PCC Labor and Delivery
Dec 13, 2015
PCC
Labor and Delivery
1073 Oak StreetBetween the Family Birth Center
(brick building after Center for Outpt Medicine) and the Salem Hospital Psychiatric Unit
Small buildingVery limited parking
Tuesdays 1500-2200All other days 1500-2300Consider walking out with someone
else or calling hospital security
No uniform!Must have CCC photo IDNice jeans okShirt with collarComfortable shoes
Verification formPenSomething to write onMental status assessment guide
(optional)Something to study during down
timeDinner or money
Do S-O-A-P chartSubjective
Past Medical HistoryCurrent complaintGeneral status, if known
Describe physical appearanceOrientationPsychomotorVerbalSocial behaviorMood and Effect
Intellectual functioning Insight JudgmentMemoryThought content
Salem Hospital – go directly to unit, don’t meet in lobby
Silverton HospitalPatient permissionThere to observeBe helpful to staffShifts are 12 hoursHospital Scrubs
This info is on mom only
SubjectiveMom’s ageDue date (EDC) and Gestational age (EGA)Gravida, Para, TAB/SABWhen prenatal care startedAttended birthing classes?Coach/support personHeight/weight and vital signsLast oral intake
SubjectiveSubstance abuse?Herpes?Smoker?Abuse (sexual/emotional/physical)Pregnancy history – current and past
ObjectiveHeart/lungsAbdomen (note fundal heighth)ExtremitiesReflexesAny noted abnormalities
Pertinent info can be charted in flow chartMembranes intact? When ruptured?Vaginal bleeding?Fetal heart tones (FHT) and where heard
Can do in the flow chart sectionTime of birthGender, weight, lengthAny resuscitation doneWhat initial exam revealedApgar score
Call Rhonda if any issuesPager 503.918-6128Cell 503.580-8871Home 503.868-7374
OK to start IVs when in OB If intubation opportunity for tubal ligation,
OK with permission of anesthesiologist Do not ask permission to intubate C
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