| Newbom care Gyne doctor). NURSERY ] a aero Rearome | | D> Bom an alive baby boyigirt via NSD attended by (0B- | came vate patients, please received by (Pediatrician | “For babies from OR. De inte DR from OR an alive baby boyigtt cuddled BY Pr. | ‘With loudiweak cry; with 1-2 looseltight cord loop, | thinithick meconium stain, pit io (oronasal secretions suctioned; administered oxygen inhalation via oxygen) (if it was done). ‘A>Cleansed breast of mother, latching done with sucking reflex noted. B vaccine 0.5m given at right vastus lateralis and Vitamin K O-iml at loft vastus lateralis. ‘Tews | Unit transfer >Brought to OB ward beside mother per stretcher accompanied by RECEIVING BABIES UNDER RADIANT WARMER Time | Immediate D> Received and alive baby boyigit under radiant ____ Nutrition and A>Latching done to mother at PACU with goodair __Ipm; with loudiweak: pinkishiacrocyanotic; with si eo" eR—_ Ro flaring/grunting/clubfoot. ‘> Promoted safoty by putting pillows atthe sie, monitored vital signs and recorded (more Interventions) ‘sucking reflex. 2>Roomed in to mother at OB ward with latest vital signe ot Teme. “Oye a —LABOR ROOM DATE AND FOCUS Te _| Time Labor Pain | ongoing IVF of __4 L+__ “u" oxytocin at | mL tevel infusing well at the metacarpalicephalic/basilic vein. DeGrimaces noted, moans occasionally, irritable at times, guarding lumbosacral area noted; with | vital signs as follows: _ mmHg; PR __ bpm = Fluid and | ‘of Medication | and regulated to ‘p>First dose HNBB 1 amp. given IV push by ‘A>Blood specimen extracted by Medtech on duty for CBC, ABO typing and HB sag- ‘A>instructed on proper deep breathing techniques; squatting to facilitate descent; maintained on NPO as ordered and encouraged to jminutes; with duration of 60-90 seconds. ‘A>Brought to DR ambulatory with same IVF accompanied TO BE INCLUDED IF IT WAS DONE ‘A>Bag of water ruptured artificially/spontaneously by 2 ‘A>Seen and examined by Dr.__ ordered for “E” Cesarean section due to arrest of cervical | dilatation/arrest of descent; scheduled for “E” CS; | informed OR NOD, Pediatrician and f _ Anesthesiologist. ‘Secured consent for the procedu ed y 6s panneD AND C DATA, ACTION, RESPONSE | D> Into Labor room a___ y/o G_P_Female from ER) OB ward per wheelchair! stretcher! ambulatory accompanied by IWOD/ RNSE! SNOD with ongoing IVF of _1L+__ ‘u’ oxytocin at __ mL. infusing well at the left/ right metacarpal/ basillic/ cephalic vein; conscious and coherent; with moderate! minimal bleeding noted; weak and pale in appearance; with initial vital signs as follows: BP mig; PR __ bpm; RR __ cpm; Temp. _*C. _ D> Into Delivery Room ambulatory accompanied by | NOD/ RNSE/ SNOD with an ongoing IVF of __ 1L + ___‘w oxytocin at __ mL level infusing well at the left! right metacarpal/ basillic/ cephalic vein. ‘A> Ushered to bed Consent for D and C signed by | and attached to chart. / Consent for D and C checked and attached to chart. ‘A> Assisted to DR table and positioned to i i i nasal cannula at 2-3 lpm; shaved perineal area and ‘A> Additional 10 ‘u’ oxytocin incorporated to above | IVF as per verbal order of Dr. : | ‘A> Completion / Evacuation/ Dilation curettage done by Dr. ‘A> Methylergometrine 1 amp given IM by NOD/ SE tt a spr vera eee ‘A> Perineal care done and adult diaper placed ‘snugly; transferred to labor room. Se ee —— 1L+ __4 oxytocin infusing ‘well with the latest vital signs as follows: BP 9;PR__bpm;RR__ cpm; Temp. _*C.