MD orders no external monitor on Pt w/ preterm contractions

Specialties Ob/Gyn

Published

Hey all you OB nurses! What are thoughts about an MD asking nursing to do no external monitoring on an inpt OB? She is in for preterm contractions and has cervical shortening with a small amount of cervical dilation which is now stable. It makes me wonder why you admit someone for this problem, but take away our primary assessment tool. I took it to my supervisor, and she agrees that it is wrong. Even prn for contractions?

Specializes in OB, Med/Surg, Ortho, ICU.

I'm not sure about having a Dr's order for FHM, we can initiate it per protocol, though. She was 33 wks, and we don't have a NICu. It is better for us to fly out a laboring mother than try to support a preterm infant.

Specializes in OB.

Jenerator - had she had a fetal fibronectin done? If that was negative, indicating low likelihood of delivery within the next couple of weeks, then I could understand such an order.

Otherwise, given your setting I can fully understand your concerns and would be charting meticulously and following up with higher ups at the hospital, especially risk management.

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