Policies And Procedures Update Quiz

Always turn Oxytocin off when tachysystole is encountered.

There are a number of processes both legal and procedural that are required prior to the admission of the gestational carrier. It is important that all of the necessary legal documents are in order. Early notification provides the gestational carrier and the intended parents to have an enjoyable birth.

Any health care member has the right to refuse to participate in the performance of an elective termination. An employee is protected under the Right Of Conscience.

In the event of policy or CPG conflicts with a clinical situation and a deviation from the signed documents occurs, a comprehensive note /document needs to be written in the medical record as to the reason for the deviation. Be clear as to your thoughts of why the deviation is necessary,

These are all key members of the RRT and need to be called to evaluate the patient.

It is extremely important that fetal monitor strips be archived correctly by the nurse.

All of these clinical situations require immediate attention in order to avoid patient injury or patient harm.

As the bedside nurse, your responsibility during a level 3 c-section is to keep track of the time, monitor the mother and fetus for any clinical changes, and notify the physician of any changes in maternal or fetal status. This is because during a c-section, it is crucial to closely monitor the well-being of both the mother and the fetus, as well as keep track of the time to ensure the procedure is progressing smoothly and timely. Therefore, all of the options mentioned are part of the nurse's responsibilities during a level 3 c-section.

The correct answer is "All of the above." This means that women who declined initial testing, choose to be rescreened, or have risk factors for HIV infection should be rescreened for HIV at 36 weeks or in labor. This policy ensures that all women who fall into any of these categories are given the opportunity to be tested for HIV, which is important for the prevention and management of the infection.

Many patients with religious objections to blood/ blood products desire to discuss with their religious leaders what is acceptable if faced with a clinical situation where volume expansion is needed.

It is important that a relevant summary of prenatal care, and the labor and delivery events be included. In addition, the clinical factors i.e. maternal, fetal, or placental for why review is needed assists the pathologist when examining the placenta.

Elective terminations CANNOT be performed after 24 weeks gestation at LVHN.

All strips that are not able to be reconciled require a pink/red sticker and they MUST be sent to medical records for inclusion into the legal record.

Pennsylvania Abortion Control Act states that when performing an elective termination the patient must sign no less than 24 hours prior to the procedure. This ensures that the patient has had enough time to proceed or cancel the procedure.

Any team member can activate a Code Crimson

The first obstetrical visit the patient needs to be identified in the event the pregnancy terminates or continues. It is extremely important to identify what products the patient will accept.

All of these documents are a requirement and discharge of the newborn will not occur if the consents are not completed.

Patients with unknown HIV, those who choose rescreening, or those with risk factors for HIV infection need a RAPID HIV test in labor so that the results are available prior to delivery and that she can receive intrapartum AZT treatment if postive.

Timely consultation with MFM, Anesthesia and Hematology should take place early in the pregnancy in order to optimize the hemoglobin.

The correct answer is 4-6 mu/min. Oxytocin is a hormone that is commonly used to induce or augment labor. The infusion rate of oxytocin that is similar to spontaneous labor is typically 4-6 mu/min. This rate helps to mimic the natural release of oxytocin during labor, promoting effective contractions and progression of labor. Higher infusion rates may lead to hyperstimulation of the uterus and potential complications. Therefore, it is important to closely monitor the patient's response and adjust the infusion rate accordingly.

Patients with less urgent complaints should be seen within 30 minutes. This means that although their complaints are not considered urgent, they still require attention within a reasonable time frame. This ensures that their needs are addressed in a timely manner and prevents any potential deterioration of their condition. It also reflects the importance of providing quality care to all patients, regardless of the urgency of their complaints.

The correct answer is 20 mu/min. This is the maximum dose for oxytocin infusion at LVHN L&D. Oxytocin is commonly used in labor and delivery to induce or augment labor. It helps to stimulate contractions of the uterus. However, it is important to administer it at the appropriate dose to avoid complications such as uterine hyperstimulation or fetal distress. Therefore, the maximum dose of 20 mu/min is recommended to ensure safe and effective labor induction or augmentation.

External fetal monitoring should be applied as soon as the patient is placed in the supine position or just prior to the surgical prep. This allows for continuous monitoring of the fetal heart rate during the administration of regional anesthesia/analgesia. Continuous monitoring is important to ensure the well-being of the fetus and to detect any potential complications that may arise during the procedure.

Terbutaline is not used for PRETERM contractions.

The correct answer is "Continuous awareness of fetal well being and encourage members of the team to seek additional assistance to ensure fetal well being." This policy aims to monitor the fetal heart rate continuously and ensure the well-being of the fetus during the administration of anesthesia/analgesia. It emphasizes the importance of maintaining awareness and seeking additional assistance if necessary to ensure the safety and well-being of the fetus. The policy does not mention prolonging the administration of anesthesia/analgesia as a goal.

After administration of terbutaline, it is recommended to closely monitor the patient for 30 minutes. This includes continuous fetal monitoring, frequent blood pressure checks, and pulse oximetry. This monitoring period allows healthcare professionals to closely observe any potential side effects or adverse reactions that may occur after taking terbutaline. Monitoring for this duration ensures the safety and well-being of the patient.

Internal fetal monitoring involves the insertion of a probe into the uterus to directly monitor the baby's heart rate. During a cesarean delivery, it is important to have accurate and continuous monitoring of the baby's heart rate to ensure their well-being. However, the probe can interfere with the surgical procedure and increase the risk of infection. Therefore, it is recommended to discontinue internal fetal monitoring after the surgical skin prep, just prior to draping, to minimize these risks and allow for a safe and sterile surgical environment.

False, you can only place the patient into CPN once they are on the clinical unit.

Only the obstetrician or anesthesiologist can activate the massive transfusion protocol.

The correct answer is to scrub the abdomen with betadine solution. This is because a level 1 c-section is a surgical procedure that requires a thorough cleaning of the abdomen to minimize the risk of infection. Scrubbing the abdomen with betadine solution helps to remove any bacteria or contaminants from the skin surface, ensuring a clean surgical field. This method is more effective than simply pouring betadine over the abdomen or using chloraprep, as scrubbing helps to physically remove dirt and bacteria from the skin.