another "ob pt in er" question...

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I recently had a 24 week pg pt. She was in for "abd pain" She had been seen and evaluated in ob for 2 hours. No signs of labor. good fht's. So, she was sent to ER for eval.

My question. How often would you check for fht's?

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Specializes in Nephrology, Cardiology, ER, ICU.

I would do so once during the time she was in the ER. However, I would make reference in my initial assessment that she had been seen and evaluated in OB prior to this ER visit. I would also assess FHTs if she had sudden increase in pain, fluid leakage or if she requested it.

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I would do so once during the time she was in the ER. However, I would make reference in my initial assessment that she had been seen and evaluated in OB prior to this ER visit. I would also assess FHTs if she had sudden increase in pain, fluid leakage or if she requested it.

:yeahthat: :yeahthat: :yeahthat: :yeahthat:

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:idea: Thanks!!!

ob pt's in the er are kinda sticky...

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Specializes in Trauma/ED.

"I don't know nothin bout burffing no babies"...please go to OB!!!! He he...we did have one story where we tried to get the gal up to OB but she delivered in the elevator, thank God there was a tech and a nurse with her and thank God I was not the nurse :)

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Specializes in Emergency.

24 weekers are OB's patient. They get to work them up and the dont come back to the ER. And if the get discharged and come back the get sent back to OB.

To answer your question though FHT's get checked once.

RJ

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Specializes in Trauma/ED.
24 weekers are OB's patient. They get to work them up and the dont come back to the ER. And if the get discharged and come back the get sent back to OB.

RJ

Um...I know we aren't supposed to pick apart spelling but I think your "Y" button might be sticky...lol

Try reading your posts before posting them :)

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Specializes in SICU.

Being 24 week pregnant will not stop other problems occuring, such as the appendix bursting. I know, because my friend had emergency surgery for appendicitis when she was 26 weeks pregnant. ER patients need to be in the ER regardless of belly size.

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In our ER we get first dibs...if it's not an obvious OB-related issue, we medically clear them first (ASAP) and then they go upstairs.

Isn't it funny, I worked in the Birth Center my second year out of school, that was 11 years ago, now I'm an ER nurse...and there's nowhere I'd rather be than as far away from a delivery as I can get!!! And I know I'm not the only one! That is one area you either definitely love or definitely hate!

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Specializes in Emergency.
Being 24 week pregnant will not stop other problems occuring, such as the appendix bursting. I know, because my friend had emergency surgery for appendicitis when she was 26 weeks pregnant. ER patients need to be in the ER regardless of belly size.

Thats all fine but it still effects a 24 wk fetus. The standard dx test for an appy is an abdominal CT scan with PO contrast, which no Radiologist at my hospital or any other one that I know of will do. For that matter none of the general surgeons who do appendectomies would touch that pt in my hospital as well, again defaulting to OB/GYN.

So there for any pregnant female with a viable fetus and most places consider that 20 wks and beyond gets to go OB/GYN unless she is unstable or delivery is imminent. If the patient has yet to be seen by anyone for said pregnancy we generally do an ultrasound exam to determin fetal age and viablity.

RJ

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