I need help RE: Ob/L&D report sheets

[Moni_luv]

If anyone has a report sheet they could send me, I would appreciate it. I am currently doing my clinical rotation in L&D/PP and the report sheet they use is so rediculously UNREADABLE....I tried to redo it, but I dont even understand half the things on there, HELP if you can.

Thanks!

[nurseob7]

My LDRP doesn't use report sheets for labor pts --- we do have report sheets for postpartum pts ---- We have to tell the next nurse, gravida-para, type of del, time of del, type of epis if applicable, blood type, HIV status, hep status, rubella status, meds given, etc.

Any specific questions I could help with, I'd be happy to........nurseob7;)

[Moni_luv]

this is what i have made (or copied) so far....

it is the highlighted items that i dont quite know what they are, although when you tell me, i am sure i am going to be like "duh!!!" to myself.....thanks for the help

ob report sheet

name:

rm:

ob:

age:

g:

p:

gest age:

vag lac:

cs:

hx.

fundus:

lochia:

gu:

gi:

breast:

iv:

diet:

disg:

pain:

blood type:

hbag:

rpr:

rubella i/n:

gbs:

activity:

h/h:

[nurseob7]

Cannot figure out the what the first highlighted one could be ....... Hbag is the hepatitis B status of the mother .......RPR is the serology (either reactive or nonreactive) RPR is testing for syphilis .......The last one is H/H would most likely be the Hemoglobin and Hematocrit.....that is a common lab test ordered for the 1st postpartum day.........

Hope that helps!!

[Moni_luv]

Thanks. That does help.....maybe the Disg is Drsg does that make sense to you?

[nurseob7]

I bet you are right --- it is just most likely a typing error and should be drsg.......we would mention that with a c/section --- we say "low transvere dry and intact", or "open to air with staples", "abd dressing with small drainage marked" ----- Good Luck!