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Discussion

AWHONN recommendations

Hey everyone,

I was wondering if someone could help me get my hands on a copy of awhonn's recommendations for documenting FHTs during the different stages of labor. I thought I had a copy of it somewhere, but can't seem to locate it, and I'm having trouble finding it on the internet.

I've been a labor nurse for 2 years and have always charted q30min for low risk, q15min for high risk, including epidural and pitocin, and q5min for pushing. However, I am training at a new hospital for a PRN position, and I've been told by one nurse that I could chart q30min while on pit, while another says q15min, and no one charts q5min for pushing.....

I just wanted to review the recommendations, if anyone has access to them and could share. I'm open to hear what others do as well!

Thanks!

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    There is a difference between evaluating and documenting. In the second stage, FHR should be evaluated every 5 min, but if the patient is on the electronic monitor, you don't have to document it as you have a printed record on the tracing. If you are doing IA, there is no record other than what you write, so to prove you've, evaluated, you have to document it as well.

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    Up here our guideline is to document q 5 min in the second stage :( makes for a ton of charting when you run into 2 hours of pushing!

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