TABLE OF CONTENTS

 

 

SAMPLE ORDERS AND NOTES

 

Caring for Newborns in the Hospital with EPIC

Admission..................................................................................... 1-5

Discharge of Newborns................................................................... 6-7

Caring for Pregnant Patients in the Hospital with EPIC

Admitting to L & D.......................................................................... 8-11

Transferring to Postpartum............................................................ 12-14

Discharging from Postpartum......................................................... 15-17

 

 

OBSTETRICS

 

Air Travel During Pregnancy............................................................... 18

Amnioinfusion................................................................................... 19

Amniotic Fluid................................................................................... 20

Amniotomy....................................................................................... 21

Antepartum Testing........................................................................ 22-23

Apgar Score.......................................................................................24

Bishop Score..................................................................................... 25

Breastfeeding................................................................................. 26-31

Cardinal Movements............................................................................32

Cervical Exams............................................................................... 33-34

Cesarean Section - Indications and Complications............................... 35-36

Chorioamnionitis............................................................................... 37

Circumcision Procedure Note...............................................................38

Common Complaints of Pregnancy.................................................... 39-42

Dating.............Early Dating..............Ultrasound Dating...................... 43-46

Depoprovera................................................................................... 47-48

Depo Flow Chart ............................................................................. 49-50

Depression in Pregnancy.................................................................. 51-52

Ectopic Pregnancy........................................................................... 53-55

Emergency Contraception................................................................ 56-57

Endocarditis Prophylaxis for OB/GYN Patients...................................... 58

Fetal Monitoring............................................................................. 59-60

Fetal Scalp Electrode....................................................................... 61-62

FMS B Curriculum.............................................................................. 63

Forceps............................................................................................ 64

Fundal Height Measurement............................................................... 65

Gestational Diabetes....................................................................... 66-69

GDM-Prenatal, L and D, Post Partum Care......................................... 70-72

Group B Strep Infection in Pregnancy............................................... 73-75

Hepatitis B in Pregnancy.................................................................. 76-78

Human Chorionic Gonadotropin.......................................................... 79

Hyperbilirubinemia in Newborns......Charts........................................ 80-87

Hypertension & Preeclampsia............................................................. 88

Imaging Studies During Pregnancy..................................................... 89

Induction of Labor................Worksheet........................................... 90-94

Intrahepatic Cholestasis of Pregnancy............................................... 95-96

Intrauterine Fetal Demise (IUFD)...................................................... 97-99

Intrauterine Growth Restriction (IUGR).......................................... 100-101

IUPC Placement ......................................................................... 102-103

Labor-Normal and Abnormal........................................................ 104-105

Leopold Maneuvers......................................................................... 106

Malpositions and Malpresentations................................................ 107-108

Meconium.................................................................................. 109-110

Medications in Pregnancy............................................................. 111-115

Molar Pregnancy......................................................................... 116-118

Montevideo Units........................................................................ 119-120

Nausea and Vomiting.................................................................. 121-122

Neonatal Resuscitation..........Meds Used....................................... 123-126

Nutrition for Pregnancy............................................................... 127-128

OB Procedure Documentation....................................................... 129

Perineal Repair........................................................................... 130-131

Physiologic Changes Associated with Pregnancy.............................. 132

Postpartum Care......................................................................... 133-135

Postpartum Depression............................................................... 136-137

Postpartum Emergencies/Urgencies.............................................. 138-140

Postpartum Hemorrhage............................................................. 141-144

Postterm ................................................................................... 145-146

PPD in Pregnancy.......................................................................... 147

Preeclampsia and Eclampsia........................................................ 148-150

Premature Rupture of Membranes (PROM).................................... 151-152

Prenatal Care............................................................................. 153-155

28 Week Checklist .........................................................................................

Preterm Labor............................................................................ 156-158
Quad Screen
............................................................................... 159-160

RH Negative and Rhogam.............................................................. 161

Sexually Transmitted Diseases...................................................... 162-167

Shoulder Dystocia........................................................................ 168-169

Spanish for L & D........................................................................ 170-176

Spontaneous Abortion................................................................. 177-179

Twin Delivery Guidelines.............................................................. 180-182

Ultrasound in Labor and Delivery.................................................... 183

Urinary Tract Infection (UTI) in Pregnancy..................................... 184-185

Vacuum Extraction....................................................................... 186

Vaginal Bleeding-1st Trimester..................................................... 187-189

Vaginal Bleeding-2nd & 3rd Trimester............................................ 190-195

Vaginal Birth after Cesarean (VBAC- 2011).................................... 196-197

 

 

GYNECOLOGY

 

Cervical Dilatation............................................................................ 198

Contraceptive Options................................................................ 199-202

Pap Smear................................................................................. 203-212

Pelvic Inflammatory Disease........................................................ 213-214

Suction Currettage...................................................................... 215-216

Vulvar Disease Protocols............................................................. 217-219