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 Document1 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. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 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 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. Document1