<여성간호학실습VSIM>Maternity Case 5. Amelia Sung (Core) Documentation Assignments
- 최초 등록일
- 2022.02.11
- 최종 저작일
- 2021.05
- 3페이지/
한컴오피스
- 가격 2,000원
소개글
Maternity Case 5: Amelia Sung (Core) Documentation Assignments 입니다.
목차
1. Document Ms. Sung’s admission to the labor unit, including the plan of care and appropriate referrals.
2. Document the essential events related to the time of birth, including the activities and interventions from the time of crowning to the complete expulsion of the fetus.
3. Using the situation-background-assessment-recommendation (SBAR) technique, document your communications with the provider when he or she arrives in Ms. Sung’s room after being called.
4. Document the fetal response to the second stage of labor.
본문내용
* Provider's Orders
Assessment
- BP Q1 hours x2 then Q4 hours
- Temp, HR, RR Q1 hour
- Temp Q2 hours after rupture of membranes intrapartum or if temp greater than 38℃ orally
- breath sounds Q4hours
- Deep tendon reflexes Q4hours
- vaginal exam
- assess IV
- continuous pulse ox
Meds
- Lactated Ringer's 1000mL IV 125mL/hr
- Epidural anesthesia via catheter infusion at 10ml/hr
- Lactated Ringer's 500mL IV bolus(For nonreassuring fetal heart pattern)
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