Baby Friendly
PPH, PP HTN, and Shoulder Dystocia. OH MY!
Glucometer and EPOC Wipe Out
Strips!
(No not like that)
Hospital Policy
600

In Alabama, this law allows mothers to breastfeed in public or private- anywhere she is authorized to be.

What is the Alabama law protecting breastfeeding in public ("Breastfeeding Children in Public or Private locations" Code of Alabama 22-1-13)?

600

This medication is often used first line to prevent seizures in postpartum hypertension or Pre-E with severe features.

What is Magnesium Sulfate?

600

These wipes must be used for cleaning the glucometer reader/host.

What is 1 bleach wipe to clean and 2nd to disinfect?

600

This uterine activity measurement calculated by adding contraction intensities (in mmHg) over 10 minutes using an IUPC, should be at least 200 for adequate labor progress.

What are Montevideo Units (MVUs)?

600

To meet national safety standards, you must always verify a patient with at least two identifiers. These two are typical 2 identifiers used. 

What is name and date of birth?

700

When a mother and baby are separated, these actions support breastfeeding success.

What are offering a hospital-grade pump within 6 hours, combining hand expression with double electric pumping, and knowing milk is stable at room temp for 6 hours?

700

This is the amount of blood loss to signify a postpartum hemorrhage in a vaginal and cesarean delivery.

What is 500mL for vaginal and 1000mL for cesarean?

700

After using the EPOC use this wipe to clean and disinfect.

What is Sani-Cloth (purple top)?

700

See Strip

What is a late decel?

700

This structured method for hand-off communication ensures critical information is passed off using the steps-Situation, Background, Assessment, and Recommendation.

What is SBAR?

800

This includes washing hands, discard bottles an hour after feeding starts, and understanding a newborn's stomach is only 5mL on day 1?


What are facts about safe formula education?

800

This severe range blood pressure reading signals the need for antihypertensive therapy for severe Pre-E. 

What is 160/110mmHg or higher?

800

To prevent damage during disinfection, this must be avoided when cleaning EPOC and glucometer devices.

What is allow liquid to seep into electronic components or data/sample ports?

800

According to AWHONN, this level of variability, defined at 6-25 bpm fluctuation from baseline, is considered normal and a reassuring sign of adequate fetal oxygenation.

What is moderate variability?

800

Employees must limit the use of these personal devices to breaks and designated areas according to this policy.

What are cell phones (cell phone policy)?

900

This is what you are trained to do when a breastfeeding family asks for a pacifier. 

What is educate on nipple confusion, chart a nursing note, and use the ";p" pre-fill note?

900

This maneuver, involving hyperflexing the mother's legs, is the first intervention during shoulder dystocia. 

What is the McRoberts maneuver?

900

This is where you will find the posted cleaning and disinfection guidelines for the glucometer and EPOC.

What is next to each docking station for the glucometer? 

900

Conditions such as maternal HIV, active herpes infection, hepatitis B or C, placenta previa, and unknown presentation are contraindications for using this internal monitoring device.

What is an FSE?

900

Clothing must be clean, neat, and professional: denim, leggings, or excessively tight clothing are prohibited plus all tattoos must be covered under this policy.

What is the hospital dress code policy?

1000

These are the times and locations of Madison Hospital's breastfeeding support groups.

What is Monday at the Madison Public Library (1030-1200) and Thursday at the Madison Hospital classroom (1830-2000)?

1000

These are blood products you should be expected to transfuse for a PP Hemorrhage.

What is 4 units packed red blood cells (PRBCs), 4 units of fresh frozen plasma (FFP), 1 pack of platelets, and 10 units of cryoprecipitate (cryo)?

1000

These are the required contact times for

Sani-Cloth (purple top)

Dispatch

Clorox wipes (green top)?

What is 

Sani-Cloth (purple top)- 2 minutes

Dispatch- 1-3 minute depending on pathogen

Clorox wipes (green Top)? - 1 minute

1000

This reassuring fetal heart rate pattern includes a baseline of 110-160 bpm, moderate variability, and the absence of late variables.

What is category I tracing?

1000

Under this policy, an absence during severe weather results 2 points, but a tardy does not count against staff.

What is the inclement weather policy?

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