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Discussion

Benchmarking Cytotec

Hi all. We (like most others) are using Misoprostal for cervical ripening. Currently our docs and residents administer the med. Our Clinical Practice Committee is considering a protocol that would allow nurses to administer subsequent doses of cytotec after the doc gives the first one. That would allow the doc to first evaluate the cervix and explain the treatment to the patient and answer any questions. At my previous hospital, nurses administered it. What are your experiences with this? Do any of your units allow nursing to administer it--and if so, are there special considerations? The head of our Joint Perinatal Practice Committee says to benchmark it to see what others are doing--Thanks for any input!

If you would like to share your facility and its policy concerning cytotec, let me know @ [email protected]. Thanks!

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The only way RN's are allowed to give cytotec in my facility, is in the p.o. form. (yes, some give it p.o.) Only docs/cnm's can give it lady partslly.

Jen

L&D RN

At my hospital the first dose is administered lady partslly by the MD and the subsequent doses are administered usually in the PO form by the nurses.

A few doctors will use either sublingual doses or buccal, but 95% of the time we give it PO.

We use cervidil for cervical ripening. Nurses place it. We only use cytotec for fetal demise. Nurses place it also.

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