Alternate OB & Newborn

From Guide to YKHC Medical Practices

Revision as of 07:17, 21 November 2020 by JenniferH (talk | contribs) (→‎Newborns)

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

Newborn Workflow Links to page with the following contents:
Newborn Admissions
Scenarios/Special Situations
Newborn Rounding
Newborn Discharge Process

Consults

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