I have just completed my 4th week of orientation on L&D and I ran into something that I am confused about. My preceptor does not include Pitocin used for induction/augmentation of labor on the I&O record since it is difficult to determine how many mLs the pt got if we are constantly increasing or decreasing the Pit q 15-30 min. Instead she simply documents the rate of Pitocin on the flow sheet where we documents our ongoing assessments q 15-30 min.
However, the other day we took over for another nurse who had a pt receiving Pitocin for augmentation of labor and we noticed that she was including the rate of Pit in her I&O record.
So I was just wondering what you do at your facility and if you had any advice for me about how to keep track of Pitocin for the I&O record??
I want to be a great L&D nurse and I want to ensure that I always have complete charting.
Thanks in advance.
Sep 3, '12
Thank you Fyreflie, your post was very helpful. We use 20 units pitocin in 1000 ml and start at 2 mu/min which is 6 ml/hr and we increase by 2 mu/min q 15-30 depending on the order. I always document the rate of the pitocin with my ongoing assessments and I document every time I change the rate. My preceptor says that should be enough... but I guess I wanted to make sure whether that was correct.
I guess because I am new I want to be thorough.
Last edit by Kayla.J.RN on Sep 3, '12
: Reason: typo