Manual: Labor and Delivery Policy and Procedure Manual (Ver 3.1) External Reference: "(TJC PC.4.10, PC.5.10)"
As the health care industry's most comprehensive library of customizable policy and procedure templates, MCN Healthcare's Labor and Delivery Policy and Procedure Manual includes this customizable template, Version - External Cephalic. MCN's policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. Health care organizations around the world utilize MCN's compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Version - External Cephalic:
| | PURPOSE:
External version involves the conversion by the physician of a 37 to 40 weeks gestation fetus from a breech or transverse lie presentation to a cephalic presentation.
CONTRAINDICATIONS:
Previous C-section, myomectomy or metroplasty
Intrauterine Growth Restriction IUGR
Placenta previa
Third trimester bleeding
Premature rupture of membranes
Decreased amniotic fluid volume
Abnormal fetal heart rate
Engagement
Allergy to betaminmetic tocolysis an alternative drug is magnesium sulfate
Cardiac disease
Poorly controlled diabetes mellitus
Thyrotoxicosis
PROCEDURE:
The procedure... |
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| | ...appropriate for an immediate C-section should be obtained in advance.
The patient should be given information and sign a consent for the procedure and for possible C-section.
The patient will be confirmed NPO for six 6 hours prior.
An IV of Lactated Ringer's solution should be started with a large bore intracath.
Tocolysis should be administered according to protocol.
Fetal heart rate will be observed by ultrasound or doppler throughout the version attempt.
The patient should be... |
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