Vaginal Delivery - Munson Healthcare

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Vaginal Delivery
1. Go to IView-OB Delivery band. Click Labor/Delivery Information section to document a vaginal
birth on the mom’s chart.
Primary RN
Use the OB Pregnancy Band sections to document the
patient’s labor until the actual time of Delivery.
Go to the OB Delivery-Labor/Delivery Information
section to document the actual details of the Delivery.
1. Labor Onset Methods
2. Membrane Status
3. Delivery Type
4. Delivery Head Date/Time
5. Date/Time of Birth
6. Time Difference Head to Delivery
7. Maternal Delivery Complications, Baby
8. Truncal Cord
9. Nuchal Cord Times
10. Placenta Delivery Date/Time
11. Placenta Delivery Method
12. Placenta to Pathology
13. Cord Blood to Lab
14. Cord Blood pH Drawn
15. Cord Blood Banking
16. OB Delivery Care Provider
17. Assistant Care Provider
18. Anesthesiologist at Delivery
19. Delivery RN #1
20. Delivery RN #2
21. Peds provider at Delivery
22. NICU RN at Delivery
23. RT at Delivery
24. Other Clinicians
25. Observers/support persons
26. Auto-calculation Fields
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2. Primary RN. Documentation that needs to be completed in Mom’s Chart in IView.
Primary RN-opens the mom’s chart
Use the OB Delivery Band-Newborn Delivery Data
section to document the initial care of the newborn.
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Apgars
Interventions at Birth
Gender
ID Band Number
Neonate Outcome
Birth Order
Multiple Gestation Description
Risk Factors
Neonate Complications
Pediatric Care Provider
Birth Weight-in kg.
Transfer To
Orders
1. When present at the birth, the pediatric provider will
enter the Admission Newborn Services PowerPlan.
When pediatric provider is not in attendance, the RN
will enter the Admission Newborn Services PowerPlan
using the provider’s name and POE CoSign.
Newborn Care Continues
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Once the baby has been admitted the Primary RN
will open the Newborn’s chart.
Once in the Newborn’s chart, go to IView and click
the Newborn Systems Assessment Band.
Click Initial Newborn Exam and document
assessment.
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