Manual: Labor and Delivery Policy and Procedure Manual (Ver 3.1) External Reference: "(TJC PC.2.20, PC.2.150)"
This customizable document, Electronic Fetal Heart Rate Monitoring (EFM), is taken from MCN Healthcare's Labor and Delivery Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry's leading provider of policy and procedure templates, forms, competencies and other compliance tools. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN's policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Electronic Fetal Heart Rate Monitoring (EFM):
| | PURPOSE:
Fetal monitoring has become a standard of obstetric nursing care. It may be external, continuous or periodic, or continuous internal fetal monitoring. Electronic fetal monitoring is not essential to ensure outcome, but provides a continuous visual report that may correlate with decreased neonatal morbidity.
INDICATIONS FOR CONTINUOUS FETAL MONITORING:
Decreased fetal movement
Post dates
Prematurity greater than 24 weeks
Pitocin induction/augmentation
Meconium-stained amniotic fluid
Fetal bradycardia/tachycardia
Maternal diabetes
Hypertension
IUGR
Multiple gestation
... |
| Second excerpt: |
| | ...of FHR.
Place the mother in a left side-lying position.
Turn to the right side if no change occurs or deceleration worsens.
Alert the physician or nurse midwife to the nature of the FHR variation and response to position change.
Administer 100% oxygen.
Administer oxygen by tight face mask at eight 8 to 12 liters per minute.
Initiate an intravenous infusion if nonreassuring pattern persists.
Explain actions to patient. Explain that more evaluation and possible treatment may... |
|