[kathiecnm]

New question:
How do you handle doing fetal surveillance on pregnant patients not on the AP/IP floor? Ideally, all pregnant patients would be on the AP unit where we know how to care for pregnant moms & their babies. However, sometimes pregnant women have the nerve to have other complications that we do not know how to care for & are not in danger of imminent delivery. We then go to ortho or neuro & do a 30 minute strip (<28 weeks) or an NST daily or q 12 hours per MD/CNM orders. I just want to hear other ideas about when & on what forms you document this perinatal assessment by an experienced qp/IP RN. I couldn't find anything in the literature on this topic, so I am relying on all of you. Thanks!

[JenTheRN]

We don't have a problem with this...we are a small LDRP unit, we have one room for "triage" patients (patients that come in for NST, R/O labor and/or ROM that sort of stuff). We have a separate triage page that gets filled out for them.

[JenTheRN]

I think I misread... If a patient is on another unit and needs FHM, we will usually go by the GYN doc order...usually FHT/NST once a shift.

[bagladyrn]

When assessing antepartums/NST's, etc. on other floors I generally just chart my findings in the form of a narrative note on the nurse's notes, progress note or the similar screen on the computer charting.

[judyblueeyes]

We send someone who is trained to read the strips to the unit to both monitor and interpret the strip, if necessary.

[RNnL&D]

Originally Posted by bagladyrn

When assessing antepartums/NST's, etc. on other floors I generally just chart my findings in the form of a narrative note on the nurse's notes, progress note or the similar screen on the computer charting.

Same here. A L&D nurse monitors the patient, and chart's the NST results on the pt' nursing notes.

[SmilingBluEyes]

Ditto.....we interpret and chart on the unit we are sent to.