
|
| 19. Perform amnioinfusion |
|
|
For meconium |
|
|
For variable decelerations |
|
| 20. Document patterns |
|
| 21. Document labor status/assessments/intervention |
|
|
Anticonvulsants |
|
|
Labor suppressants |
|
| »
Complications of Pregnancy |
| 1. Preeclampsia |
|
| 2. HELLP Syndrome |
|
| 3. Chronic hypertension |
|
| 4. Eclampsia |
|
| 5. Preterm labor |
|
|
Terbutaline |
|
|
IV |
|
|
SC |
|
|
PO |
|
|
Pump |
|
|
Ritodrine |
|
| 6. Preterm labor |
|
|
Magnesium sulfate |
|
|
Procardia |
|
|
Indomethacin |
|
|
Other labor suppressants |
|
| 7. Placenta previa |
|
| 8. Abruptio placentae |
|
| 9. Multiple gestation |
|
|
Reporting Procedures for Acts of Violence |
|
|
Twins |
|
|
Triplets |
|
|
Quadruplets, etc. |
|
| 10. Malpresentations |
|
| 11. Diabetes |
|
|
Use of glucometer |
|
| 12. Cardiac disease |
|
|
Recognize common cardiac rhythms/arrhythmias |
|
|
Invasive hemodynamic monitoring |
|
|
Pulmonary artery catheters |
|
|
Central venous lines |
|
| 13. Asthma |
|
| 14. HIV |
|
| 15. HBV |
|
| 16. Chorioamnionitis |
|
| 17. Pyelonephritis |
|
| 18. Other infections |
|
| 19. Hemmorrhage |
|
| 20. Sickle cell disease |
|
| 21. Hemolytic anemias |
|
| 22. Hyperthyroidism |
|
| 23. RH disease |
|
| 24. Collagen vascular disease |
|
| »
Obstetric Procedures |
| 1. Conduct non-stress test |
|
|
Stimulate fetus |
|
|
Vibroacoustic stimulation |
|
| 2. Conduct stress test |
|
|
Oxytocin challenge |
|
|
Breast stimulation |
|
| 3. Perform sonogram |
|
|
Amniotic fluid index |
|
|
Biophysical profile |
|
| 4. Assist with sonogram |
|
| 5. Educate patient about fetal movement counts |
|
| 6. Assist with fetal scalp sampling |
|
| 7. Assist with fetal scalp sampling |
|
| 8. Draw umbilical blood samples |
|
| 9. Assist with percutaneous umbilical blood
sampling |
|
| 10. Assist with external vision |
|
| 11. Set up Caesarian delivery table |
|
| 12. Scrub for Caesarian delivery |
|
| 13. Bilateral tubal ligation |
|
|
Circulate |
|
|
Scrub |
|
| » Infant
Interventions Post Delivery |
| 1. Assign apgar scores |
|
| 2. Assess initial vital signs |
|
| 3. Perform newborn physical assessment |
|
|
Dubowitz |
|
|
Balard |
|
|
Nursing intervention or risk factors related to LGA, |
|
| 4. SGA, IUGR, IDM |
|
| 5. Infant identification (bracelets, footprints,
etc.) |
|
| 6. Assist with interventions for meconium staining
|
|
| 7. Neonatal resuscitation |
|
| 8. Suctioning . wall, bulb, delee |
|
| 9. Eye prophylaxis/Vitamin K |
|
| 10. Obtain hematocrit |
|
| 11. Cardiac . respiratory monitor |
|
| 12. Bath . perform/teacher |
|
| 13. Assist w/ initial breast-feeding |
|
| 14. Promote bonding behaviors |
|
| 15. Cord care |
|
| 16. Circumcision care |
|
| 17. Phototherapy |
|
| 18. Discharge teaching |
|
| » Postpartum
Interventions |
| 1. Vital signs |
|
| 2. Assess fundal height |
|
| 3. Assess lochia amount |
|
| 4. Bladder distension |
|
| 5. Episiotomy assessment |
|
|
Complications |
|
| 6. Post Caesarian care |
|
| 7. Post anesthesia care |
|
|
Epidural |
|
|
Spinal |
|
|
General |
|
|
Local |
|
| 8. Patient controlled analgesia |
|
| 9. Rhogam administration/teaching |
|
| 10. Sitz bath/other perineal care |
|
| 11. Discharge teaching |
|
| » Breast-Feeding
Education |
| 1. Exam of breast/SBE teaching |
|
| 2. Latch-on procedure |
|
| 3. Positioning |
|
| 4. Breast pump |
|
|
Electric |
|
|
Manual |
|
