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D&C in OB triage

Ob/Gyn   (2,379 Views 6 Comments)
by CMCRN CMCRN (New Member) New Member

CMCRN has 28 years experience .

2,977 Visitors; 122 Posts

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I work in a level III hospital, about 6,000 births a year. We have a separate OB triage unit 2 floors away from L&D. We are trying to develop a protocol for doing D&C s in the triage unit. Does anyone do this? If so, up until how many weeks? And do you also do D&C if a PP pt comes back in bleeding after discharge?

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klone has 13 years experience as a MSN, RN and works as a Director of OB Services.

3 Followers; 113,023 Visitors; 13,087 Posts

What kind of anesthesia is the pt given? I have never heard of a D&C done anywhere but in an OR. I personally would not want what is essentially a surgical procedure done in a nasty triage room.

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CMCRN has 28 years experience.

2,977 Visitors; 122 Posts

Conscious sedation, usually fentanyl and maybe versed. I think all of us would prefer they be done in the OR also. It requires one of the triage nurses be one to one with that pt and is quite often is not as straight forward as it is billed by the OB. So I just wanted to get a sense from around the country what others were doing.

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klone has 13 years experience as a MSN, RN and works as a Director of OB Services.

3 Followers; 113,023 Visitors; 13,087 Posts

If she's on conscious sedation, doesn't she need to be monitored (EKG)? Do you have that capability in triage?

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CMCRN has 28 years experience.

2,977 Visitors; 122 Posts

Our conscious sedation protocol does not call for EKG monitoring. We do q 5 min vs, bp,pulse and O2 sat. Usually it is just fentanyl which we also give to our labor patients.

Primarily it is for D&Cs that would have been done in the office except that it is afterhours, nights and weekends.

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CMCRN has 28 years experience.

2,977 Visitors; 122 Posts

Oh and we have 24 hour in house anesthesia backup.

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