Hypertension
Your patient's BP was 162/95 at 1500. At your 15 minute recheck, the BP is now 145/80. You continued to reassess q15 min and at 1550 the BP is now 164/90...these are your actions
What is notify Provider and obtain orders for antihypertensive medications (IV labetalol, IV hydralazine, & PO nifedipine *immediate release*) & seizure prophylaxis (magnesium sulfate)?
This is the amount of time in which the admission hemorrhage risk assessment should be completed after admission (hours)
What is 2 hours?
When the whole team comes together at the bedside to discuss the fetal heart rate tracing
What is a CAT 2 Huddle?
EPDS score of 12, my next actions are...
What is notify provider and place order for Social Work
During your assessment you find an infant's temperature to be 36.3...This is the frequency of temperature assessments while the infant is placed skin to skin
What is 15 minutes
The number of minutes after a second severe range BP reading in which antihypertensive treatment should be initiated
What is 30 min?
My patient scored High on an Admission Hemorrhage Risk Assessment, my next action is
What is ordering 2 units of PRBCs & placing 2 IVs?
This type of variability allows you to continue routine assessment every 15-30 minutes if no significant decelerations are present
What is moderate or marked variability?
PMAD Education Documentation location
What is CHI PP Education, Self - Care, Psychosocial Changes
My baby has been cold for 1 hour, my next actions are...
What is place infant under radiant warmer and check blood glucose (if not done already)
The number of minutes after a second severe range BP reading in which seizure prophylaxis (magnesium sulfate) treatment should be initiated
What is 60min/1hour?
My patient's blood loss is 1060 mls following delivery, this is the amount of time that I will measure QBL for (hours)
What is 24 hours?
Following the moderate/marked pathway, this percentage of contractions with significant decelerations over 30 minutes requires intrauterine resuscitation and notifying the Provider
What is >50%?
Social Work documentation/note has to be completed prior to what occurrence...
What is discharge
You've placed your infant under the radiant warmer, this is the rate (in Celsius/Fahrenheit) at which you rewarm..
What is 0.5C - 1.0C (0.9F - 1.8F) above axillary temperature
Patient with history of HTN (GHTN, preeclampsia, CHTN) will have a follow up appointment scheduled in how many days
What is 3 days?
My patient entered Stage 2 or Stage 3 Hemorrhage, my next order is....
What is a DIC panel?
For a patient with moderate/marked variability with recurrent significant decels, this is the amount of time we would allow in the second stage with normal progress before moving to expedite delivery..
What is 1.5 hours?
Incorrect way to complete PMAD Education (epic documentation)
What is resolve education w/o charting on it
An infant has been placed under the radiant warmer and this is frequency at which their temperature should be assessed while rewarming
What is every 30 minutes
When adding the patient's follow up blood pressure visit into the AVS, these items must be included
Patient enters Stage 2 Hemorrhage when...
What is bleeding continues after giving oxytocin + 2 other uterotonics
This includes actions like repositioning, IVF bolus, stopping Oxytocin, and correcting hypotension
What are resuscitative measures?
My patient already spoke to Social Work, she now completed EPDS and her score is 13, my next actions are...
What is notify provider, place another Social Work Consult order, Social Work must write another note prior to discharge.
I am rewarming my baby for a second time now, my next action is...
What is notify Provider & evaluate infant in SCN