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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