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Labor and Delivery/Obstetrics-Gynecology (OB-GYN) Unit Manual

The Unit Practice Manual policies can be viewed or printed using Adobe Acrobat.

Teaching Plan:	Addicted Pregnant Patient: Care of the
Protocol:	Admission to the Labor & Delivery Unit (L&D)
Protocol:	Admission to OB-GYN Unit
Procedure:	Amniocentesis
Procedure:	Amnioinfusion: Assistance with
Procedure:	Amniotomy (Artificial Rupture of Membranes): Assistance with
Procedure:	Arterial Blood Pressure Monitoring
Procedure:	Attire: L & D
Protocol:	AZT (Zidovudine) Intravenous Administration
	AZT Bolus Infusion Rates
	AZT Maintenance Infusion Rates

Guidelines:	Birth Certificate Worksheet: Completion of
Protocol:	Bleeding in the Third Trimester of Pregnancy
Procedure/ Protocol:	Breast Pumping, Breast Milk Use and Storage
Protocol:	Breastfeeding

Protocol:	Cell Phones, Camera Phones and Video Equipment
Procedure:	Central Venous Pressure Catheter
Procedure:	Cerclage Removal/Placement: Assistance with
Protocol:	Cervidil for Preinduction Cervical Ripening and Introduction of Labor
Protocol:	Cesarean Delivery: Care of the Patient Following
Protocol:	Cesarean Section: Immediate Preoperative and Intraoperative Care of the Patient
Procedure:	Cesarean Section - JDH OR Scrub Person Coverage of L&D/OB-GYN
Procedure:	Cesarean Section: Scrub Assistant Responsibilities
Protocol:	Coping: Care of the Hospitalized Pregnant Patient
Procedure:	Cord Blood Samples
Clinical Protocol/ Procedure:	Counts: Sponge, Sharp, Accessory Item & Instruments
Procedure:	Cup Feeding

Guidelines:	Database (Nursing) L&D/OB-GYN: Completion of
Procedure:	Death (Stillborn and Neonatal): Process for Completion of Documentation
Teaching Plan:	Diabetes: Antepartum
Standard Care Plan:	Diabetes: Antepartum Patient
Protocol:	Diabetes (Insulin Dependent): Care of the Post Partum Patient with
Protocol:	Diabetic Antepartum: Care of the Patient

Protocol:	Electrocautery: Use of during Cesarean Section
Procedure/ Protocol:	Electrosurgical Unit (ESU) Safety
Protocol:	Emergency Cesarean Delivery
Protocol:	Epidural Anesthesia: Care of the Patient
Procedure:	Eye Prophylaxis: Administration of

Procedure:	Fetal Scalp Blood Sampling: Assistance with
Guidelines:	Flowsheet: Completion and Use of
Guidelines:	Flowsheet (Second Trimester Induction): Use of the
Guidelines:	Flowsheet (Special Needs): Completion and Use of the
Guidelines:	Fluid Balance/Diabetic Assessment Record: Completion and Use of
Procedure:	Four-Hour Obstetrical Hold

Protocol:	Glucose Screening during First Twelve Hours in Newborns at Risk for Hypoglycemia
Protocol:	Grieving: Care of the Patient who has Suffered an Infant Loss
Protocol:	Group B Streptococcal (GBS) Disease: Prevention and Management
	GBS Algorithm

Protocol:	Hemodynamic Monitoring
Protocol:	Hospitalized Infant: Care of the Family
Protocol:	Hydralazine: Care of the Patient Receiving a Hydralazine, IV Push or as an Infusion for Hypertension Management
Standard Care Plan:	Hypertensive Disorders: Antepartum Patient
Protocol:	Hypertensive Disorders of Pregnancy: Care of the Patient
Teaching Plan:	Hypertensive Disorders of Pregnancy
Protocol:	Hysterectomy: Care of the Patient
Standard Care Plan:	Hysterectomy: Care of the Patient Admitted to OB-GYN
Teaching Plan:	Hysterectomy (Post): Self-Care Educational Needs

Procedure:	Identification and Security of Newborns
Teaching Plan:	Infant Care Educational Needs
Procedure:	Insulin: Continuous Intravenous Administration
Procedure:	Intrauterine Fetal Blood Transfusion: Assistance with

Protocol:	Labetalol: Care of the Perinatal Patient Receiving Intravenous Labetalol for Severe Hypertension
	Labetalol Continuous Infusion Rates
Protocol:	Labor and Delivery: Care of the Laboring Patient in Labor and Delivery
Standard Care Plans:	Laparotomy: Care of the Patient Admitted to OB-GYN
Teaching Plans:	Laparotomy (Post): Self-Care Educational Needs
Protocol:	Lithotomy Position: Delivery Room

