Category:OB & Newborn - Revision history

JenniferH: /* OB SPECIFIC INFORMATION */

2021-01-25T21:04:17Z

OB SPECIFIC INFORMATION

← Older revision		Revision as of 21:04, 25 January 2021
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	*[[OB Special Circumstances]]		*[[OB Special Circumstances]]
	*[[OB RMT]]		*[[OB RMT]]
			**[[OB RMT#Labor in the Village\|Labor in the Village]]
	*[[OB Common Procedures]]		*[[OB Common Procedures]]
	*[[:Category:Medevacs and Transport#Medevacs/Transfers for OB\|Medevacs/Transfers for OB]]		*[[:Category:Medevacs and Transport#Medevacs/Transfers for OB\|Medevacs/Transfers for OB]]

JenniferH: /* NEWBORN SPECIFIC INFORMATION */

2020-12-05T04:25:49Z

NEWBORN SPECIFIC INFORMATION

← Older revision		Revision as of 04:25, 5 December 2020
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	*[[Newborn Common Scenarios/Special Situations]]		*[[Newborn Common Scenarios/Special Situations]]
	*[[Pediatric Village Delivery Orientation]]		*[[Pediatric Village Delivery Orientation]]
	*[[Curosurf Administration]]		*[[Curosurf Administration\|Surfactant (Curosurf) Administration]]
			* [[media:NeoPuff_set_up.pdf\|Neopuff Set-Up Guide]]
	*[[Emergency Stabilization Information#When a newborn needs resuscitation and stabilization\|Newborn Resuscitation Workflow]]		*[[Emergency Stabilization Information#When a newborn needs resuscitation and stabilization\|Newborn Resuscitation Workflow]]
	*[[media:Neonatal_resuscitation_summary.pdf\|Neonatal Resuscitation Summary]] (pdf)		*[[media:Neonatal_resuscitation_summary.pdf\|Neonatal Resuscitation Summary]] (pdf)
	*[[:category:YKHC Guidelines#Neonatal Guidelines\|Neonatal YKHC Clinical Guidelines]]		*[[:category:YKHC Guidelines#Neonatal Guidelines\|Neonatal YKHC Clinical Guidelines]]
			*[[:Category:YKHC Guidelines#Neonatal References\|Neonatal References/Resources on YKHC Guideline Page]]

JenniferH: /* NEWBORN SPECIFIC INFORMATION */

2020-11-21T09:54:35Z

NEWBORN SPECIFIC INFORMATION

← Older revision		Revision as of 09:54, 21 November 2020
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	==NEWBORN SPECIFIC INFORMATION==		==NEWBORN SPECIFIC INFORMATION==
	*[[OB/Newborn: Detailed Information\|Pediatrician Newborn ~~Detailed Information~~]]		*[[OB/Newborn: Detailed Information\|Pediatrician Newborn Introduction]]
	*[[Newborn Workflow]]		*[[Newborn Workflow]]
	*[[Newborn Common Scenarios/Special Situations]]		*[[Newborn Common Scenarios/Special Situations]]

JenniferH: /* NEWBORN SPECIFIC INFORMATION */

2020-11-21T09:53:33Z

NEWBORN SPECIFIC INFORMATION

← Older revision		Revision as of 09:53, 21 November 2020
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	==NEWBORN SPECIFIC INFORMATION==		==NEWBORN SPECIFIC INFORMATION==
			*[[OB/Newborn: Detailed Information\|Pediatrician Newborn Detailed Information]]
	*[[Newborn Workflow]]		*[[Newborn Workflow]]
	*[[Newborn Common Scenarios/Special Situations]]		*[[Newborn Common Scenarios/Special Situations]]

JenniferH: /* NEWBORN SPECIFIC INFORMATION */

2020-11-21T08:20:23Z

NEWBORN SPECIFIC INFORMATION

← Older revision		Revision as of 08:20, 21 November 2020
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	*[[Curosurf Administration]]		*[[Curosurf Administration]]
	*[[Emergency Stabilization Information#When a newborn needs resuscitation and stabilization\|Newborn Resuscitation Workflow]]		*[[Emergency Stabilization Information#When a newborn needs resuscitation and stabilization\|Newborn Resuscitation Workflow]]
	*[[media:Neonatal_resuscitation_summary.pdf\|Neonatal Resuscitation Summary]]		*[[media:Neonatal_resuscitation_summary.pdf\|Neonatal Resuscitation Summary]] (pdf)
	*[[:category:YKHC Guidelines#Neonatal Guidelines\|Neonatal YKHC Clinical Guidelines]]		*[[:category:YKHC Guidelines#Neonatal Guidelines\|Neonatal YKHC Clinical Guidelines]]

JenniferH at 08:13, 21 November 2020

2020-11-21T08:13:04Z

Show changes

JenniferH at 06:53, 21 November 2020

2020-11-21T06:53:48Z

← Older revision		Revision as of 06:53, 21 November 2020
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			[[alternate OB & Newborn]]

