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Vag q 4 hrs for first 12 hrs, then q 12 hrs. C/S (after recovery - upon arrival to pp floor) q 30 min for first 2 hrs, the q 4 for first 24, then q 12.
Of course, this is for stable pt - more often if needed.
Once our patients get to the postpartum floor we do Vag. deliveries on admit then again in 4 hours then it is once a shift (so basially Q12), the same goes for assessments. For C/S they get vitals on admit, then Q4hr X24hrs with resp rate Q2hr if they had a spinal morph and assessment is once a shift. Of course everything is more frequent if issues.
Hi- I am a new grad now with 7 mos on my feet runnung the floors!
At my hosp, L&D, PP all in 1 unit we average 100-120 deliveries a month. For our new Moms-
30minx x 4
1 hr x 2 then q4 hrs there after.
c/s- ( usually 1.5 hrs in recovery rm) then
Sat monitor for 24 hrs and
30min x 4
than hourly x 4
then q4 hrs.
Our hospital's recovery protocol for vagnial deliveries used to be:
Q 15 min x4, Q 30 min x2, Q 4 hrs x 24 hrs, then Q shift.
They just changed to:
Q 15 min x4, Q30 min x2, Q 1 hr x 2, Q 2 hrs x2, then Q 4 hrs x 24, then Q shift.
This seems like huge overkill for a low risk uncomplicated delivery...what does everyone else think? As of now, no rational has been explained, and we have had no previous bad outcomes because of our protocol as it was.