Clinical Orientation Manual - University of Kansas Medical Center

Clinical Orientation Manual - University of Kansas Medical Center Clinical Orientation Manual - University of Kansas Medical Center

24.04.2014 Views

fails, come early before the scheduled surgery, maybe 1.5 hours before. Otherwise, plan to be in same day surgery one hour before the scheduled surgery. OB notes:You will be provided with examples of many different types of notes such as H&Ps, Delivery Notes, and Postpartum Notes during orientation. Ask your resident for a template. However, here are some important things to know about notes. Vaginal Delivery Postpartum Day #1 *Pt may go home if>24 hours post delivery and if she is afebrile. Check Hgb for postpartum anemia. *Check and report: *Birth control plan *Breast or bottle feeding *Postpartum Hgb/Hct *Rubella immune status: if non-immune, pt needs Rubella injection prior to discharge *VDRL *Blood Type: if Rh-, Aby screen-, and infant Rh+ pt needs Rhogam injection prior to discharge *Any culture results or pending Postpartum Day #2 Pt goes home if afebrile. During rounds you will present all of the same lab information as stated in PPD#1 Discharge orders *Follow up: in _____ clinic in 6 weeks *Activity: no tampons, douching or intercourse x 6 weeks *Diet: regular *RTC: if temp>101, foul smelling discharge, severe abdominal pain, bleeding more than a pad an hour Discharge Meds *Motrin 800 mg 1 po q 8 hrs prn pain, #30; no refills *Colace 100 mg 1 po BID #60; no refills *If Hgb

Discharge Orders *Follow-up in _______ clinic in 4 weeks *Activity: no tampons, douching, or intercourse x 4 weeks *Diet: regular *RTC: if temp > 101, foul smelling discharge, severe abdominal pain, or bleeding > 1 pad per hour Discharge Meds *Percocet 5/325 1-2 po q 4-6 hrs prn pain #30, no refills *Motrin 600 mg 2 po q 4-6 hrs prn pain #30, no refills *Colace 100 mg 1 po BIC #60, no refills *If Hgb

fails, come early before the scheduled surgery, maybe 1.5 hours before. Otherwise, plan to be in<br />

same day surgery one hour before the scheduled surgery.<br />

OB notes:You will be provided with examples <strong>of</strong> many different types <strong>of</strong> notes such as H&Ps,<br />

Delivery Notes, and Postpartum Notes during orientation. Ask your resident for a template.<br />

However, here are some important things to know about notes.<br />

Vaginal Delivery<br />

Postpartum Day #1 *Pt may go home if>24 hours post delivery and if she is<br />

afebrile. Check Hgb for postpartum anemia.<br />

*Check and report: *Birth control plan<br />

*Breast or bottle feeding<br />

*Postpartum Hgb/Hct<br />

*Rubella immune status: if non-immune, pt needs Rubella injection prior to<br />

discharge<br />

*VDRL<br />

*Blood Type: if Rh-, Aby screen-, and infant Rh+ pt needs Rhogam injection prior<br />

to discharge<br />

*Any culture results or pending<br />

Postpartum Day #2 Pt goes home if afebrile. During rounds you will present all <strong>of</strong><br />

the same lab information as stated in PPD#1<br />

Discharge orders *Follow up: in _____ clinic in 6 weeks<br />

*Activity: no tampons, douching or intercourse x 6 weeks<br />

*Diet: regular<br />

*RTC: if temp>101, foul smelling discharge, severe abdominal pain, bleeding<br />

more than a pad an hour<br />

Discharge Meds *Motrin 800 mg 1 po q 8 hrs prn pain, #30; no refills<br />

*Colace 100 mg 1 po BID #60; no refills<br />

*If Hgb

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