case about obstetrics(i need your help)

Nursing Students Student Assist

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hellow everybody

your sleep is inturrupted by the tones of radio and the dispatcher saying:bravo 3, stand-by for call"you swing your feet into the floor and grap the radio"go ahead, dispatch,"you reply

bravo 3, respond to 77 cherry tree lane for pregnant pt in labor.the other dispatcher is still on the phone with the husband.Additional information to follow.

you and your partener head to the ambulance and start towerd the scene. About 3 minutes from the patients house,the dispatcher tells you that baby appears to be crowning and the husband is still on phone getting instruction. You and your partener decide you need plan. you agree that both the adult and pediatric equipment need to be brought in, as well as the OB kit.

you also agree that you will focus on the baby after delivery and your partener will provide care to the mother.

Questions

1-what should be the first priority when entering the scene?

2-should ALS assistance be requested?

3-What questions should you ask mother or father?

2-should ALS assistance be requested?

what about this question?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

our protocols really are different. If a BLS ambulance is there and every one is ok...BLS can transfer...US nurses, for the most part, are NOT on the streets nor are they called to peoples home as first responders.

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we are studing your protocol:unsure:

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

one more time.....our nurses DO NOT RESPOND to the street nor houses...there is NO protocol for this. I want to help I really do....US nurses are NOT first responders. US nurses do NOT respond to people homes.

My instinct would be yes call them.

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Specializes in Pediatrics, Emergency, Trauma.
we are studing your protocol:unsure:

Please clarify...are you in nursing school OR EMS school???

If you are in a course that is providing emergency care outside of a facility, then most of us will answer as a nurse inside the facility as Esme pointed out, if you are entering a scenario outside the hospital; that is a different protocol; that's emergency medical services, EMS. That involves emergency medical techs, paramedics and prehospital nurses.

If you need help in understanding your questions; I would suggest to go over to pre-hospital transport nursing forum and ask the nurses that have experience or a background in EMS perhaps; otherwise, most of us will not know the specific "protocol", because in nursing school, those aspects are covered much differently.

You also need to explain what you know in order for us to see if you are on the right track...we go by the "teach ME, not tell ME" motto; it will be more beneficial for you this way. :yes:

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Please clarify...are you in nursing school OR EMS school???

If you are in a course that is providing emergency care outside of a facility, then most of us will answer as a nurse inside the facility as Esme pointed out, if you are entering a scenario outside the hospital; that is a different protocol; that's emergency medical services, EMS. That involves emergency medical techs, paramedics and prehospital nurses.

If you need help in understanding your questions; I would suggest to go over to pre-hospital transport nursing forum and ask the nurses that have experience or a background in EMS perhaps; otherwise, most of us will not know the specific "protocol", because in nursing school, those aspects are covered much differently.

You also need to explain what you know in order for us to see if you are on the right track...we go by the "teach ME, not tell ME" motto; it will be more beneficial for you this way. :yes:

I am studying in college(emergency nursing)

****

in this question , you go to home where the pt live ,, and you want to give her the best care as emerdency nurse, so you will provide care for newborn and mother....

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hellow,,

your sleep is inturrupted by the tones of radio and the dispatcher saying:bravo 3, stand-by for call"you swing your feet into the floor and grap the radio"go ahead, dispatch,"you reply

bravo 3, respond to 77 cherry tree lane for pregnant pt in labor.the other dispatcher is still on the phone with the husband.Additional information to follow.

you and your partener head to the ambulance and start towerd the scene. About 3 minutes from the patients house,the dispatcher tells you that baby appears to be crowning and the husband is still on phone getting instruction. You and your partener decide you need plan. you agree that both the adult and pediatric equipment need to be brought in, as well as the OB kit.

you also agree that you will focus on the baby after delivery and your partener will provide care to the mother.

Questions

1-what should be the first priority when entering the scene?

2-should ALS assistance be requested?

3-What questions should you ask mother or father?

Up Vote Up Vote ×
Specializes in Pediatrics, Emergency, Trauma.

I am studying in college(emergency nursing)

****

Ok, but the questions you are posting sound like more towards EMS-emergency medical services.

Most US nurses are exposed to emergency care scenarios in a emergency room, not outside of the hospital, as Esme stated.

In the US critical care/emergency care is our senior semester; our clinicals are in step-down, and hours are shadowed in ER and ICU. NO outside community work, with the exception of disaster planning and drills-that's usually covered in public health nursing.

in this question , you go to home where the pt live ,, and you want to give her the best care as emerdency nurse, so you will provide care for newborn and mother....

I am aware of your question; however as Esme stated, nurses do not provide care ON SCENE; usually in a hospital; most of our responses will be based in facility nursing; care of the mother newborn is OB, again, with our education based on being in a hospital.

In the risk of guiding you to the incorrect practice, try the pre-hospital/PHTLS/transport forum and ask members who post there if they have experience in EMS, as well as try world nursing forum to connect with an experienced nurse in your country. That will give you the most guidance. :yes:

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ok ,,

thaanks

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There are already several threads with this same scenario...I'm going to guess your classmates posted the same question.

Search the forum please!

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Specializes in Pediatrics, Emergency, Trauma.
There are already several threads with this same scenario...I'm going to guess your classmates posted the same question.

Search the forum please!

THIS.

I will repost similar what I stated to you in another post with the same question:

The questions you are posting sound like more towards EMS-emergency medical services.

Most US nurses are exposed to emergency care scenarios in a emergency room, not outside of the hospital.

In the US critical care/emergency care is our senior semester; our clinicals are in step-down, and hours are shadowed in ER and ICU. NO emergency outside community work, with the exception of disaster planning and drills-that's usually covered in public health nursing.

I am aware of your question; however as stated, nurses do not provide care ON SCENE; usually in a hospital; most of our responses will be based in facility nursing; care of the mother newborn is OB, again, with our education based on being in a hospital.

In the risk of guiding you to the incorrect practice, try the pre-hospital/PHTLS/transport forum and ask members who post there if they have experience in EMS, as well as try world nursing forum to connect with an experienced nurse in your country. That will give you the most guidance.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

duplicate threads merged s per Terms of Service.

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