PPH
Worldwide, postpartum hemorrhages occur in approximately __% of all deliveries.
10%
What is the ideal temperature for a newborn?
36.5 *C-37.5*C
What are pharmacological options for patients for pain relief in labour?
Epidural, Fentanyl, Morphine, Nitrous Oxide
What is the Code of the month for September?
Code Green (evacuation) & Elevator Entrapment
What is the name of the first hour after birth when it comes to breastfeeding?
"Golden Hour"
How many Risk Categories are there in the PPH Risk flowsheet? What are they?
3
Admission
Pre-Birth
Post-Birth
A respiratory rate above this number in a newborn is considered Tachypnea?
What is >60 breaths per min
Give 3 examples of non medication pain management methods in labour?
Change position, walking, birthing ball, hydrotherapy, massage, counterpressure, heat or cold packs, breathing techniques, music, dim lighting, calm environment
What does RLS stand for?
The Reporting & Learning System is intended to enable and support our our organizational commitment to develop a safe culture. Voluntarily report adverse events, close calls and potential Hazards.
How often do we have to do OH&S Report card and a unit inspection?
Quarterly- 4 times/year
What medication can you give IV in a PPH?
Oxytocin, TXA, Carbetocin
What is the minimum expected head circumference for a term infant?
Remeasure if less than 33 cm
How often do you check patient's vitals after an epidural?
HR, BP Q5 min X4, then Q15 min X2, then
Q30 min
Sensory level Q1Hr
Bromage Scale Q4Hr *prior to any ambulation
Where is the Emergency Binder located?
Behind the charge nurse desk or on line in Compassionnet
How often do we classify a tracing for a patient in active labour?
Q15 minutes
What are 3 factors that increase the risk of tachysystole?
use of misoprostol, cervidil or oxytocin for induction, epidural analgesia, abruptio placenta, uterine over-distension, malposition, preeclampsia and hypertension.
What is included in the Apgar score? (Hint 5)
Skin Colour
Heart Rate
Reflex irritability
Muscle Tone
Respiratory Effort
Who is responsible for assigning an initial OTAS score? Who is responsible for assigning a modified OTAS score?
Initial OTAS: Triage nurse
Modified OTAS: Primary nurse
Zidovudine-AZT is used for patients that require antiretroviral medication used to treat HIV/AIDS. Where would you find the PPE guide when you have a patient that requires this medication?
AHS Provincial Parenteral manual, Red Binder in the Med room or the HIV Resource binder
How often do you assess a healthy newborn's vitals that was born vaginally, or by C section, in the first 2 hours?
3
15 min, 1 hr, 2 hr
What are the four Ts of PPH?
Tone, Trauma, Tissue and Thrombin
Skin-to skin contact immediately after birth helps stabilize these 3 key newborn parameters?
What is temperature, heart rate, and respiratory rate?
A minimum stay of __min should occur after narcotic administration in the recovery room for the patient?
15 minutes
What medication that we use regularly that are Reproductive Hazardous Medications? What PPE you should wear while handling these medication.
Carbetocin- Duratocin
Carboprost- Hemabate
Ergonvine-Ergot
Misoprostol/Mifepristone
Oxytocin
Where does the PNOB live in a livebirth chart and in a stillbirth chart?
Livebirth: sidebar summary of fetal chart
Stillbirth: Bottom tab of stillbirth navigator