I have been an L&D nurse for several years now and there is one thing that really troubles me and always has. It seems that I spend more time on wanna be's than on laboring pt's. Ok, so here is a hypothetical situation. Pt comes to L&D and says "I think I might be in labor" (first clue right there that she is SO NOT IN LABOR) you ask about ctx, she says that they are irregular, not painful, started about 20-30 min ago, was in office this afternoon and was 1 cm, 50%. OK, so under EMTALA, because she presented to the hospital possibly in labor, we must do a complete assessment which includes head to toe assessment, SVE, asking when her last bowel movement was etc, NST. The whole time she never once changes expression on her face or acts like she is even mildly uncomfortable, except when you check her cervix and she clamps her knees together, climbs the bed and screams bloody murder, because you can barely reach her 1cm thick firm cervix. So, a pt like this typically takes me about 1 to 1 1/2 hours to admit. We do the same admission procedures on every pt, whether they are full blown labor, wanna be or NST. So I guess my ultimate question is, do you have different admission forms for different types of pt's, or does everyone do it this way?