Triage like a “BOSS”
Headache (not relieved by meds), vision changes, epigastric pain, increased swelling
What are Signs & Symptoms of Pre-Eclampsia?
Either SBP > 160 or DBP >110
What are the diagnostic criteria for Severe HTN?
Obstetrics On-Call & Security
Who to call when pregnant patient with precipitous delivery?
Green cord, yellow cord, & electrical cord
What needs to be plugged in before use?
Dry & Warm, Clear & Position Airway, Stimulate
What are 3 basic newborn actions?
110-160 BPM
What is the Normal Range for Fetal Heart Tones (FHT)?
Labetalol IV x 3 doses followed by Hydralazine IV x 1 dose
What are antihypertensive medications for a pregnant patient?
Team 1 – Mother’s Nurse
Team 2 – Newborn’s Nurse
How to delegate roles for a delivery in the ED?
Mid-axillary/nipple line or Abdomen
Where do you place the temperature probe?
Activity, Pulse, Grimace, Appearance and Respirations
What are components to the APGAR score?
OPR NICU Unit
Who do you call for transferring newborn to NICU after delivery?
Magnesium Sulfate 4 grams IV over 20 minutes
What medication is given to prevent a seizure in a Pre-E patient?
Q15 min x 1 hour, Q30 min x 1 hour, includes fundal checks
What are the minimal requirements for Vital Signs after delivery?
Feet towards monitor screen
How do you position the newborn in the Panda warmer?
Dextrose 40% gel
What is given to newborns with blood sugar < 35?
Panda warmer, OB Pack (a.k.a. Delivery Kit), and Pediatric Code Cart
What equipment is needed in patient’s room if a delivery I expected?
Stroke or Seizure
What are Maternal Hypertension and Pre-Eclampsia patients at high-risk for?
Weighing items in grams and subtracting the dry weight
How do you calculate Quantitative Blood Loss (QBL)?
21%
Where must the oxygen dial be set for treatment of a neonate?
Erythromycin ointment and Vitamin K
What are medications required within 2 hours post-delivery for the newborn?
Found on the opposite side of fetal movement, above or below the navel
Where do you doppler Fetal Heart Tones (FHT) after 32 weeks gestation?
Calcium Gluconate 1 gram over 5 minutes
What is the antidote for magnesium toxicity?
Pitocin, methergine, Hemabate, and Cytotec
What are medications used to treat Emergent Excessive Vaginal Bleeding (Hemorrhage)?
5 and 20
What is PEEP (5) and PIP (20) oxygen pressures for PANDA?
Hypothermia, hypoglycemia, Respiratory distress, and NO ankle bracelet monitor
What are SAFETY concerns for Newborn in ED?