Charges
Delivery of Placenta
What should be charged for outborn deliveries only.
Minimal variability should be charted as a this category
II
Outcomes should be reviewed
every shift and at discharge.
A mini infuser pump must be used to administer medications for infants less than
28 days old.
Cooks Catheter
An NST should be charged for if indicated for these conditions
Gestational diabetes, gestational hypertension, multiple gestation, decreased fetal movement, fetal wellbeing, other- specified.
Tachysystole documentation should include
Care plans should be entered for
each problem the patient has noted.
Ampicillin should be given at least ____ before gentamicin.
1 hour
Ram Cannula
Top pull-out drawer in the nursery.
If a newborn refers on the first hearing screening and a second screening is completed, this many charge(s) should be dropped.
Two.
Recurrent late and variable decelerations require documentation of
a response to fetal decelerations.
Click on the bullseye under "Status/Due" and select new date.
Dr. McClarren has ordered 350mg of ampicillin to be given now to a newborn. The Omnicell is stocked with 500mg/5mL Ampicillin.
Reconstitute with 4.8mL of sterile water for injection in a final concentration of 100mg/mL (500mg/5mL).
Swirl the vial and ensure that all drug is completely dissolved into the solution.
Withdraw the appropriate dose from the vial and administer within 1 hr of reconstitution.
Administer IV push over 5-10 minutes at the lowest IV port.
How many mL's should you administer?
3.5mL
Cervidil Key
When administering newborn medications, be sure to drop this charge
Immunization- Initial
At the completion of your shift, you must chart
a handoff.
How are care plans completed when going from labor to post-partum?
Click into "Status/Due" and select "Complete". This needs to be done when transferring from levels of care.
Gentamicin should be given at least _____ after Ampicillin.
1 hour.
Emergency Crank Flashlight
Top med drawer next to the Omnicell
The patient has been an OB check for less than an hour prior to being admitted.
Do not charge for the OB check.
If a newborn meets hypoglycemia guidelines, the nurse should enter
the "Newborn Hypoglycemia Set"
If care plan outcomes are documented as "Met/Complete" what happens to interventions in the worklist?
Interventions drop off from the worklist.
Dr. Meyer has ordered 13.2mg of gentamicin for a newborn. The Omnicell is stocked with 20mg/2mL.
How many mL's will you withdraw from the vial?
Next, dilute the medication with NS to equal 10mL. Infuse per mini infuser pump on XL setting.
Adjust primary rate down to no less than 3mL/hr.
1.32mL
Work Slip Note
Located in the discharge plan under "stand alone forms" >>> "report of work ability"