Documentation
fundal assessment and documentation for vaginal delivery
What is every 15 minutes x 2 hours
then every 4 hours x 24 hours
then every 8 hours after 24 hours
infant feeding pattern in which babies will stack many short feeding together one after the other.
What is cluster feeding.
These are the four pre-birth questions.
What is the gestational age?
What is the fluid color?
Are there risk factors?
What is the umbilical cord management plan?
Ask a question, Make a Request, Voice a Concern, Use Chain of Command
What is ARCC?
Known bleeding disorder, history of PPH, active bleeding, fetal demise, placenta accreta, increta, percreta
What are OB Hemorrhage risk factors?
The frequency that QBL should be done and documented at stage 1 of hemorrhage
What is 5-15 minutes?
A feeding position where infants feel more stable and their innate feeding reflexes are more organized, and they nurse better.
What is laid back nursing,
Infants chin chest abdomen hips knees and feet should be touching mother
The pulse oximeter will be placed on this hand or wrist.
What is right or pre-ductal?
This is the tool that gathers pertinent information, reviews team performance, identifies safety issues and reinforces effective team functioning.
What is a debrief?
For a Jada, the continuous suction will be set at
What is 80 mmHg +/- 10?
A full head to toe assessment should be done on a patient who is admitted within this time frame
What is one hour?
Hormone that is responsible for milk production? Hormone responsible for milk let down
What is oxytocin?
What is prolactin?
The provider gives a verbal order for epinephrine include the concentration, dose and route. The medication nurse repeats back, "I have drawn up 0.6 milliliters of epinephrine for the 3 kg baby. I will give it rapidly followed by a 3 milliliter saline flush."
What is an example of closed-loop communication?
Repeating back information or instruction that has been assigned which allows for an opportunity for correction.
What is closed loop communication?
Blood may be kept on the unit in the cooler pack with ice for this length of time
What is 4-6 hours (always call blood bank for reference)
When documenting on the flowsheet "Infant Initial Vital Signs" this documentation should be included.
What is respiratory symptoms, skin color and tone?
Help to stabilize blood sugar, body temperature, heart rate, breathing, increase milk supply, assist to calm a fussy baby, and assist a baby to feed
What is skin to skin
These are the 5 initial steps of newborn care.
What is warm, dry, stimulate, suction (if needed) and position airway?
A pause in activities when a team member perceives an actual or impending threat the patient safety.
What is a stop for safety?
This medication given for hemorrhage is an antifibrinolytic- prevents the breakdown of blood clots
What is tranexamic acid?
Pain assessment for newborns
What is before and after procedures and if pain score is greater than 3?
Thick, nutrient rich first food that is perfect for all infants post-delivery
What is colostrum?
0.1 mg/ ml or 1 mg/ 10 mL
What is the concentration of Epinephrine used for neonates?
A patient condition change and or acuity requiring a specialty team to facilitate treatment for a patient.
What is an MRT?
This stage of blood loss is greater than 1000 mL (10-20 % of blood volume)
What is stage 1?