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Labor & Delivery Triage Orders / First Name Last Name / Date Reason’s) for Evaluation a. b. c. d. Orders K Perform (FM) or (NST×, then notify Dr. Nova of findings. K Perform Pelvic Examination
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How to fill out labor amp delivery triage

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How to fill out labor amp delivery triage:

01
Begin by collecting the patient's demographic information, including their name, age, address, and contact information. This will help in identifying the patient and keeping track of their records.
02
Next, gather the patient's medical history, including any past pregnancies, medical conditions, allergies, medications currently being taken, and any relevant surgeries. It is important to have a comprehensive understanding of the patient's medical background to provide appropriate care.
03
Record the gestational age of the pregnancy. This refers to the number of weeks and days since the first day of the last menstrual period. This information is crucial in determining the stage of the pregnancy and assisting in making appropriate medical decisions.
04
Assess the chief complaint or reason for the patient's visit. In labor amp delivery triage, this is typically related to symptoms of labor, potential complications, or any concerns the patient may have. Document the specific symptoms or concerns expressed by the patient.
05
Conduct a thorough physical examination, including assessing maternal vital signs (such as blood pressure, pulse rate, respiratory rate, and temperature), fetal heart rate monitoring, measuring fundal height (the height of the uterus), and checking for any signs of distress or complications.
06
Document the findings from the physical examination, ensuring all relevant details are recorded accurately. This information will be helpful for ongoing monitoring and determining the appropriate course of action.
07
Evaluate the need for additional tests or investigations, such as laboratory work (blood tests, urine analysis), ultrasound scans, or any other relevant diagnostic procedures. These tests can provide crucial information to guide the management of the patient.

Who needs labor amp delivery triage:

01
Pregnant women who are experiencing symptoms of labor, such as regular contractions, rupture of membranes (water breaking), vaginal bleeding, abdominal pain, or decreased fetal movements.
02
Pregnant women who have any complications or medical conditions that require close monitoring, such as gestational diabetes, preeclampsia, or a history of preterm labor.
03
Pregnant women who are unsure about certain symptoms or have concerns about their pregnancy and require medical advice or assessment.
It is important to note that labor amp delivery triage is not solely for women in active labor. It serves as a crucial initial assessment and screening process to determine the appropriate level of care and intervention required for pregnant women.
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Labor and delivery triage is a process where pregnant women are assessed to determine the urgency of their situation and the appropriate level of care needed.
Healthcare professionals, such as nurses and doctors, are required to conduct and document the labor and delivery triage process.
Labor and delivery triage is filled out by documenting the pregnant woman's vital signs, symptoms, medical history, and assessment findings.
The purpose of labor and delivery triage is to prioritize care for pregnant women based on the urgency of their conditions.
Information such as gestational age, contractions, fetal heart rate, cervical dilation, and maternal health status must be reported on labor and delivery triage.
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