L&D skills checklist - what is 'phono'?
- 0I'm filling out a skills checklist for a position I'm applying for. Under "external monitoring" it lists toco, ultrasound and phono. What is phono? Is that the same as a hand-held doppler?
- 0Huh. I guess I'll leave that column blank!
They also asked about fetoscopes. Really?? I know we had one on our unit once upon a time, and we would play with it on each other when we were pregnant. But seriously, are you really expecting an L&D nurse, in 2010, to be highly skilled in the use of a fetoscope?
- 0Mar 24, '10 by Elvish GuideWonder if they are talking about auditory stimulation? Just a wild guess, as I have never heard that term either.
ETA - I looked it up and found it on checklists of several facilities that have posted their forms online. Most of them had it grouped in listed as 'phono/abdominal ECG transducer'.Last edit by Elvish on Mar 24, '10
- 0Mar 24, '10 by NurseNoraI'm not sure, but I seem to remember when fetal monitors were first being used that Phono picked up FHR by microphone rather than by ultra sound. I haven't seen it in 20 or 30 years at least.
As far as using a fetoscope--every unit should have one and every nurse should learn to use it. There are some fetal arrhythmias that can only be picked up by fetoscope. The U/S is confused by some of them and not only give you the wrong count (doubling or halving the rate) but may even give the wrong audible rate. If you suspect an arrhythmia, you should listen with a fetoscope. This is covered in more detail in the AWHONN Intermediate Fetal Monitoring Class.
- 0Mar 28, '10 by NurseNoraIn the Intermediate class, auscultation methods are discussed and practiced. That is where you're most likely to hear about when a fetoscope is most useful.
A FSE is reliable, but is not always an option when a fetal arrhythmia is first discovered, investigated, and treated.