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Get the free Shoulder Dystocia Report Form - royalberkshire.nhs.uk

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Shoulder Dystonia Report Form Name of patientHospital No D/S SituationPlace of birth: Mode of Del: Labor: Spent History: None H Help CalledStaffingNameHome Other Designing of arrival called or did
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How to fill out shoulder dystocia report form

01
Start by gathering all the necessary information for the shoulder dystocia report form, such as the patient's name, date of birth, and medical record number.
02
Document the details of the shoulder dystocia event, including the date and time of occurrence, the healthcare providers involved, and any actions taken to resolve the situation.
03
Describe the specific maneuvers used to alleviate the shoulder dystocia, such as the McRoberts maneuver, suprapubic pressure, or the Gaskin maneuver.
04
Note any complications or injuries that occurred as a result of the shoulder dystocia, such as brachial plexus injuries or fractures.
05
Include any additional observations or relevant details about the situation, such as the estimated birth weight of the baby or any risk factors that may have contributed to the shoulder dystocia.
06
Review the completed form for accuracy and completeness before submitting it to the appropriate department or healthcare authority.

Who needs shoulder dystocia report form?

01
Healthcare providers, including obstetricians, midwives, and nurses, who encounter cases of shoulder dystocia during childbirth.
02
Medical researchers and professionals involved in studying and analyzing the incidence and management of shoulder dystocia.
03
Legal entities or insurance companies that require documentation of shoulder dystocia events for purposes of claims, evaluation, or legal proceedings.
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Shoulder dystocia report form is a document used to report cases of shoulder dystocia during childbirth.
Healthcare providers attending the childbirth where shoulder dystocia occurs are required to file the report form.
The form must be filled out with details of the childbirth, the occurrence of shoulder dystocia, and relevant medical information.
The purpose of the form is to track and analyze cases of shoulder dystocia to improve childbirth practices.
Information such as the date and location of birth, maternal health history, details of the shoulder dystocia incident, and the outcome must be reported.
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