	==Unit Description (Facility)==		==Unit Description (Facility)==
	The OB Unit consists of 6 LDRP (Labor-Delivery-Recovery-Postpartum) rooms with a total of 16 available beds (8 mother and 8 newborn), one C-Section Delivery room, two OB Triage rooms, an infant treatment area, and a potential infant isolation area. Additionally, Room #1 can function as a negative air flow isolation room.		The OB Unit consists of 6 LDRP (Labor-Delivery-Recovery-Postpartum) rooms with a total of 16 available beds (8 mother and 8 newborn), one C-Section Delivery room, two OB Triage rooms, an infant treatment area, and a potential infant isolation area. Additionally, Room #1 can function as a negative air flow isolation room.

JenniferH: /* OB Medevacs */

2020-11-13T22:24:04Z

OB Medevacs

← Older revision		Revision as of 22:24, 13 November 2020
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	==OB Discharges/Follow Up==		==OB Discharges/Follow Up==
	The recommended NSVD postpartum discharge time for the mother and newborn is 36-48 hours except for the late preterm newborn which is 72 hours. The mother and newborn can actually be discharge any time they are stable as long as a screening fractionated bilirubin level can be assessed for the newborn during the 36-48 hour time period. For the village newborn, this usually means no sooner than 36 hours unless they want to stay with a Bethel family.		The recommended NSVD postpartum discharge time for the mother and newborn is 36-48 hours except for the late preterm newborn which is 72 hours. The mother and newborn can actually be discharge any time they are stable as long as a screening fractionated bilirubin level can be assessed for the newborn during the 36-48 hour time period. For the village newborn, this usually means no sooner than 36 hours unless they want to stay with a Bethel family.
			==[[OB RMT]]==

	==OB Medevacs==		==OB Medevacs==
	In consultation with HROB and the ANMC OB on-call physician, OB patients with a serious but stable medical condition may need transport to a higher level of care (ANMC or other). Once an accepting physician is identified, LifeMED should be activated and the patient should discharged pending medevac team arrival. Essential documentation should include a transfer summary and three papers from the “Transport Pack” completed by hand:		In consultation with HROB and the ANMC OB on-call physician, OB patients with a serious but stable medical condition may need transport to a higher level of care (ANMC or other). Once an accepting physician is identified, LifeMED should be activated and the patient should discharged pending medevac team arrival. Essential documentation should include a transfer summary and three papers from the “Transport Pack” completed by hand:

JenniferH: /* OB Medevacs */

2020-11-13T22:22:23Z

OB Medevacs

← Older revision		Revision as of 22:22, 13 November 2020
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	==OB Medevacs==		==OB Medevacs==
	In consultation with HROB and the ANMC OB on-call physician, OB patients with a serious but stable medical condition may need transport to a higher level of care (ANMC or other). Once an accepting physician is identified, LifeMED should be activated and the patient should discharged pending medevac team arrival. Essential documentation should include a transfer summary and three papers from the “Transport Pack” completed by hand:		In consultation with HROB and the ANMC OB on-call physician, OB patients with a serious but stable medical condition may need transport to a higher level of care (ANMC or other). Once an accepting physician is identified, LifeMED should be activated and the patient should discharged pending medevac team arrival. Essential documentation should include a transfer summary and three papers from the “Transport Pack” completed by hand:
	PTO		*PTO
	Signed consent form		*Signed consent form
	Diagnostic imaging request form for studies to be loaded on a CD		*Diagnostic imaging request form for studies to be loaded on a CD
	Discharge summary, which you should do before LifeMed team arrives.		*Discharge summary, which you should do before LifeMed team arrives.

			see [[OB RMT#Labor in the Village\|Labor in the Village]] for a detailed discussion about a reason to medevac from a village to Bethel

	==OB Procedures==		==OB Procedures==
	===Nexplanon:===		===Nexplanon:===

JenniferH: /* Overview */

2020-10-08T01:14:01Z

Overview

← Older revision		Revision as of 01:14, 8 October 2020
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	At this time, if a newborn is well, but has borderline or questionable screening labs that require 48 hours of antibiotics and observation, the infant will need to be transferred to NW or to ANMC.		At this time, if a newborn is well, but has borderline or questionable screening labs that require 48 hours of antibiotics and observation, the infant will need to be transferred to NW or to ANMC.

			Per new Joint Commission rules (and good practice), we have to do debriefings on significant event that occur on the OB unit. These include, but are not limited to: postpartum hemorrhage, severe hypertension, transfusion of more than 4 units of blood and emergency cesarean sections. We have a form to help with this. They don’t have to be long drawn out events. It can be as short as 5 minutes. Please document that a debriefing occurred in a separate note so we can track them and show JC that we are doing them.

	==[[OB Triage Patients]]==		==[[OB Triage Patients]]==