Protocol:	Magnesium Sulfate: Use in Hypertensive Disorders of Pregnancy and Preterm Labor (PSOL): Care of the Patient
Protocol:	Maintaining a Sterile Field
Teaching Plans:	Maternal Self-Care Educational Needs
Protocol:	Misoprostol for Preinduction Cervical Ripening and Induction of Labor
Protocol:	Monitoring: External Fetal Heart Rate/Uterine Activity: Care of the Patient on
Guidelines:	Monitoring: External Fetal Heart Rate/Uterine Activity Monitor Tracings: Charting
Procedure:	Monitoring: Fetal Heart Rate: Internal
Procedure:	Monitoring: Internal Uterine Activity

Protocol:	Newborn (Term): Care of the Newborn in the Birthing Room/Delivery Room
Protocol:	Nifedipine Administration for Tocolytic Purposes
Protocol:	Non-Stress Test (NST)
Guidelines:	Nursing Operative Record: Use of

Administrative Protocol:	Obstetrical Patient: Triage of
Standard Care Plan:	Ovarian Hyperstimulation Syndrome
Protocol:	Ovarian Hyperstimulation (OHSS): Care of the Patient with
Teaching Plan:	Ovarian Hyperstimulation Syndrome (OHSS): Care of the Patient
Procedure:	Oxytocin Administration via the Alaris Pump
Procedure:	Oxytocin Administration via the Medfusion Pump

Procedure:	Percutaneous Umbilical Blood Sampling (PUBS): Assistance with
Procedure:	Perineal Scrub for Vaginal Delivery
Procedure:	Placenta: Collection and Care of
Protocol:	Precipitous Delivery: Care of the Patient During
Procedure:	Precipitous High Risk Delivery: Transfer of Infant to Resuscitation Room
Teaching Plans:	Pregnant Diabetic Patient: Insulin Dependent
Standard Care Plan:	Premature Rupture of Membranes (PROM): Antepartum Patient
Standard Care Plan:	Premature Spontaneous Onset of Labor: Antepartum Patient
Teaching Plan:	Preterm Labor (PTL): Care of the Patient
Protocol:	Preterm Labor (PTL): Care of the Patient in L&D and OB-GYN Unit
Protocol:	Preterm, Premature Rupture of Membranes (PROM): Care of the Patient in the L&D and on OB-GYN
Teaching Plan:	Preterm, Prolonged, Premature Ruptured Membranes Pregnant Patient (PROM)
Procedure:	Prostaglandin Gel: Assistance with the Insertion of
Teaching Plan:	Prostaglandin Induction/Termination of Pregnancy
Standard Care Plan:	Prostaglandin Termination of Pregnancy

Procedure:

Protocol:	Safety and Security of Newborns
Protocol:	Sterile Field, Maintenance of
Protocol:	Subgaleal Hemorrhage: Care of the Infant at Risk for
Protocol:	Supine Position: Cesarean Section
Procedure/ Protocol:	Surgical Counts

Procedure:	Terbutaline (Brethine): Administration of Terbutaline for Tocolytic Purposes
Protocol:	Terbutaline (Brethine): Care of the Patient Receiving Terbutaline for Tocolytic Purposes
Protocol:	Terbutaline Infusion Therapy: Care of the Patient with
Procedure:	Terbutaline Infusion Therapy: Use of the Home Care Agency and Pump
Teaching Plan:	Termination of Pregnancy, Second Trimester
Protocol:	Termination of Pregnancy, Second Trimester: Care of the Patient Undergoing
Procedure:	Termination of Pregnancy, Second Trimester: Scheduling and Admission of Patient
Standard Care Plans:	Third Trimester Bleeding: Antepartum Patient
Teaching Plan:	Third Trimester Bleeding in Pregnancy
Procedure:	Transfer Process between L&D and OB-GYN Units: Completion of Documentation
Procedure:	Tubal Ligation Following Vaginal Delivery: Care of the Patient during

Protocol:	Vaginal Delivery: Care of the Delivered Patient
Protocol:	Vaginal Delivery: Care of the Patient During
Procedure:	Version, External: Assistance with
Protocol:	Visitation: in the Nurseries
Protocol:	Visitation in the Nurseries: Maternal Fever and

In addition to the above standards, staff in this area are directed to the following AORN Recommended Practices:

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