Medication Safety
How often do we give a medication that is ordered BID?
Twice a day, about 12 hours apart
Why is first get up important?
Improves GI motility, promotes independence, reduced risk of blood clotting, promotes healing etc
Most important intervention for preventing spread of infection
Hand Hygiene
What three things do we check most often for baby vitals?
Temp, RR, HR
What would we check before giving an iron supplement?
How soon after a C-section is the mom able to get up?
6 hours after the operation
What additional PPE do we need to don if the patient is on contact precautions?
Gown and gloves
What is the acronym used for maternal head to toe assessment?
BUBBLEHEE
What education do we provide about the self admin med packs?
How many of each to take, how often to take them, how to track when to take them, what they are for etc
What should we assess prior to attempting first get up?
Check vitals, assess maternal readiness, nurse readiness, when was her delivery, etc
What medication is given to babies immediately following delivery to prevent eye infection?
Erythromycin
What three assessments are key for assessing for PPH?
Lochia, fundus, vitals (BP)
What patient identifiers can we use to verify right patient?
Name, date of birth, PHN, hospital ID number.
Where should the nurse stand while the patient is walking to the bathroom for the first time?
Behind the patient, with one foot between the patients feet in case she falls
What would need to be done if we suspect a mothers incision is infected?
Report to primary nurse, assess wound and mom vitals, check for drainage, obtain C&S etc
What do we look for when baby is actively breastfeeding?
Assess latch, suck and swallow
What are the 10 rights?
Right patient, right medication, right dose, right route, right time, right education, right documentation, right to refuse, right reason, right evaluation
If the mom becomes dizzy while getting up, what nursing interventions would we use?
Sit her back down, obtain a set of vitals, check fundus and lochia, help her to lower her head between her knees etc.
What patient education would you provide to new parents when they are looking at their baby's umbilicus for signs of infection?
Look for any redness, oozing, bleeding, or tenderness at the umbilicus, also if baby is crying a lot or has a high temp.
What should we do if baby has a low temp?
Put baby skin to skin, bring warm blankets, make sure baby has a hat, recheck temp every hour until 3 stable temps etc