Alternate OB & Newborn: Difference between revisions

From Guide to YKHC Medical Practices

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*[[Newborn Common Scenarios/Special Situations]]
*[[Newborn Common Scenarios/Special Situations]]


==Consults ==
==Transfers/Medevacs (Transfer/medevac section LINK)==
==Transfers/Medevacs (Transfer/medevac section LINK)==
As soon as it is obvious that a mom or baby needs to be transferred (in some cases this is before the baby delivers i.e. when there is a known maternal or infant problem that necessitates a NICU or higher level of care for mother and/or infant during labor and/or delivery).
As soon as it is obvious that a mom or baby needs to be transferred (in some cases this is before the baby delivers i.e. when there is a known maternal or infant problem that necessitates a NICU or higher level of care for mother and/or infant during labor and/or delivery).

Revision as of 07:23, 21 November 2020

INTRODUCTION: Unit Description (Facility) The OB Unit consists of 8 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.

An average of 400 deliveries occur annually with the number increasing each year. The unit provides care to outpatient and inpatient obstetrical patients with a gestation of > 20 weeks gestation as well as newborns born in the unit. There is no nursery and babies room-in with the mothers unless they are being observed for a short while or are being stabilized for medevac.

OB Overview

OB Triage Patients

OB WORKFLOW

OB Deliveries

OB Special Circumstances

OB RMT

OB Common Procedures

Newborns

Transfers/Medevacs (Transfer/medevac section LINK)

As soon as it is obvious that a mom or baby needs to be transferred (in some cases this is before the baby delivers i.e. when there is a known maternal or infant problem that necessitates a NICU or higher level of care for mother and/or infant during labor and/or delivery).

  • Call ANMC and get an accepting physician for mom, if she has not delivered, or for baby if baby has delivered…if a patient is non-native the accepting physician should be from Providence NICU.
  • Complete the Patient Transport Order (PTO) and other paper work in the transport packet
  • Complete the Admit Orders and Medication Reconciliation
  • Continue to monitor and stabilize the infant
  • Complete the Newborn Discharge/Transfer Summary and add updates as needed. You can create your own transfer template or you can use McClure’s shared template and modify and save it for your own use.
  • Update Diagnoses and Problem List
  • Complete and E&M charge
  • Complete the Medication Reconciliation

Case Management

Hospitalist Documentation (RAVEN)

Medevacs/Transfers for OB

Obstetric YKHC Clinical Guidelines